Health Service Utilization in Adolescents Following a First Arrest: The Role of Antisocial Behavior, Callous-Unemotional Traits, and Juvenile Justice System Processing.

Previous research indicates that youth exhibiting antisocial behavior are at risk for utilizing a disproportionate amount of health services compared to youth without these problems. The present study investigates whether being processed by the juvenile justice system and showing callous-unemotional (CU) traits independently predict health service utilization (medical and mental health service use and out-of-home placement) over and above the severity of antisocial behavior across adolescence. A total of 766 participants who had been arrested for the first time in adolescence provided data at ten appointments over a period of seven years. Results showed that self-reported antisocial behavior at the time of arrest predicted increased use of most health service use types over the next seven years (i.e. medicine prescriptions, tests for sexually transmitted infections, mental health service appointments, and out-of-home placements). All except prescription medication use remained significant when controlling for justice system processing and CU traits. Further, justice system processing added significantly to the prediction of medical service appointments. Whereas CU traits were associated with mental health service appointments and out-of-home placements, these did not remain significant when controlling for severity of antisocial behavior. These findings are consistent with prior research documenting the health care costs of antisocial behavior.

Effects of neighborhood disadvantage and peer deviance on adolescent antisocial behavior: Testing potential interactions with age-of-onset.

Research has suggested that childhood-onset conduct problems (CPs) are more strongly related to individual predispositions, whereas adolescent-onset CP is more strongly associated with social factors, such as peer delinquency. Neighborhood disadvantage (ND) increases the risk for associating with deviant peers. Thus, peer delinquency could mediate the relationship between ND and adolescent-onset CP. This mediational hypothesis has not been tested previously. We tested this hypothesis in 1,127 justice-involved adolescent males using self-reported delinquency and official arrest records over 3 years after the youth's first arrest as outcomes. Predictors were self-reported and census-derived indicators of ND and self-reported peer delinquency. Age of onset moderated the associations between self-reported ND and arrests and between self-report of peer delinquency and arrests. In both cases, the association was stronger for those with adolescent-onset CP. Peer delinquency mediated all relationships between ND and CP. Our results also showed some unexpected differences in associations depending on whether self-reported ND or census-derived indicators were used as predictors. Specifically, census-derived ND was negatively related to self-reported offending, which could be due to the use of an arrested sample and the need for youth in more advantaged neighborhoods to show a more severe pattern of antisocial behavior to be arrested.

Aging Out of Crime and Personality Development: A Review of the Research Examining the Role of Impulsiveness on Offending in Middle and Late Adulthood.

Virtually everything we know about the relationship between impulsivity and offending is confined to adolescence and early adulthood. There is a paucity of research that examines impulsivity and offending in middle and late adulthood. What little is known is covered in this review. There are normative declines in offending, but it remains quite common in middle and late adulthood. This challenges the notion that the majority of offenders age out of crime by middle age. There are also normative declines in impulsivity, consistent with the maturity principle of personality development. While impulsivity is associated with offending (and other externalizing behaviors) in middle and late adulthood, preciously little evidence exists that speaks to whether the declines in impulsivity are causally related to decreases in offending. Various suggestions are offered for future research that can better address this notable void in the literature.

Proactive and reactive aggression: Developmental trajectories and longitudinal associations with callous-unemotional traits, impulsivity, and internalizing emotions.

Research on proactive and reactive aggression has identified covariates unique to each function of aggression, but hypothesized correlates have often not been tested with consideration of developmental changes in or the overlap between the types of aggression. The present study examines the unique developmental trajectories of proactive and reactive aggression over adolescence and young adulthood and tests these trajectories' associations with key covariates: callous-unemotional (CU) traits, impulsivity, and internalizing emotions. In a sample of 1,211 justice-involved males (ages 15-22), quadratic growth models (i.e., intercepts, linear slopes, and quadratic slopes) of each type of aggression were regressed onto quadratic growth models of the covariates while controlling for the other type of aggression. After accounting for the level of reactive aggression, the level of proactive aggression was predicted by the level of CU traits. However, change in proactive aggression over time was not related to the change in any covariates. After accounting for proactive aggression, reactive aggression was predicted by impulsivity, both at the initial level and in change over time. Results support that proactive and reactive aggression are unique constructs with separate developmental trajectories and distinct covariates.

