Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften Toetsvragen Web-tv Video Audio
Tips voor Mijn BSL
Inloggen

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

THIM Hogeschool voor Fysiotherapie heeft ervoor gezorgd dat je Mijn BSL eenvoudig en snel kunt raadplegen. Je kunt je links eenvoudig registreren. Met deze gegevens kun je thuis, of waar ook ter wereld toegang krijgen tot Mijn BSL. Heb je een vraag, neem dan contact op met helpdesk@thim.nl.

» Andere revante producten voor THIM studenten en medewerkers.

Registreer

Om ook buiten de locaties van THIM, thuis bijvoorbeeld, van Mijn BSL gebruik te kunnen maken, moet je jezelf eenmalig registreren. Dit kan alleen vanaf een computer op een van de locaties van THIM.

Eenmaal geregistreerd kun je thuis of waar ook ter wereld onbeperkt toegang krijgen tot Mijn BSL.

Login

Als u al geregistreerd bent, hoeft u alleen maar in te loggen om onbeperkt toegang te krijgen tot Mijn BSL.

Inloggen
Top
Research on Child and Adolescent Psychopathology
Gepubliceerd in:

01-10-2013

Psychopathy as Predictor and Moderator of Multisystemic Therapy Outcomes among Adolescents Treated for Antisocial Behavior

Auteurs: Willeke A. Manders, Maja Deković, Jessica J. Asscher, Peter H. van der Laan, Pier J. M. Prins

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 7/2013

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

Objective

The aim of the present study was to determine whether psychopathic traits act as a predictor and/or moderator of the effectiveness of Multisystemic Therapy (MST).

Method

The sample included N = 256 adolescents (188 boys and 68 girls) referred for conduct problems, randomized to MST or Treatment As Usual (TAU). The mean age was 16 years (SD = 1.31). Assessments were carried out before and immediately after treatment (6 months later). Three psychopathic traits (callous/unemotional traits, narcissism, and impulsiveness) were assessed with parent reports. Adolescents and parents were informants on externalizing problems.

Results

MST was more effective than TAU in decreasing externalizing problems for the “lower callous/unemotional” and “lower narcissism” group, but not for the “high callous/unemotional” and “high narcissism” group (moderators). Impulsiveness was found to predict more post-treatment externalizing problems rated by adolescents (predictor), but not more post-treatment externalizing problems rated by parents.

Conclusions

These findings point out the clinical relevance of adequately assessing psychopathic traits in adolescents referred for treatment of antisocial behaviour, and identifying those adolescents who show high levels of these traits. It is important to tailor MST specifically to meet the needs of juveniles with high levels of callous/unemotional traits and high levels of narcissism to obtain the same level of effectiveness as with juveniles scoring lower on these traits.
vorige artikel The Value of Measuring Impact Alongside Symptoms in Children and Adolescents: A Longitudinal Assessment in a Community Sample
volgende artikel Impulsivity Moderates Promotive Environmental Influences on Adolescent Delinquency: A Comparison Across Family, School, and Neighborhood Contexts
Voetnoten
1
Because reliance on sample specific distributions of psychopathic traits may limit the generalizability of the findings, we conducted additional analyses using the results of the only study by Roose et al. (2009) that assessed the APSD and ICU in a Dutch (community) sample of adolescents (n = 455). In these analyses we used a cut off score that was based on the criterion of one standard deviation above the mean provided by this study to indicate the “high psychopathy” group (whereas the rest was the “lower psychopathy” group). Given the fact that this was a convenience sample, these scores cannot be considered norm scores, but the consistency of the results across analyses conducted with different cut off scores would increase confidence in the presented results. The additional analyses indeed showed a similar pattern of findings. More impulsiveness at pretest was found to predict more externalizing problems after treatment as rated by parents as well as adolescents (F = 6.03, p < 0.05 and F = 12.93, p < 0.01, respectively). Callous/unemotional traits and narcissism moderated the effect of intervention on externalizing problems rated by parents as well as adolescents (F = 4.48, p < 0.05 and F = 7.54, p < 0.01 for callous/unemotional traits, respectively; F = 11.95, p < 0.01 and F = 6.01, p < 0.05 for narcissism, respectively). Detailed information regarding these additional analysis is available from the corresponding author.
 
