Abstract
Child psychopathic traits appear to be associated with negative outcomes. Despite the study of youth psychopathy often relying on multiple reporters (e.g., child, caregivers, teachers), there is limited insight into how much information these various sources contribute and moreover, how this information is integrated. The present study sought to address this gap in the literature by examining the magnitude of relationships between self- and other-reported youth psychopathy and negative outcomes (e.g., delinquency, aggression) using a meta-analytic approach. Results revealed a moderate association between psychopathic traits and negative outcomes. Moderator analyses showed a greater relationship for other- than self-reported psychopathy, although not to a substantive extent. Results further indicated the magnitude of the overall psychopathy-negative outcomes association was stronger for externalizing than internalizing outcomes. Study findings can inform improvements in the assessment of youth psychopathy across research and practice, in addition to advancing our understanding of the utility of psychopathic traits in the prediction of clinically relevant outcomes. This review also provides guidance for future multisource raters and source-specific information in the study of psychopathy in youth.
Similar content being viewed by others
Data Availability
Study data, materials, and analyses code are available from the corresponding author upon reasonable request.
Notes
Moderator analyses examining the effect of region did not include these studies.
Some outliers were extracted from studies reporting only two effect sizes and so their removal meant these studies no longer met inclusion criteria as data was not available for multiple reporters. As such, these studies were removed from the dataset for analyses using data excluding potential outliers.
One study included both multi- and single-component measures.
Analyses examining the moderating role of the proportion of White (relative to non-White) participants in the sample did not include most studies conducted in Europe (excepting Allen et al., 2016, 2018) due to these studies only specifying the nationality of participants (e.g., Dutch, Spanish) and not the racial and/or ethnic makeup of the sample.
References
Complete list of references for studies included in the current meta-analysis is provided in Appendix C.
Achenbach, T. M. (2011). Commentary: Definitely more than measurement error: But how should we understand and deal with informant discrepancies? Journal of Clinical Child & Adolescent Psychology, 40(1), 80–86.
Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101(2), 213–232.
Allen, J. L., Bird, E., & Chhoa, C. (2018). Bad Boys and Mean Girls: Callous-unemotional traits, management of disruptive behavior in school, the teacher-student relationship and academic motivation. Frontiers in Education. https://doi.org/10.3389/feduc.2018.00108
Allen, J. L., Morris, A., & Chhoa, C. Y. (2016). Callous–unemotional (CU) traits in adolescent boys and response to teacher reward and discipline strategies. Emotional and Behavioural Difficulties, 21(3), 329–342.
Andershed, H. (2010). Stability and change of psychopathic traits: What do we know? In R. T. Salekin & D. R. Lynam (Eds.), Handbook of Child and Adolescent Psychopathy (pp. 233–250). The Guilford Press.
Andershed, H., Colins, O. F., Salekin, R. T., Lordos, A., Kyranides, M. N., & Fanti, K. A. (2018). Callous-unemotional traits only versus the multidimensional psychopathy construct as predictors of various antisocial outcomes during early adolescence. Journal of Psychopathology and Behavioral Assessment, 40, 16–25.
Andershed, H. A., Kerr, M., Stattin, H., & Levander, S. (2002). Psychopathic traits in non-referred youths a new assessment tool. Psychopaths current international perspectives. In E. Blaauw & L. Sheridan (Eds.), Psychopaths: Current international perspectives (pp. 131–158). Elsevier.
Assink, M., & Wibbelink, C. J. (2016). Fitting three-level meta-analytic models in R: A step-by-step tutorial. The Quantitative Methods for Psychology, 12(3), 154–174.
Berg, J. M., Lilienfeld, S. O., Reddy, S. D., Latzman, R. D., Roose, A., Craighead, L. W., Pace, T. W., & Raison, C. L. (2013). The inventory of callous and unemotional traits: A construct-validational analysis in an at-risk sample. Assessment, 20(5), 532–544.
Bezdjian, S., Tuvblad, C., Raine, A., & Baker, L. A. (2011). The genetic and environmental covariation among psychopathic personality traits, and reactive and proactive aggression in childhood. Child Development, 82(4), 1267–1281.
Bijttebier, P., & Decoene, S. (2009). Assessment of psychopathic traits in children and adolescents: Further validation of the antisocial process screening device and the childhood psychopathy scale. European Journal of Psychological Assessment, 25(3), 157–163.