The bidirectional effects of antisocial behavior, anxiety, and trauma exposure: Implications for our understanding of the development of callous-unemotional traits.

The association of anxiety and trauma with antisocial behavior in children and adolescents has long been the focus of research, and more recently this area of research has become critical to theories of the development of callous-unemotional (CU) traits. Research suggests those with elevated CU traits and anxiety (i.e., secondary CU variant) seem to show more severe externalizing behaviors and are more likely to show histories of trauma, compared to those with elevated CU and low anxiety (i.e., primary CU variant). These findings have typically been interpreted as being indicative of distinct etiological pathways to the development of CU traits. We test an alternative explanation that the higher rates of anxiety and trauma exposure in some youth with elevated CU traits are largely a consequence of their higher levels of antisocial behavior. The current study recruited a sample of 1,216 justice-involved adolescents (Mage = 15.28, SD = 1.28) from three distinct regions of the United States, who were assessed at 6, 12, 18, 24, 30, 36, 48, and 60 months following their first arrest. Using random-intercept cross-lagged models, both antisocial behavior and CU traits predicted changes in future anxiety and CU traits predicted increases in future victimization. Further, using longitudinal parallel mediation models, antisocial and aggressive behavior largely accounted for the predictive association between CU traits and anxiety and CU traits and victimization. These results support a model in which anxiety and trauma histories may be a marker of the severity of antisocial behavior displayed by youth with elevated CU traits. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Differential Item Functioning of the Youth Psychopathic Traits Inventory Across Race/Ethnicity and Gender Among a Sample of Justice-Involved Youth: An Item Response Theory Analysis.

Research is yet to examine whether the items of the Youth Psychopathic Traits Inventory (YPI) function equally well across race/ethnicity and gender. The current study applies an item response theory analysis to detect differential item functioning (DIF) of the YPI subscale across White, Black, and Hispanic youth and males and females among a sample of justice-involved youth. Significant DIF was detected for several items between Black youth and White youth and Black youth and Hispanic youth. Few incidences of DIF emerged between White and Hispanic youth and between males and females. The findings suggest that subscales of the YPI provide more information for White and Hispanic youth compared with Black youth. They also suggest that while there was significant DIF in the difficulty of items, the direction of DIF did not substantially favor one group or another. Thus, the findings suggest that the YPI produces comparable estimates of psychopathic traits for females and males and for White and Hispanic youth. However, the results raise concerns about comparing YPI subscale scores between White and Black youth and Hispanic and Black youth. The findings have important implications for the use of the YPI subscales among diverse samples.

Examining Differences in the Effect of Vicarious and Personal Procedural Justice on Legal Orientations and Offending Across Race/Ethnicity Among a Sample of Serious Juvenile Offenders.

In the current study it is examined if the impact of vicarious and personal perceptions of procedural justice on legal cynicism, legitimacy, and offending across time is invariant across race/ethnicity. Using longitudinal data from a sample of serious juvenile offenders from the Pathways to Desistance, the within- and between-individual associations of procedural justice, legal orientations, and offending were tested. Race/ethnic-specific models were estimated to examine differences across race/ethnicity. Positive personal and vicarious experiences with police had positive effects on legal orientations (i.e., legitimacy and cynicism), while vicarious experiences were more influential on offending compared to personal experiences. These effects were consistent across race/ethnicity. Both changes in legitimacy (positive) and cynicism (negative) were important for understanding changes in offending; however, the effect of cynicism was more consistent across race/ethnicity. The findings suggest that procedurally just treatment of juveniles by police can enhance legal compliance.

Developing Cutoff Scores for the Inventory of Callous-Unemotional Traits (ICU) in Justice-Involved and Community Samples.