Literatuur
Achenbach, T. M. (1991a). Manual for the child behavior checklist and 1991 CBCL profile. Burlington: University of Vermont, Department of Psychiatry.
Achenbach, T. M. (1991b). Manual for the youth self-report and 1991 YSR profile. Burlington: University of Vermont, Department of Psychiatry.
Asscher, J. J., Deković, M., Van der Laan, P. H., Prins, P. J. M., & Van Arum, S. (2007). Implementing randomized experiments in criminal justice settings: An evaluation of multisystemic therapy (MST) in the netherlands. Journal of Experimental Criminology, 3, 113–129.CrossRef
Asscher, J.J., Deković, M., Manders, W.A., Van der Laan, P.H., Prins, P.J.M., & Dutch MST Cost Effectiveness Research Group (2012). A randomized controlled trial of the effectiveness of Multisystemic Therapy in The Netherlands: Post-treatment changes and moderator effects. Manuscript submitted for publication.
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, 157–163.CrossRef
Butler, S., Baruch, G., Hickey, N., & Fonagy, P. (2011). A randomized controlled trial of Multisystemic Therapy and a statutory therapeutic intervention for young offenders. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 1220–1235.PubMedCrossRef
Cooke, D. J., Michie, C., & Hart, S. (2006). Facets of clinical psychopathy: Toward clearer measurement. In C. J. Patrick (Ed.), The handbook of psychopathy (pp. 91–106). New York: Guilford Press.
Curry, J., Rohde, P., Simons, A., Silva, S., Vitiello, B., Kratochvil, C., et al. (2006). Predictors and moderators of acute outcome in the treatment for adolescents with depression study (TADS). Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1427–1439.PubMedCrossRef
Deković, M., Asscher, J. J., Manders, W. A., Prins, P. J. M., & Van der Laan, P. H. (2012). Within-Intervention Change: Mediators of Intervention Effects During Multisystemic Therapy. Journal of Consulting and Clinical Psychology, 4, 574–587.CrossRef
Dillard, C.L., Salekin, R.T., Randall, T., Barker, E.D., & Grimes, R.D. (2012). 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, X, XX
Dolan, M., & Doyle, M. (2007). Psychopathy: Diagnosis and implications for treatment. Psychiatry, 6, 404–408.CrossRef
Frick, P. J. (2004). Inventory of callous–unemotional traits. New Orleans: Unpublished rating scale, University of New Orleans.
Frick, P. J., Cornell, A. H., Bodin, S. D., Dane, H. E., Barry, C. T., & Loney, B. R. (2003). Callous-unemotional traits and developmental pathways to severe conduct disorder. Developmental Psychology, 39, 246–260.PubMedCrossRef
Frick, P. J., & Dickens, C. (2006). Current perspectives on conduct disorder. Current Psychiatry Reports, 8, 59–72.PubMedCrossRef
Frick, P. J., & Hare, R. D. (2001). The antisocial processes screening device. Toronto: Multi-Health Systems.
Frick, P. J., & White, S. F. (2008). Research review: The importance of callous-unemotional traits for developmental models of aggressive and antisocial behavior. Journal of Child Psychology and Psychiatry, 49, 359–375.PubMedCrossRef
Gardner, F., Hutchings, J., Bywater, T., & Whitaker, C. (2010). Who benefits and how does it work? Moderators and mediators of outcome in an effectiveness trial of a parenting intervention. Journal of Clinical Child and Adolescent Psychology, 39, 568–580.PubMedCrossRef
Graham, J. W. (2009). Missing data analysis: Making it work in the real world. Annual Review of Psychology, 60, 549–576.PubMedCrossRef