Björkqvist, K. (2018). Gender differences in aggression. Current Opinion in Psychology, 19, 39–42.
Breaux, R., Babinski, D. E., Willoughby, M. T., Haas, S. M., Coles, E. K., Pelham, W. E., Waxmonsky, J. G., & Waschbusch, D. A. (2020). Examining psychopathic traits in children using the child psychopathy scale-revised. Journal of Abnormal Child Psychology, 48(2), 251–263.
Cardinale, E. M., & Marsh, A. A. (2020). The reliability and validity of the inventory of callous unemotional traits: A meta-analytic review. Assessment, 27(1), 57–71.
Cheung, M. W. L. (2014). Modeling dependent effect sizes with three-level meta-analyses: a structural equation modeling approach. Psychological Methods, 19(2), 211–229.
Cleckley, H. M. (1976). The mask of sanity: An attempt to clarify some issues about the so called psychopathic personality. Mosby.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Academic.
Colins, O. F., & Andershed, H. (2018). Childhood and adolescent psychopathy. Routledge international handbook of psychopathy and crime (pp. 166–184). Routledge.
Colins, O. F., Andershed, H., Salekin, R. T., & Fanti, K. A. (2018). Comparing different approaches for subtyping children with conduct problems: Callous-unemotional traits only versus the multidimensional psychopathy construct. Journal of Psychopathology and Behavioral Assessment, 40(1), 6–15.
Colins, O. F., Bijttebier, P., Broekaert, E., & Andershed, H. (2014). Psychopathic-like traits among detained female adolescents: Reliability and validity of the antisocial process screening device and the youth psychopathic traits inventory. Assessment, 21(2), 195–209.
Colins, O. F., Fanti, K., Larsson, H., & Andershed, H. (2017). Psychopathic traits in early childhood: Further validation of the child problematic traits inventory. Assessment, 24(5), 602–614.
Cook, R. D. (1977). Detection of influential observation in linear regression. Technometrics, 19(1), 15–18.
Craig, S. G., Goulter, N., & Moretti, M. M. (2021). A systematic review of primary and secondary callous-unemotional traits and psychopathy variants in youth. Clinical Child and Family Psychology Review, 24, 65–91.
De Los Reyes, A., Augenstein, T. M., Wang, M., Thomas, S. A., Drabick, D. A. G., Burgers, D. E., & Rabinowitz, J. (2015). The validity of the multi-informant approach to assessing child and adolescent mental health. Psychological Bulletin, 141(4), 858–900.
De Los Reyes, A., Epkins, C. C., Asmundson, G. J., Augenstein, T. M., Becker, K. D., Becker, S. P., Bonadio, F. T., & Youngstrom, E. A. (2023). Editorial statement about JCCAP’s 2023 special issue on informant discrepancies in youth mental health assessments: Observations, guidelines, and future directions grounded in 60 years of research. Journal of Clinical Child & Adolescent Psychology. https://doi.org/10.1080/15374416.2022.2158842
De Los Reyes, A., & Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: A critical review, theoretical framework, and recommendations for further study. Psychological Bulletin, 131(4), 483–509.
De Los Reyes, A., Wang, M., Lerner, M. D., Makol, B. A., Fitzpatrick, O. M., & Weisz, J. R. (2022). The operations triad model and youth mental health assessments: Catalyzing a paradigm shift in measurement validation. Journal of Clinical Child & Adolescent Psychology. https://doi.org/10.1080/15374416.2022.2111684
Dillard, C. L., Salekin, R. T., Barker, E. D., & Grimes, R. D. (2013). Psychopathy in adolescent offenders: An item response theory study of the antisocial process screening device–self report and the Psychopathy Checklist: Youth version. Personality Disorders: Theory, Research, and Treatment, 4(2), 101–120.
Dirks, M. A., De Los Reyes, A., Briggs-Gowan, M., Cella, D., & Wakschlag, L. S. (2012). Annual research review: Embracing not erasing contextual variability in children’s behavior—theory and utility in the selection and use of methods and informants in developmental psychopathology. Journal of Child Psychology and Psychiatry, 53, 558–574.