Objective: The recent addition of the callous-unemotional (CU) traits specifier, "with Limited Prosocial Emotions (LPE)," to major classification systems has prompted the need for assessment tools that aid in the identification of elevations on these traits for diagnostic purposes. The goal of the current study was to use and evaluate multiple methods for establishing cutoff scores for the multi-informant questionnaire, the Inventory of Callous-Unemotional Traits (ICU).Method: The present study compared the clinical utility of various proposed cutoff methods and scores (i.e., empirically derived cutoffs using receiver operating characteristic (ROC), normative cutoffs, and rational scoring approximations of LPE criteria) in both a longitudinal sample of justice-involved male adolescents (N = 1,216; Mage = 15.29, SD = 1.29) and a cross-sectional sample of school children (N = 289; Mage = 11.47 years; SD = 2.26).Results: Methods resulted in a range of cutoff scores with substantial diagnostic overlap and validity. Specifically, they designated justice-involved adolescents at risk for later delinquency, aggression, and rearrests, and they designated school children more likely to be rated by parents and teacher as having conduct problems and rated by peers as being rejected and mean.Conclusions: The results lead to ranges of ICU scores that have support for their validity and can help to guide clinical decisions about children and adolescents who may be elevated on CU traits.

Inventory of Callous-Unemotional Traits (ICU) Factor Structure and Measurement Invariance in an Adolescent Multinational Sample.

OBJECTIVE: The Inventory of Callous-Unemotional Traits (ICU) is a widely used, comprehensive measure of callous-unemotional (CU) traits. While the ICU total score is used frequently in research, the scale's factor structure remains highly debated. Inconsistencies in past factor structure research appear to be largely due to the use of small non-representative samples and failure to control for method variance (i.e., item wording direction). METHOD: The current study used a multitrait-multimethod (MTMM) confirmatory factor analysis (CFA) approach that considers both trait and method variance to test the factor structure of a 22-item version of the self-report ICU in a multinational community sample of 4,683 adolescents (ages 11-17). RESULTS: Results showed that a hierarchical four-factor model (i.e., one overarching CU factor, four latent trait factors) that controlled for method variance (i.e., by allowing residuals from positively worded items to covary) provided the best fit (χ2 = 2797.307, df = 160, RMSEA=.059, CFI=.922, TLI=.888, SRMR=.045). CONCLUSIONS: After controlling for method variance, the best-fitting factor structure is consistent with how the ICU was developed and corresponds to the four symptoms of Limited Prosocial Emotions (LPE) specifier in the DSM-5 criteria for Conduct Disorder (CD). In addition, measurement invariance of this factor structure across age (i.e., younger versus older adolescents) and sex was supported. As a result, mean differences in ICU total score across age and sex can be interpreted as reflecting true variations in these traits. Further, we documented that boys generally scored higher than girls on the ICU, and this sex difference was larger in later adolescence.

Longitudinal associations of parental monitoring and delinquent peer affiliation: The potential influence of parental solicitation and monitoring rules.

INTRODUCTION: Poor parental monitoring has been theorized as a key risk factor for an adolescent's association with deviant peers. However, measurements of parental monitoring often only measure parental knowledge rather than parental monitoring actions, leaving the true longitudinal associations between parental monitoring and peer delinquency unclear. METHODS: The current sample consisted of 1095 male justice-involved adolescents (13-17 years old at baseline collected between 2011 and 2013) from across the United States who provided survey data every 6 months for 3 years. Longitudinal associations between parental monitoring constructs (i.e., parental solicitation and monitoring rules) and peer delinquency were tested using random intercept cross-lagged panel models to investigate both between-individual associations and within-individual bidirectional effects. RESULTS: Although parental monitoring and peer delinquency were negatively related at a between-individual level, very few within-individual directional effects were found. The few within-individual effects present indicated that parental solicitation predicted greater peer delinquency and peer delinquency predicted fewer parental monitoring rules over time. CONCLUSIONS: Current findings indicate that, while greater overall parental monitoring is associated with less peer delinquency, there is little evidence that changes in parental monitoring lead to reductions in peer delinquency over time. Results support previous findings suggesting parental monitoring should not be the sole target of intervention for reducing peer delinquency.