Gretton, H. M., Hare, R. D., & Catchpole, R. E. H. (2004). Psychopathy and offending from adolescence to adulthood: A 10-year follow-up. Journal of Consulting and Clinical Psychology, 72, 636–645.PubMedCrossRef
Hare, R. D., Hart, S. D., & Harpur, T. J. (1991). Psychopathy and the DSM-IV criteria for antisocial personality disorder. Journal of Abnormal Psychology, 100, 391–398.PubMedCrossRef
Hawes, D. J., & Dadds, M. R. (2005). The treatment of conduct problems in children with callous-unemotional traits. Journal of Consulting and Clinical Psychology, 73, 737–741.PubMedCrossRef
Henggeler, S. W. (2011). Efficacy studies to large-scale transport: The development and validation of Multisystemic Therapy programs. Annual Review of Clinical Psychology, 7, 351–381.PubMedCrossRef
Henggeler, S. W., Clingempeel, W. G., Brondino, M. J., & Pickrel, S. G. (2002). Four-year followup of multisystemic therapy with substance abusing and dependent juvenile offenders. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 868–874.PubMedCrossRef
Henggeler, S. W., Schoenwald, S. K., Borduin, C. M., Rowland, M. D., & Cunningham, P. B. (1998). Multisystemic treatment of antisocial behavior in children and adolescents. New York: Guilford.
Kimonis, E. R., Frick, P. J., Skeem, J. L., Marsee, M. A., Cruise, K., Munoz, L. C., et al. (2008). Assessing callous-unemotional traits in adolescent offenders: Validation of the Inventory of Callous-Unemotional Traits. International Journal of Law and Psychiatry, 31, 241–252.PubMedCrossRef
Kraemer, H. C., Wilson, G. T., Fairburn, C. G., & Agras, W. S. (2002). Mediators and moderators of treatment effects in randomized clinical trials. Archives of General Pychiatry, 59, 877–883.CrossRef
Langton, C. M., Barbaree, H. E., Harkins, L., & Peacock, E. J. (2006). Sex offender’s response to treatment and its association with recidivism as a function of psychopathy. Sexual Abuse: A Journal of Research and Treatment, 18, 99–120.
Letourneau, E. J., Henggeler, S. W., Boduin, C. M., Schewe, P. A., McCart, M. R., et al. (2009). Multisystemic therapy for juvenile sexual offenders: 1-year results from a randomized effectiveness trial. Journal of Family Psychology, 23, 89–102.PubMedCrossRef
Loeber, R., Burke, J., & Pardini, D. A. (2009). Perspectives on oppositional defiant disorder, conduct disorder, and psychopathic features. Journal of Child Psychology and Psychiatry, 50, 133–142.PubMedCrossRef
Newman, J. P., & Wallace, J. F. (1993). Diverse pathways to deficient self-regulation: Implications for disinhibitory psychopathology in children. Clinical Psychology Review, 13, 688–720.CrossRef
Ogden, T., & Halliday-Boykins, C. A. (2004). Multisystemic treatment of antisocial adolescents in Norway: Replication of clinical outcomes outside of the US. Child and Adolescent Mental Health, 9, 77–83.CrossRef
Oxford, M., Cavell, T. A., & Hughes, J. N. (2003). Callous/unemotional traits moderate the relation between ineffective parenting and child externalizing problems: A partial replication and extension. Journal of Clinical Child and Adolescent Psychology, 32, 577–585.PubMedCrossRef
Pardini, D., & Loeber, R. (2008). Interpersonal callousness trajectories across adolescence: Early social influences and adult outcomes. Criminal Justice and Behavior, 35, 173–196.PubMedCrossRef
Poythress, N. G., Douglas, K., Falkenbbach, D., Cruise, K., Lee, Z., Murrie, D. C., & Vitacco, M. (2006). Internal consistency and reliability of the self-report Antisocial Process Screening Device. Assessment, 13, 107–113.PubMedCrossRef