Drabick, D. A. G., Gadow, K. D., & Loney, J. (2007). Source-specific oppositional defiant disorder: Comorbidity and risk factors in referred elementary schoolboys. Journal of the American Academy of Child and Adolescent Psychiatry, 46(1), 92–101.
Drabick, D. A. G., Gadow, K. D., & Loney, J. (2008). Co-occurring ODD and GAD symptom groups: Source-specific syndromes and cross-informant comorbidity. Journal of Clinical Child and Adolescent Psychology, 37(2), 314–326.
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315(7109), 629–634.
Elhami Athar, M., Kargari Padar, L., Sharifi Nejad, A., Karimi, S., Ebrahimi, A., Salekin, R. T., & Colins, O. F. (2022). Validation of the proposed specifiers for conduct disorder (PSCD) self-report version in Iranian school-attending adolescents. Journal of Personality Assessment. https://doi.org/10.1080/00223891.2022.2117046
Feilhauer, J., Cima, M., & Arntz, A. (2012). Assessing callous–unemotional traits across different groups of youths: Further cross-cultural validation of the inventory of callous-unemotional traits. International Journal of Law and Psychiatry, 35(4), 251–262.
Forth, A. E., & Book, A. S. (2010). Psychopathic traits in children and adolescents: The relationship with antisocial behaviors and aggression. In R. T. Salekin & D. R. Lynam (Eds.), Handbook of child and adolescent psychopathy (pp. 251–283). The Guilford Press.
Forth, A. E., Kosson, D. S., & Hare, R. D. (2003). The hare psychopathy checklist: Youth version. MultiHealth Systems.
Frick, P. J., & Hare, R. D. (2001). Antisocial process screening device (APSD): Technical manual. Multi-Health Systems.
Frick, P. J. (2004). The inventory of callous-unemotional traits. Unpublished rating scale.
Frick, P. J., O’Brien, B. S., Wootton, J. M., & McBurnett, K. (1994). Psychopathy and conduct problems in children. Journal of Abnormal Psychology, 103(4), 700–707.
Frick, P. J., Bodin, S. D., & Barry, C. T. (2000). Psychopathic traits and conduct problems in community and clinic-referred samples of children: further development of the psychopathy screening device. Psychological Assessment, 12(4), 382–393.
Geerlings, Y., Asscher, J. J., Stams, G.-J.J.M., & Assink, M. (2020). The association between psychopathy and delinquency in juveniles: A three-level meta analysis. Aggression and Violent Behavior, 50, 101342.
Gillespie, S. M., Jones, A., & Garofalo, C. (2023). Psychopathy and dangerousness: An umbrella review and meta-analysis. Clinical Psychology Review, 100, 102240.
Hare, R. D. (2003). Manual for the revised psychopathy checklist (2nd ed.). Multi-Health Systems.
Hare, R. D., Neumann, C. S., & Mokros, A. (2018). The PCL-R assessment of psychopathy: Development, properties, debates, and new directions. In C. J. Patrick (Ed.), Handbook of psychopathy (pp. 39–79). The Guilford Press.
Hawes, S. W., Byrd, A. L., Henderson, C. E., Gazda, R. L., Burke, J. D., Loeber, R., & Pardini, D. A. (2014). Refining the parent-reported inventory of callous-unemotional traits in boys with conduct problems. Psychological Assessment, 26(1), 256–266.
Hedges, L. V., & Olkin, I. (1985). Statistical methods for meta-analysis. Academic press.
Higgins, J. P., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. BMJ, 327(7414), 557–560.
Kahn, R. E., Frick, P. J., Youngstrom, E. A., Kogos Youngstrom, J., Feeny, N. C., & Findling, R. L. (2013). Distinguishing primary and secondary variants of callous-unemotional traits among adolescents in a clinic-referred sample. Psychological Assessment, 25(3), 966–978.
Kenny, D. A., & Kashy, D. A. (1992). Analysis of the multitrait-multimethod matrix by confirmatory factor analysis. Psychological Bulletin, 112(1), 165–172.
Kotler, J. S., & McMahon, R. J. (2010). Assessment of child and adolescent psychopathy. In R. T. Salekin & D. R. Lynam (Eds.), Handbook of Child and Adolescent Psychopathy (pp. 79–109). The Guildford Press.