A Longitudinal Test of the Mediational Role of Delinquent Peer Association on the Link Between Psychopathy and Offending.

Although prior research has found that psychopathy and delinquent peer association are predictors of delinquency, less research has assessed the dynamic role of peers in the relationship between psychopathic traits and offending. Using 10 waves of data from the Pathways to Desistance longitudinal study (n = 1,354), the current exploratory study investigates the impact of changes in delinquent peer association on the relationship between psychopathy and self-reported offending. Although the effects are small, results indicate that youth with higher Psychopathy Checklist Youth Version (PCL:YV; Forth et al.) scores report higher initial levels of delinquent peer association, which results in increases in offending over the study period. Initial levels (intercept) and change (slope) in delinquent peer association are positively associated with offending. Findings also demonstrate that initial levels and changes in delinquent peer association mediate the relationship between psychopathy and changes in offending. The findings have implications for delinquency prevention and intervention efforts for all adolescents and particularly serious offenders.

The associations of maternal warmth and hostility with prosocial and antisocial outcomes in justice-involved adolescents.

Parental warmth and hostility are two key dimensions of parenting for child development, but the differential effects of these parenting dimensions on child prosocial and antisocial development has not been adequately investigated. The current study hypothesized that parental warmth would be uniquely related to child callous-unemotional traits and prosocial behavior, whereas parental hostility would be uniquely related to child delinquency and aggression. These hypotheses were investigated in a diverse sample of 1,216 adolescent males (13 to 17 years old, 46% Latino, 37% Black) with justice-system involvement in the 5 years following their first arrest. Hybrid models estimated within- and between-individual associations over time, while controlling for the overlap between parental warmth and hostility and between child prosocial and antisocial outcomes. Results indicated that maternal warmth showed consistent associations with callous-unemotional traits and prosocial behavior over time, whereas maternal hostility showed consistent associations with delinquency and aggression over time. Further, the findings were similar across racial and ethnic groups. Implications for developmental models of antisocial behavior, particularly for those including the role of callous-unemotional traits, are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Do callous-unemotional traits moderate the effects of the juvenile justice system on later offending behavior?

BACKGROUND: Research suggests that callous-unemotional (CU) traits, a recent addition to psychiatric classification of serious conduct problems, may moderate the influence of a number of contextual factors (e.g., parenting, deviant peer influence) on an adolescent's adjustment. The current study sought to replicate past research showing that formal processing through the juvenile justice system increases recidivism and tested the novel hypothesis that CU traits would moderate the relationship between processing decision and future antisocial behavior. METHODS: A diverse sample of first-time male offenders (N = 1,216; M age = 15.12, SD = 1.29) in three regions of the United States was assessed within 6 weeks of their first arrest and then at 6-month intervals for 36 months. RESULTS: Compared to those who were informally processed (i.e., diverted), adolescents formally processed through the court were at a higher risk of self-reported offending and rearrests as measured by official records, after controlling for preexisting risk factors. However, baseline CU traits moderated this association such that those with high CU traits reported offending at high rates across the subsequent three years regardless of how the juvenile justice system processed their case. CONCLUSIONS: CU traits are important to psychiatric classification for designating a subgroup of antisocial youth who may respond differently to contextual influences, including being less susceptible to the negative effects of juvenile justice system involvement. The public health significance of this moderation is significant by suggesting that previous estimates of the harmful impact of formal processing by the juvenile justice system may underestimate its impact, given that the majority of arrested adolescents have normative levels of CU traits.

The utility of self-reported psychopathic traits in predicting recidivism among a sample of incarcerated female youths.

