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Interpersonal Callousness and Co-Occurring Anxiety: Developmental Validity of an Adolescent Taxonomy

Growing evidence suggests heterogeneity within interpersonal-callous (IC) youth based on co-occurring anxiety. The developmental validity of this proposed taxonomy remains unclear however, as most previous research is cross-sectional and/or limited to adolescence. We aimed to identify low-anxiety (I...

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Autores principales: Meehan, Alan J., Maughan, Barbara, Cecil, Charlotte A. M., Barker, Edward D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Psychological Association 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5305415/
https://www.ncbi.nlm.nih.gov/pubmed/27977232
http://dx.doi.org/10.1037/abn0000235
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author Meehan, Alan J.
Maughan, Barbara
Cecil, Charlotte A. M.
Barker, Edward D.
author_facet Meehan, Alan J.
Maughan, Barbara
Cecil, Charlotte A. M.
Barker, Edward D.
author_sort Meehan, Alan J.
collection PubMed
description Growing evidence suggests heterogeneity within interpersonal-callous (IC) youth based on co-occurring anxiety. The developmental validity of this proposed taxonomy remains unclear however, as most previous research is cross-sectional and/or limited to adolescence. We aimed to identify low-anxiety (IC/ANX−) and high-anxiety (IC/ANX+) IC variants, and compare these groups on (a) early risk exposures, (b) psychiatric symptoms from midchildhood to early adolescence, and (c) school-based functioning. Using the Avon Longitudinal Study of Parents and Children (ALSPAC), a prospective epidemiological birth cohort, model-based cluster analysis was performed on children with complete age-13 IC and anxiety scores (n = 6,791). Analysis of variance was used to compare resulting clusters on (a) prenatal and postnatal family adversity and maternal psychopathology, and harsh parenting; (b) developmental differences in attention-deficit/hyperactivity disorder (ADHD), conduct disorder (CD), oppositional defiant disorder (ODD), emotional difficulties, and low pro-social behavior at 7, 10, and 13 years; and (c) teacher-reported discipline problems, along with standardized test performance. We identified a 4-cluster solution: “typical,” “low,” “IC/ANX−”, and “IC/ANX+.” IC/ANX+ youth showed the highest prenatal and postnatal levels of family adversity and maternal psychopathology, highest levels of ADHD, CD, ODD, and emotional difficulties, greatest discipline problems, and lowest national test scores (all p < .001). IC/ANX+ also showed a distinct pattern of increasing psychopathology from age 7 to 13 years. Adolescent IC subtypes were successfully validated in ALSPAC across multiple raters using prenatal and early postnatal risk, repeated measures of psychopathology, and school-based outcomes. Greater prenatal environmental risk among IC/ANX+ youth suggests an important target for early intervention.
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spelling pubmed-53054152017-03-13 Interpersonal Callousness and Co-Occurring Anxiety: Developmental Validity of an Adolescent Taxonomy Meehan, Alan J. Maughan, Barbara Cecil, Charlotte A. M. Barker, Edward D. J Abnorm Psychol Transdiagnostic and Other Disorders Growing evidence suggests heterogeneity within interpersonal-callous (IC) youth based on co-occurring anxiety. The developmental validity of this proposed taxonomy remains unclear however, as most previous research is cross-sectional and/or limited to adolescence. We aimed to identify low-anxiety (IC/ANX−) and high-anxiety (IC/ANX+) IC variants, and compare these groups on (a) early risk exposures, (b) psychiatric symptoms from midchildhood to early adolescence, and (c) school-based functioning. Using the Avon Longitudinal Study of Parents and Children (ALSPAC), a prospective epidemiological birth cohort, model-based cluster analysis was performed on children with complete age-13 IC and anxiety scores (n = 6,791). Analysis of variance was used to compare resulting clusters on (a) prenatal and postnatal family adversity and maternal psychopathology, and harsh parenting; (b) developmental differences in attention-deficit/hyperactivity disorder (ADHD), conduct disorder (CD), oppositional defiant disorder (ODD), emotional difficulties, and low pro-social behavior at 7, 10, and 13 years; and (c) teacher-reported discipline problems, along with standardized test performance. We identified a 4-cluster solution: “typical,” “low,” “IC/ANX−”, and “IC/ANX+.” IC/ANX+ youth showed the highest prenatal and postnatal levels of family adversity and maternal psychopathology, highest levels of ADHD, CD, ODD, and emotional difficulties, greatest discipline problems, and lowest national test scores (all p < .001). IC/ANX+ also showed a distinct pattern of increasing psychopathology from age 7 to 13 years. Adolescent IC subtypes were successfully validated in ALSPAC across multiple raters using prenatal and early postnatal risk, repeated measures of psychopathology, and school-based outcomes. Greater prenatal environmental risk among IC/ANX+ youth suggests an important target for early intervention. American Psychological Association 2016-12-15 2017-02 /pmc/articles/PMC5305415/ /pubmed/27977232 http://dx.doi.org/10.1037/abn0000235 Text en © 2016 The Author(s) http://creativecommons.org/licenses/by/3.0/ This article has been published under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Copyright for this article is retained by the author(s). Author(s) grant(s) the American Psychological Association the exclusive right to publish the article and identify itself as the original publisher.
spellingShingle Transdiagnostic and Other Disorders
Meehan, Alan J.
Maughan, Barbara
Cecil, Charlotte A. M.
Barker, Edward D.
Interpersonal Callousness and Co-Occurring Anxiety: Developmental Validity of an Adolescent Taxonomy
title Interpersonal Callousness and Co-Occurring Anxiety: Developmental Validity of an Adolescent Taxonomy
title_full Interpersonal Callousness and Co-Occurring Anxiety: Developmental Validity of an Adolescent Taxonomy
title_fullStr Interpersonal Callousness and Co-Occurring Anxiety: Developmental Validity of an Adolescent Taxonomy
title_full_unstemmed Interpersonal Callousness and Co-Occurring Anxiety: Developmental Validity of an Adolescent Taxonomy
title_short Interpersonal Callousness and Co-Occurring Anxiety: Developmental Validity of an Adolescent Taxonomy
title_sort interpersonal callousness and co-occurring anxiety: developmental validity of an adolescent taxonomy
topic Transdiagnostic and Other Disorders
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5305415/
https://www.ncbi.nlm.nih.gov/pubmed/27977232
http://dx.doi.org/10.1037/abn0000235
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