Trial reportThe American journal of psychiatry2016
Neural Correlates of the Propensity for Retaliatory Behavior in Youths With Disruptive Behavior Disorders.
Trial report in The American journal of psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 85 citations in OpenAlex.
- Annual Research Review: What processes are dysregulated among emotionally dysregulated youth? - a systematic review.Journal of child psychology and psychiatry, and allied disciplines · 2025Pooled it
- Role of Callous and Unemotional (CU) Traits on the Development of Youth with Behavioral Disorders: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- The dark sides of the brain: A systematic review and meta-analysis of functional neuroimaging studies on trait aggressionAggression and violent behavior · 2025Article
- Using Machine Learning to Determine a Functional Classifier of Retaliation and Its Association With Aggression.JAACAP open · 2025Article
- Social Learning and Preferences in Adolescents With Conduct Problems and Varying Levels of Callous-Unemotional Traits.JAACAP open · 2024Article
- Article
- Association Between Aggression and Differential Functional Activity of Neural Regions Implicated in Retaliation.Journal of the American Academy of Child and Adolescent Psychiatry · 2023Article
- Mindful Coping Power Effects on Children's Autonomic Nervous System Functioning and Long-Term Behavioral Outcomes.Journal of clinical medicine · 2023Article
- Pathways to antisocial behavior: a framework to improve diagnostics and tailor therapeutic interventions.Frontiers in psychology · 2023Article
- Dissociation of behavioral and neural responses to provocation during reactive aggression in healthy adults with high versus low externalization.Cognitive, affective & behavioral neuroscience · 2022Article
- Key challenges in neurocognitive assessment of individuals with antisocial personality disorder and psychopathy.Frontiers in behavioral neuroscience · 2022Article
- A Mechanism-Based Approach to Anti-Aggression Psychotherapy in Borderline Personality Disorder: Group Treatment Affects Amygdala Activation and Connectivity.Brain sciences · 2021Article
- Reduced neural responsiveness to looming stimuli is associated with increased aggression.Social cognitive and affective neuroscience · 2021Article
- The longitudinal association between externalizing behavior and frontoamygdalar resting-state functional connectivity in late adolescence and young adulthood.Journal of child psychology and psychiatry, and allied disciplines · 2021Article
- Alcohol Use Disorder and Cannabis Use Disorder Symptomatology in Adolescents and Aggression: Associations With Recruitment of Neural Regions Implicated in Retaliation.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2021Article
- Bilateral amygdala damage linked to impaired ability to predict others' fear but preserved moral judgements about causing others fear.Proceedings. Biological sciences · 2021Article
- Understanding Brain Mechanisms of Reactive Aggression.Current psychiatry reports · 2020Review
- Attentional Orienting to Emotional Faces Moderates the Association Between Callous-Unemotional Traits and Peer-Nominated Aggression in Young Adolescent School Children.Journal of abnormal child psychology · 2018Article
- Traits of empathy and anger: implications for psychopathy and other disorders associated with aggression.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2018Review
- Emotion-based learning systems and the development of morality.Cognition · 2017Article
Corrections and comments
- Commented on by
- Commented on by
Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
objectiveYouths with disruptive behavior disorders (DBD) (conduct disorder and oppositional defiant disorder) have an elevated risk for maladaptive reactive aggression. Theory suggests that this is due to an elevated sensitivity of basic threat circuitry implicated in retaliation (amygdala/periaqueductal gray) in youths with DBD and low levels of callous-unemotional traits and dysfunctional regulatory activity in the ventromedial prefrontal cortex in youths with DBD irrespective of callous-unemotional traits.
methodA total of 56 youths 10-18 years of age (23 of them female) participated in the study: 30 youths with DBD, divided by median split into groups with high and low levels of callous-unemotional traits, and 26 healthy youths. All participants completed an ultimatum game task during functional MRI.
resultsRelative to the other groups, youths with DBD and low levels of callous-unemotional traits showed greater increases in activation of basic threat circuitry when punishing others and dysfunctional down-regulation of the ventromedial prefrontal cortex during retaliation. Relative to healthy youths, all youths with DBD showed reduced amygdala-ventromedial prefrontal cortex connectivity during high provocation. Ventromedial prefrontal cortex responsiveness and ventromedial prefrontal cortex-amygdala connectivity were related to patients' retaliatory propensity (behavioral responses during the task) and parent-reported reactive aggression.
conclusionsThese data suggest differences in the underlying neurobiology of maladaptive reactive aggression in youths with DBD who have relatively low levels of callous-unemotional traits. Youths with DBD and low callous-unemotional traits alone showed significantly greater threat responses during retaliation relative to comparison subjects. These data also suggest that ventromedial prefrontal cortex-amygdala connectivity is critical for regulating retaliation/reactive aggression and, when dysfunctional, contributes to reactive aggression, independent of level of callous-unemotional traits.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.