Only a few studies have prospectively examined the utility of self-reported measures of psychopathic traits in predicting criminal behavior among forensic samples of female youth offenders. The main aim of this study is to compare the utility of two self-report measures of psychopathic-like traits in predicting criminal recidivism among a sample of incarcerated female youths. Participants (N = 76) from the three nation-wide Portuguese juvenile detention centers that admit female youths were followed over two years and prospectively classified as recidivists versus non-recidivists. Logistic regression models controlling for crime frequency and ethnicity revealed that neither the Antisocial Process Screening Device - Self-Report (APSD-SR) nor the Youth Psychopathic Traits Inventory (YPI) and their respective dimensions significantly predicted one- and two-year general recidivism and violent recidivism. Findings mostly suggest there are clear limitations in terms of the incremental utility of self-report measures of psychopathic traits in predicting criminal recidivism among incarcerated female juveniles.

Callous-Unemotional Traits and Risk of Gun Carrying and Use During Crime.

OBJECTIVE: With the addition of the "with limited prosocial emotions" specifier within the diagnosis of conduct disorder (DSM-5) and of conduct-dissocial disorder (ICD-11) to designate those with elevated callous-unemotional traits, the authors examined the role that callous-unemotional traits play in the risk for gun carrying and gun use during a crime in a sample at high risk for gun violence. METHODS: Male juvenile offenders (N=1,215) from three regions of the United States were assessed after their first arrest and then reassessed every 6 months for 36 months and again at 48 months. Callous-unemotional traits and peer gun carrying and ownership were measured via self-report after the first arrest (i.e., baseline). Gun carrying and use of a gun during a crime were self-reported at all follow-up points. RESULTS: Callous-unemotional traits at baseline increased the frequency of gun carrying and the likelihood of using a gun during a crime across the subsequent 4 years after accounting for other risk factors. Furthermore, callous-unemotional traits moderated the relationship between peer gun carrying and ownership and participant gun carrying, such that only participants low on callous-unemotional traits demonstrated increased gun carrying as a function of their peers' gun carrying and ownership. CONCLUSIONS: This study demonstrates the importance of considering callous-unemotional traits in gun violence research both because callous-unemotional traits increase gun carrying and use in adolescents and because the traits may moderate other key risk factors. Notably, the influence of peer gun carrying and ownership may have been underestimated in past research for the majority of adolescents by not considering the moderating influence of callous-unemotional traits.

Does self-report of aggression after first arrest predict future offending and do the forms and functions of aggression matter?

The current study tested whether a self-report measure of aggression (i.e., the Peer Conflict Scale; PCS) would predict later delinquency, after controlling for other risk factors, and tested whether the different forms and functions of aggression contributed independently to this prediction. Self-report of aggression was assessed at the time of first arrest, and both self-report of delinquency and official arrests were assessed at 5 different time points over a 30-month follow-up period in a sample of male adolescent offenders (N = 1,216; Mage = 15.12, SD = 1.29 years) arrested in 3 regions (i.e., western, southern, northeast) of the United States. Aggression predicted both later total and later violent self-reported delinquency (odds ratio [OR] = 1.02, 95% confidence interval [CI: 1.01, 1.02]), even after controlling for youths' self-reported lifetime history of delinquent acts and callous-unemotional (CU) traits (i.e., Inventory of Callous-Unemotional Traits) collected at initial arrest. Further, only self-reported aggression (but not lifetime delinquency and CU traits) contributed independently (OR = 1.02, 95% CI [1.00, 1.03]) to the prediction of arrests for violent offenses. Finally, the predictive utility of aggression was largely accounted for by physical and reactive aggression, with limited incremental prediction provided by relational and proactive aggression. These findings support the potential utility of self-reports of aggression, such as the PCS, when assessing risk for future violence. Findings also suggest that the utility of these self-reports of aggression cannot be solely accounted for by other risk factors often included in typical risk assessment tools. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Assessing Callous-Unemotional Traits Using the Total Score from the Inventory of Callous-Unemotional Traits: A Meta-Analysis.