Kraemer, H. C., Measelle, J. R., Ablow, J. C., Essex, M. J., Boyce, W. T., & Kupfer, D. J. (2003). A new approach to integrating data from multiple informants in psychiatric assessment and research: Mixing and matching contexts and perspectives. American Journal of Psychiatry, 160(9), 1566–1577.
Lasko, E. N., & Chester, D. S. (2021). What makes a “successful” psychopath? Longitudinal trajectories of offenders’ antisocial behavior and impulse control as a function of psychopathy. Personality Disorders: Theory, Research, and Treatment, 12(3), 207–215.
Lee, Z., Salekin, R. T., & Iselin, A. M. R. (2010). Psychopathic traits in youth: is there evidence for primary and secondary subtypes? Journal of Abnormal Child Psychology, 38(3), 381–393.
Levy, T., Apter, A., Djalovski, A., Peskin, M., Fennig, S., Gat-Yablonski, G., & Bloch, Y. (2017). The reliability, concurrent validity and association with salivary oxytocin of the self-report version of the Inventory of Callous-Unemotional Traits in adolescents with conduct disorder. Psychiatry Research, 256, 124–129.
Lin, B., Kerig, P. K., & Adkins, D. E. (2019). Cross-validation of the Inventory of Callous-Unemotional Traits across reporters and genders in a sample of detained youth. Psychological Assessment, 31(1), 15–26.
Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. SAGE publications Inc.
López-López, J. A., Page, M. J., Lipsey, M. W., & Higgins, J. P. (2018). Dealing with effect size multiplicity in systematic reviews and meta-analyses. Research Synthesis Methods, 9(3), 336–351.
Lynam, D. R. (1997). Pursuing the psychopath: Capturing the fledgling psychopath in a nomological net. Journal of Abnormal Psychology, 106(3), 425–438.
Lynam, D. R., & Gudonis, L. (2005). The development of psychopathy. Annual Review. of Clinical Psychology, 1, 381–407.
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., PRISMA Group. (2010). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. International Journal of Surgery, 8(5), 336–341.
Oshukova, S., Kaltiala-Heino, R., Miettunen, J., Marttila, R., Tani, P., Aronen, E. T., Marttunen, M., & Lindberg, N. (2016). The relationship between self-rated psychopathic traits and psychopathology in a sample of Finnish community youth: exploration of gender differences. Journal of Child and Adolescent Behavior, 4(5), 314.
Paiva-Salisbury, M. L., Gill, A. D., & Stickle, T. R. (2017). Isolating trait and method variance in the measurement of callous and unemotional traits. Assessment, 24(6), 763–771.
Peters, J. L., Sutton, A. J., Jones, D. R., Abrams, K. R., & Rushton, L. (2007). Performance of the trim and fill method in the presence of publication bias and between-study heterogeneity. Statistics in Medicine, 26(25), 4544–4562.
Pustejovsky, J. (2021). clubSandwich: Cluster-Robust (Sandwich) Variance Estimators with Small-Sample Corrections. R package version 0.5.3.
Ray, J. V., Frick, P. J., Thornton, L. C., Steinberg, L., & Cauffman, E. (2016). Positive and negative item wording and its influence on the assessment of callous-unemotional traits. Psychological Assessment, 28(4), 394–404.
Rodgers, M. A., & Pustejovsky, J. E. (2021). Evaluating meta-analytic methods to detect selective reporting in the presence of dependent effect sizes. Psychological Methods, 26(2), 141–160.
Rosenthal, R. (1979). The file drawer problem and tolerance for null results. Psychological Bulletin, 86(3), 638–641.
Ruscio, J. (2008). A probability-based measure of effect size: Robustness to base rates and other factors. Psychological Methods, 13(1), 19–30.
Salekin, R.T., & Hare, R.D. (2016). Proposed specifiers for conduct disorder (PSCD) scale. Unpublished test.
Salekin, R. T. (2017). Research Review: What do we know about psychopathic traits in children? Journal of Child Psychology and Psychiatry, 58(11), 1180–1200.
Salekin, R. T., & Andershed, H. (2022). Psychopathic personality, and its dimensions in the prediction of negative outcomes: Do they offer incremental value above and beyond common risk factors? Introduction to the special section. Journal of Criminal Justice, 80, 101914.
