Evidence map›Paper›PMID 29222633›Full record

ArticleEuropean child & adolescent psychiatry2018

Characterising youth with callous-unemotional traits and concurrent anxiety: evidence for a high-risk clinical group.

Charlotte A M Cecil, Eamon J McCrory, Edward D Barker, Jo Guiney, Essi Viding

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European child & adolescent psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Preventing Youth Crime and Violence: Intervention and Evaluation Issues.Behavioral sciences (Basel, Switzerland) · 2026
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  19. Associations between callous-unemotional traits and psychopathology in a sample of adolescent females.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Charlotte A M CecilDepartment of Psychology, Institute of Psychiatry, King's College London, London, UK.
Eamon J McCroryDivision of Psychology and Language Sciences, University College London, 26 Bedford Way, London, WC1H 0AP, UK.
Edward D BarkerDepartment of Psychology, Institute of Psychiatry, King's College London, London, UK.
Jo GuineyDepartment of Psychology, Royal Holloway, University of London, Egham, UK.
Essi VidingDivision of Psychology and Language Sciences, University College London, 26 Bedford Way, London, WC1H 0AP, UK. e.viding@ucl.ac.uk.
King's College London · GBUniversity College London · GBRoyal Holloway University of London · GB

Funding

Economic and Social Research Council ES/N001273/1Medical Research Council MR/K014080/1
6 · The paper itself

Abstract

Growing evidence supports the existence of two variants of youth with high callous-unemotional (CU) traits who present with markedly different risk profiles and outcomes, with potential implications for risk assessment and treatment formulation. So far, studies have identified variants of CU youth mainly using data-driven cluster approaches based on levels of CU traits and co-occurring anxiety. Yet, the extent to which this knowledge may be translated into clinical practice is unclear. To this end, the present study employed a severity-based, cut-off approach to systematically characterise CU groups across a range of clinically informative domains, including trauma history, psychiatric symptomatology, affective functioning, attachment style and behavioural risk. Analyses were based on multi-rated data from a community sample of high-risk youths (n = 155, M = 18 years). Consistent with previous studies, we found that, whereas variants show comparable levels of antisocial behaviour, those who present with both high CU and high anxiety report more severe childhood maltreatment, psychological distress, ADHD symptomatology and behavioural risk-including substance use, suicidal ideation and unsafe sex. In addition, these youth show greater attachment insecurity and affective dysregulation, as indexed by levels of irritability and alexithymia. Together, findings indicate that (1) trauma history is a key factor that differentiates variants of CU youth high vs. low on anxiety, and (2) differences in individual functioning across variants point to the need for tailored clinical assessment tools and intervention strategies. Importantly, the present findings indicate that variants of CU youth can be meaningfully differentiated using cut-off based approaches that parallel methods used in clinical assessments.

Indexed as

AdolescentAdultAnxiety DisordersChild AbuseEmotionsFemaleHumansMalePsychopathologyYoung AdultAdolescenceAnxietyCallous–unemotional traitsChildhood maltreatmentPsychopathology

Identifiers

PMID29222633
PMCPMC6013514
OpenAlexW2771772546

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.