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Callous-unemotional traits in Chinese preschool children with attention-deficit/hyperactivity disorder
BACKGROUND: Children with early onset of Callous-Unemotional (CU) traits are at a higher risk for long-term, persistent psychosocial problems. The current study aimed to explore the characteristics of CU in preschool children with Attention Deficit Hyperactivity Disorder (ADHD) and the diagnostic si...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8272896/ https://www.ncbi.nlm.nih.gov/pubmed/34246300 http://dx.doi.org/10.1186/s13034-021-00388-0 |
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author | Zhang, Jinsong Li, Wei Zhang, Huifeng Wilson, Amanda Shuai, Lan Xia, Weiping Wang, Zhouye Qiu, Meihui Wang, Yuanyuan |
author_facet | Zhang, Jinsong Li, Wei Zhang, Huifeng Wilson, Amanda Shuai, Lan Xia, Weiping Wang, Zhouye Qiu, Meihui Wang, Yuanyuan |
author_sort | Zhang, Jinsong |
collection | PubMed |
description | BACKGROUND: Children with early onset of Callous-Unemotional (CU) traits are at a higher risk for long-term, persistent psychosocial problems. The current study aimed to explore the characteristics of CU in preschool children with Attention Deficit Hyperactivity Disorder (ADHD) and the diagnostic significance of CU traits in ADHD. METHODS: A total of 176 preschool children (89 with ADHD and 87 Typically Developing Children [TDC]) aged 4–5 years old were recruited to the study. The participants were assessed for CU traits, emotional and behavioral problems, and how their executive functioning was associated with ADHD using multiple assessment scales. Multiple linear regression analysis was performed to assess the incremental validity of the Inventory of Callous-Unemotional Traits (ICU), adjusting for possible covariates by child’s sex, conduct problems, and oppositional defiant symptoms. RESULTS: The results showed that there was a significant difference of ICU scores between the ADHD and TDC groups (F = 30.12, P < 0.001). In terms of callousness, ADHD + Oppositional Defiant Disorder (ODD) group showed a significant high score, and the ADHD only group scored significantly higher than the TDC group (F = 20.42, P < 0.001). The ICU was negatively associated with the prosocial behaviour subscale (γ = − 0.57, P < 0.01) and showed low to moderate positive correlations with emotional and behavioural problems, as well as executive function (γ = 0.24–0.67, P < 0.05). The ICU scores explained 6% of the incremental validity in ADHD symptoms. The diagnostic value of the ICU for ADHD was medium and acceptable. CONCLUSIONS: The current study indicated that early identification of CU traits may help clinicians better understand symptoms and behavioural problems in children with ADHD. CU traits therefore could be considered as a useful assessment tool for ADHD. |
format | Online Article Text |
id | pubmed-8272896 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-82728962021-07-12 Callous-unemotional traits in Chinese preschool children with attention-deficit/hyperactivity disorder Zhang, Jinsong Li, Wei Zhang, Huifeng Wilson, Amanda Shuai, Lan Xia, Weiping Wang, Zhouye Qiu, Meihui Wang, Yuanyuan Child Adolesc Psychiatry Ment Health Research Article BACKGROUND: Children with early onset of Callous-Unemotional (CU) traits are at a higher risk for long-term, persistent psychosocial problems. The current study aimed to explore the characteristics of CU in preschool children with Attention Deficit Hyperactivity Disorder (ADHD) and the diagnostic significance of CU traits in ADHD. METHODS: A total of 176 preschool children (89 with ADHD and 87 Typically Developing Children [TDC]) aged 4–5 years old were recruited to the study. The participants were assessed for CU traits, emotional and behavioral problems, and how their executive functioning was associated with ADHD using multiple assessment scales. Multiple linear regression analysis was performed to assess the incremental validity of the Inventory of Callous-Unemotional Traits (ICU), adjusting for possible covariates by child’s sex, conduct problems, and oppositional defiant symptoms. RESULTS: The results showed that there was a significant difference of ICU scores between the ADHD and TDC groups (F = 30.12, P < 0.001). In terms of callousness, ADHD + Oppositional Defiant Disorder (ODD) group showed a significant high score, and the ADHD only group scored significantly higher than the TDC group (F = 20.42, P < 0.001). The ICU was negatively associated with the prosocial behaviour subscale (γ = − 0.57, P < 0.01) and showed low to moderate positive correlations with emotional and behavioural problems, as well as executive function (γ = 0.24–0.67, P < 0.05). The ICU scores explained 6% of the incremental validity in ADHD symptoms. The diagnostic value of the ICU for ADHD was medium and acceptable. CONCLUSIONS: The current study indicated that early identification of CU traits may help clinicians better understand symptoms and behavioural problems in children with ADHD. CU traits therefore could be considered as a useful assessment tool for ADHD. BioMed Central 2021-07-10 /pmc/articles/PMC8272896/ /pubmed/34246300 http://dx.doi.org/10.1186/s13034-021-00388-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Zhang, Jinsong Li, Wei Zhang, Huifeng Wilson, Amanda Shuai, Lan Xia, Weiping Wang, Zhouye Qiu, Meihui Wang, Yuanyuan Callous-unemotional traits in Chinese preschool children with attention-deficit/hyperactivity disorder |
title | Callous-unemotional traits in Chinese preschool children with attention-deficit/hyperactivity disorder |
title_full | Callous-unemotional traits in Chinese preschool children with attention-deficit/hyperactivity disorder |
title_fullStr | Callous-unemotional traits in Chinese preschool children with attention-deficit/hyperactivity disorder |
title_full_unstemmed | Callous-unemotional traits in Chinese preschool children with attention-deficit/hyperactivity disorder |
title_short | Callous-unemotional traits in Chinese preschool children with attention-deficit/hyperactivity disorder |
title_sort | callous-unemotional traits in chinese preschool children with attention-deficit/hyperactivity disorder |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8272896/ https://www.ncbi.nlm.nih.gov/pubmed/34246300 http://dx.doi.org/10.1186/s13034-021-00388-0 |
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