Evidence map›Paper›PMID 40519953›Full record

ArticleJCPP advances2025

Maltreatment and parenting in youth with primary and secondary callous-unemotional traits: Anxiety matters.

Jessica J Todorov, Gregor Kohls, Ruth Pauli, Jack Rogers, Anka Bernhard, Katharina Ackermann, Nora M Raschle, Jules R Dugre, Aranzazu Fernandez-Rivas, Miguel Angel Gonzalez-Torres and 12 more

Abstract read
In one paragraph

Article in JCPP advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Trial
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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

22 authors.

Jessica J TodorovCentre for Human Brain Health School of Psychology University of Birmingham Birmingham UK.ORCID https://orcid.org/0000-0003-4548-6780
Gregor KohlsDepartment of Child and Adolescent Psychiatry and Psychotherapy Faculty of Medicine Technische Universität Dresden Dresden Germany.
Ruth PauliCentre for Human Brain Health School of Psychology University of Birmingham Birmingham UK.
Jack RogersInstitute for Mental Health School of Psychology University of Birmingham Birmingham UK.
Anka BernhardDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy University Hospital Frankfurt Goethe University Frankfurt am Main Germany.
Katharina AckermannDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy University Hospital Frankfurt Goethe University Frankfurt am Main Germany.
Nora M RaschleJacobs Center for Productive Youth Development University of Zurich Zurich Switzerland.
Jules R DugreCentre for Human Brain Health School of Psychology University of Birmingham Birmingham UK.
Aranzazu Fernandez-RivasPsychiatric Service Basurto University Hospital Bilbao Spain.
Miguel Angel Gonzalez-TorresPsychiatric Service Basurto University Hospital Bilbao Spain.
Amaia HervasChild and Adolescent Mental Health Service University Hospital Mutua Terrassa Barcelona Spain.
Areti SmaragdiChild Development Institute Toronto Ontario Canada.
Karen GonzalezDepartment of Psychology Middlesex University London England.
Ágnes VetróChild and Adolescent Psychiatry Department Pediatrics and Child Health Center University of Szeged Szeged Hungary.
Dimitris DikeosChild and Adolescent Unit of the 1st Department of Psychiatry National and Kapodistrian University of Athens Athens Greece.
Arne PopmaDepartment of Child and Adolescent Psychiatry VU University Medical Center Amsterdam The Netherlands.
Christina StadlerDepartment of Child and Adolescent Psychiatry Psychiatric University Hospital University of Basel Basel Switzerland.
Kerstin KonradDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy Child Neuropsychology Section RWTH Aachen University Aachen Germany.
Christine M FreitagDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy University Hospital Frankfurt Goethe University Frankfurt am Main Germany.
Graeme FairchildDepartment of Psychology University of Bath Bath UK.
Rory T DevineCentre for Developmental Science School of Psychology University of Birmingham Birmingham UK.ORCID https://orcid.org/0000-0002-3710-7878
Stephane A De BritoCentre for Human Brain Health School of Psychology University of Birmingham Birmingham UK.ORCID https://orcid.org/0000-0002-9082-6185

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Youth with conduct disorder (CD) and high callous-unemotional (CU) traits are not a homogenous group and can be disaggregated into primary and secondary subgroups. However, there are inconsistencies in defining primary and secondary subgroups, with some studies using anxiety, others using maltreatment and still others using both features to identify subgroups. There is a paucity of work comparing primary and secondary subgroups with typically developing (TD) youth on experiences of maltreatment and parenting as well as a lack of studies investigating sex differences. Methods: In a large sample of TD youth ( Results: Anxiety without maltreatment yielded the best fitting and most theoretically interpretable classification of primary and secondary subgroups across both sexes (Bayesian information criterion = 17832.33, Entropy = 0.75, Lo-Mendell-Rubin: Conclusions: We provide evidence that anxiety and maltreatment cannot be used interchangeably to identify youth with primary versus secondary CU traits. Anxiey yielded the best fitting and most theoretically interpretable classifications across both sexes. Our results signify the need for researchers and clinicians to adopt a unified approach to defining primary and secondary subgroups of CU traits using anxiety in both sexes.

Indexed as

anxietycallous‐unemotional traitsconduct disorderFemNAT‐CDmaltreatmentparentingprimary and secondary CU traits

Identifiers

PMID40519953
PMCPMC12159302

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.