Roose, A., Bijttebier, P., Decoene, S., Claes, L., & Frick, P. (2009). Assessing the affective features of psychopathy in adolescence: A further validation of the inventory of callous and unemotional traits. Assessment, 17, 44–57. doi: 10.​1177/​1073191109344153​
Salekin, R. T., Rosenbaum, J., & Lee, Z. (2008). Child and adolescent psychopathy: Stability and change. Psychiatry, Psychology, and Law, 15, 224–236.CrossRef
Salekin, R. T., Worley, C. B., & Grimes, R. D. (2010). Treatment of psychopathy: A review and brief introduction to the mental models approach. Behavioral Sciences & the Law, 28, 235–266.CrossRef
Seagrave, D., & Grisso, T. (2002). Adolescent development and the measurement of juvenile psychopathy. Law and Human Behavior, 26, 219–239.PubMedCrossRef
Sundell, K., Hansson, K., Löfholm, C. A., Olsson, T., Gustle, L.-H., & Kadesjö, C. (2008). The transportability of Multisystemic therapy to Sweden: short-term results from a randomized trial of conduct-disordered youths. Journal of Family Psychology, 22, 550–560.PubMedCrossRef
Supplee, L. H., Kelly, B. C., MacKinnin, D. M., & Barofsky, M. Y. (2013). Introduction to the Special Issue: Subgroup analysis in prevention and intervention research. Prevention Science, 14, 107–110.
Verhulst, F.C., Koot, J.M., Akkerhuis, G.W., & Veerman, J.W. (1990). Praktische handleiding voor de CBCL . [CBCL manual] Van Gorcum, Assen/Maastricht.
Vitacco, M. J., Rogers, R., & Neumann, C. S. (2003). The antisocial process screening device: An examination of its construct and criterion-related validity. Assessment, 10, 143–150.PubMedCrossRef
Wang, R., Lagakos, S. W., Ware, J. H., Hunter, D. J., & Drazen, J. M. (2007). Statistics in medicine — Reporting of subgroup analyses in clinical trials. The New England Journal of Medicine, 357, 2189–2194.PubMedCrossRef
White, S. F., Cruise, K. R., & Frick, P. J. (2009). Differential correlates to self-report and parent report of callous-unemotional traits in a sample of juvenile sex offenders. Behavioral Science and the Law, 27, 910–928.CrossRef
Wootton, J. M., Frick, P. J., Shelton, K. K., & Silverthorn, P. (1997). Ineffective parenting and childhood conduct problems: The moderating role of callous– unemotional traits. Journal of Consulting and Clinical Psychology, 65, 301–308.PubMedCrossRef
Metagegevens
Titel
Psychopathy as Predictor and Moderator of Multisystemic Therapy Outcomes among Adolescents Treated for Antisocial Behavior
Auteurs
Willeke A. Manders
Maja Deković
Jessica J. Asscher
Peter H. van der Laan
Pier J. M. Prins
Publicatiedatum
01-10-2013
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 7/2013
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-013-9749-5

Andere artikelen Uitgave 7/2013

Symptoms of Post-Traumatic Stress Disorder in Bereaved Children and Adolescents: Factor Structure and Correlates

The Value of Measuring Impact Alongside Symptoms in Children and Adolescents: A Longitudinal Assessment in a Community Sample

  • Open Access

Cognitive Vulnerabilities as Predictors of Stress Generation in Early Adolescence: Pathway to Depressive Symptoms

Low Self-Esteem as a Risk Factor for Loneliness in Adolescence: Perceived - but not Actual - Social Acceptance as an Underlying Mechanism

What Specific Facets of Executive Function are Associated with Academic Functioning in Youth with Attention-Deficit/Hyperactivity Disorder?

Impulsivity Moderates Promotive Environmental Influences on Adolescent Delinquency: A Comparison Across Family, School, and Neighborhood Contexts