Salekin, R. T., Charles, N. E., Barry, C. T., Hare, R. D., Batky, B. D., Mendez, B., & Neumann, C. S. (2022). Proposed specifiers for conduct disorder (PSCD): Factor structure and psychometric properties in a residential school facility. Psychological Assessment, 34(10), 985–992.
Sellbom, M., Lilienfeld, S. O., Fowler, K. A., & McCrary, K. L. (2018). The self-report assessment of psychopathy: Challenges, pitfalls, and promises. In C. J. Patrick (Ed.), Handbook of Psychopathy (pp. 211–258). The Guilford Press.
Sevecke, K., & Kosson, D. S. (2010). Relationships of child and adolescent psychopathy to other forms of psychopathology. In R. T. Salekin & D. R. Lynam (Eds.), Handbook of Child and Adolescent Psychopathy (pp. 284–314). The Guilford Press.
Sevecke, K., Lehmkuhl, G., & Krischer, M. K. (2009). Examining relations between psychopathology and psychopathy dimensions among adolescent female and male offenders. European Child & Adolescent Psychiatry, 18(2), 85–95.
Signorell, A., Aho, K., Alfons, A., Anderegg, N., Aragon, T., Arachchige, C. …Zeileis, A. (2021). Package ‘DescTools’. Retrieved from https://cran.rproject.org/web/packages/DescTools/DescTools.pdf
Somma, A., Andershed, H., Borroni, S., Salekin, R. T., & Fossati, A. (2018). Psychopathic personality traits in relation to self-report delinquency in adolescence: Should we mind about interaction effects? Journal of Psychopathology and Behavioral Assessment, 40(1), 69–78.
Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics (6th ed.). Pearson.
Team, R. C. (2022). R: A language and environment for statistical computing. R Foundation for Statistical Computing, 2022.
Thøgersen, D. M., Andersen, M. E., & Bjørnebekk, G. (2020). A multi-informant study of the validity of the inventory of Callous-Unemotional Traits in a sample of Norwegian adolescents with behavior problems. Journal of Psychopathology and Behavioral Assessment, 42, 592–604.
Van Damme, L., Colins, O. F., & Vanderplasschen, W. (2016). The limited prosocial emotions specifier for conduct disorder among detained girls: A multi-informant approach. Criminal Justice and Behavior, 43(6), 778–792.
Vaughn, M. G., Howard, M. O., & DeLisi, M. (2008). Psychopathic personality traits and delinquent careers: An empirical examination. International Journal of Law and Psychiatry, 31(5), 407–417.
Verona, E., Sadeh, N., & Javdani, S. (2010). The influences of gender and culture on child and adolescent psychopathy. In R. T. Salekin & D. R. Lynam (Eds.), Handbook of Child and Adolescent Psychopathy (pp. 317–342). The Guilford Press.
Verona, E., & Vitale, J. (2018). Psychopathy in women: Assessment, manifestations, and etiology. In C. J. Patrick (Ed.), Handbook of Psychopathy (pp. 509–528). Guilford Press.
Viechtbauer, W. (2010). Conducting meta-analyses in R with the metafor package. Journal of Statistical Software, 36(3), 1–48.
Vitacco, M. J., Salekin, R. T., & Rogers, R. (2010). Forensic issues for child and adolescent psychopathy. In V. Shalu (Ed.), Handbook of child and adolescent psychopathy (pp. 374–397). The Guilford Press.
Vize, C. E., Byrd, A. L., & Stepp, S. D. (2023). The relative importance of psychopathy features as predictors of externalizing behaviors in youth: A multimethod examination. Journal of Psychopathology and Behavioral Assessment. https://doi.org/10.1007/s10862-022-10017-5
Acknowledgements
The authors would like to thank Dr. Andrew Bontemps and Nicholas Bellamy for their assistance with this project.
Funding
The authors did not receive support from any organization for the submitted work.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
We have no known conflict of interest to disclose.
Ethical Approval
Ethical approval was not needed as data from published studies in which informed consent was obtained by primary investigators was retrieved and analyzed.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Mendez, B., Batky, B.D. & Salekin, R.T. What is the Best Source of Information for Psychopathic Traits in Youth? A Review and Meta-analysis of Self- and Other-Reported Psychopathic Traits and Their Association with Negative Outcomes. Clin Child Fam Psychol Rev 26, 805–823 (2023). https://doi.org/10.1007/s10567-023-00438-3
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10567-023-00438-3