The Inventory of Callous-Unemotional Traits (ICU) is a widely used rating scale measure of callous-unemotional (CU) traits. Most studies have used a unit-weighted total score that sums all of the items into a composite, despite the consistent finding that items from this measure can be described using a bifactor model (1 general factor and 3 bifactors). We conducted a meta-analysis using the results of past published bifactor tests of the ICU, using indices to estimate the sources of variance in the total and subscale scores. We included studies in our review that tested and found adequate fit for the bifactor model of the ICU resulting in 12 published studies (M age = 9-26 from both community and justice-involved samples) using either the self-report (n = 9) or parent-report (n = 4) versions of the ICU scale (one published study conducted separate factor analyses for each version). We reported model-based reliability estimates that break down unit-weighted ICU scores into the variance due to individual differences in the general factor and the variance due to individual differences in the bifactors. The reliable variance in the unit-weighted total scale score of the ICU is largely determined by the general factor. Findings support the ICU total score as a measure of the general construct of CU traits, despite support for a bifactor model in multiple samples. Concerns about using the unit-weighted subscale scores from the ICU are raised since their reliable variance was strongly influenced by the general factor.

A Prospective Study on Self-Reported Psychopathy and Criminal Recidivism Among Incarcerated Male Juvenile Offenders.

The present study examines the utility of three self-report measures of psychopathic traits in predicting recidivism among a sample of incarcerated male juvenile offenders. Participants (N = 214, M = 16.40 years, SD = 1.29 years) from seven Portuguese juvenile detention centers were followed and prospectively classified as recidivists versus non-recidivists. Area under the curve (AUC) analysis revealed that the Antisocial Process Screening Device-Self-Report (APSD-SR) presented the best performance in terms of predicting general recidivism, with the Youth Psychopathic Traits Inventory (YPI) and the Childhood and Adolescent Taxon Scale-Self-Report (CATS-SR) presenting much poorer results. However, logistic regression models controlling for past frequency of crimes and age of first incarceration found that none of these self-report measures significantly predicted 1- or 3-year recidivism, whether general or violent. Findings suggest there are limitations in terms of the incremental utility of self-report measures of psychopathic traits in predicting recidivism among juveniles.

Estimating and predicting the course of callous-unemotional traits in first-time adolescent offenders.

The stability of callous-unemotional (CU) traits and both individual and contextual factors that influence this stability have been studied in community adolescent samples but not to great extent in adolescents who have been arrested. We estimated the developmental changes in CU traits measured over the course of 36 months (6-month intervals) following the first arrest of male adolescents (N = 1,216). Using latent growth curve modeling and the multiple cohort multiple group method to account for the accelerated cohort study design, we were able to estimate the degree of change in these traits from ages 13 to 20 years. Overall in the sample, CU traits showed a moderate level of stability, similar to what has been reported in community samples, as well as an overall decline at older ages. Whether the adolescent was formally processed after first arrest (positively) and intelligence (negatively) was related to high levels of CU traits at arrest but unrelated to changes over time. Impulse control and maternal warmth showed consistent negative associations whereas self-reported offending, neighborhood disorganization, and association with delinquent peers showed consistent positive associations with CU traits over time. These findings support the importance of these variables for understanding the level and course of CU traits in justice-involved adolescents and provide potential targets for interventions implemented to reduce these traits in justice-involved adolescents. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

The Self-Report Delinquency Scale From the National Longitudinal Study of Adolescent to Adult Health Among At-Risk for Delinquency Youths.

Juvenile delinquency is a universal problem, with serious personal, economic, and social consequences that span national boundaries. Thus, cross-culturally valid and reliable measures of delinquency are critical to providing a better understanding of the causes, correlates, and outcomes of delinquency. The main aim of the present study was to examine the psychometric properties of a Portuguese version of the self-report delinquency measure items created for the National Longitudinal Study of Adolescent Health (Add Health). A sample (N = 412) of male (n = 200) and female (n = 212) at-risk for delinquency youths agreed to participate in the present study. The measure demonstrated satisfactory psychometric properties, namely in terms of its two-factor structure (violent and nonviolent delinquency), internal consistency, convergent validity, discriminant validity, criterion-related validity, and known-groups validity. Findings suggest the Add Health Self-Report Delinquency (AHSRD) is an interculturally valid and reliable measure of violent and nonviolent delinquency among at-risk male and female youths.