Emotional recognition in children and adolescents with callous-unemotional trait: A systematic review of eye-tracking studies
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Abstract
Callous-unemotional or emotional insensitivity is an individual trait characterized by a lack of guilt and remorse, absence of empathy, and lack of concern for the feelings of others, among other characteristics. Published works have shown that the child and adolescent population presents difficulties in emotional recognition, although not all works conclude whether this difficulty is generalized to all emotions or is restricted to specific emotions. The use of methodologies such as eye-tracking in these studies is helping to advance this line of research, allowing us to determine which attentional processes are involved in these difficulties and in which specific emotions they occur. However, this line of research is incipient, so the objective of this systematic review has been to analyze and organize the existing information on the difficulties in emotional recognition presented by children and adolescents with high levels of callous-unemotional in the published articles on this topic that use eye-tracking. Following the PRISMA Declaration, four databases were reviewed (ProQuest, ERIC, Scopus, and Web of Science), obtaining 140 results, of which only 15 were included and analyzed. The analysis obtained as a result a confirmation and characterization of this deficit, finding difficulties in the recognition of negative emotions, fundamentally those of fear, anger, and sadness, with a high percentage of studies pointing out on the basis of this the difficulties of attentional focus found in these emotions, although the existence of other processes that could explain these difficulties was not rule out.
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References
Airdrie, J. N., Langley, K., Thapar, A., & Van Goozen, S. H. M. (2018). Facial emotion recognition and eye gaze in attention-deficit/hyperactivity disorder with and without comorbid conduct disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 57(8), 561-570. https://doi.org/10.1016/j.jaac.2018.04.016
American Psychiatric Association [APA]. (2014). Manual diagnóstico y estadístico de los trastornos mentales (DSM-5). Editorial Médica Panamericana.
Bedford, R., Carter Leno, V., Wright, N., Bluett-Duncan, M., Smith, T.J., Anzures, G., Pickles, A., Sharp, H., & Hill, J. (2021). Emotion recognition performance in children with callous unemotional traits is modulated by co-occurring autistic traits. Journal of Clinical Child & Adolescent Psychology, 50(6), 811-827. https://doi.org/10.1080/15374416.2020.1833338
Bedford, R., Pickles, A., Sharp, H., Wright, N., & Hill, J. (2015). Reduced face preference in infancy: a developmental precursor to callous-unemotional traits? Biological Psychiatry, 78(2), 144-150. https://doi.org/10.1016/j.biopsych.2014.09.022
Bedford, R., Wagner, N. J., Rehder, P. D., Propper, C., Willoughby, M. T., & Mills-Koonce, R. W. (2017). The role of infants’ mother-directed gaze, maternal sensitivity, and emotion recognition in childhood callous unemotional behaviours. European Child & Adolescent Psychiatry, 26(8), 947-956. https://doi.org/10.1007/s00787-017-0967-1
Billeci, L., Muratori, P., Calderoni, S., Chericoni, N., Levantini, V., Milone, A., Nocentini, A., Papini, M., Ruglioni, L., & Dadds, M. (2019). Emotional processing deficits in Italian children with Disruptive Behavior Disorder: The role of callous unemotional traits. Behaviour Research and Therapy, 113, 32-38. https://doi.org/10.1016/j.brat.2018.12.011
Blair R. J. (1995). A cognitive developmental approach to mortality: Investigating the psychopath. Cognition, 57(1), 1-29. https://doi.org/10.1016/0010-0277(95)00676-p
Blair, R. J., Colledge, E., Murray, L., & Mitchell, D. (2001). A selective impairment in the processing of sad and fearful expressions in children with psychopathy tendencies. Journal of Abnormal Child Psychology, 29(6), 491-498. https://doi.org/10.1023/a:1012225108281
Blair, R. J., Leibenluft, E., & Pine, D. S. (2014). Conduct disorder and callous-unemotional traits in youth. The New England Journal of Medicine, 371(23), 2207-2216. https://doi.org/10.1056/NEJMra1315612
Blonigen, D. M., Hicks, B. M., Krueger, R. F., Patrick, C. J., & Iacono, W. G. (2005). Psychopathic personality traits: Heritability and genetic overlap with internalizing and externalizing psychopathology. Psychological Medicine, 35(5), 637-648. https://doi.org/10.1017/S0033291704004180
Bours, C. C. A. H., Bakker-Huvenaars, M. J., Tramper, J., Bielczyk, N., Scheepers, F., Nijhof, K. S., Baanders, A. N., Lambregts-Rommelse, N. N. J., Medendorp, P., Glennon, J. C., & Buitelaar, J. K. (2018). Emotional face recognition in male adolescents with autism spectrum disorder or disruptive behavior disorder: An eye-tracking study. European Child & Adolescent Psychiatry, 27(9), 1143-1157. https://doi.org/10.1007/s00787-018-1174-4
Carter Leno, V., Bedford, R., Chandler, S., White, P., Yorke, I., Charman, T., Pickles, A., & Simonoff, E. (2021). Callous-unemotional traits in youth with autism spectrum disorder (ASD): Replication of prevalence estimates and associations with gaze patterns when viewing fearful faces. Development and Psychopathology, 33(4), 1220-1228. https://doi.org/10.1017/S0954579420000449
Carter Leno, V., Charman, T., Pickles, A., Jones, C. R. G., Baird, G., Happé, F., & Simonoff, E. (2015). Callous–unemotional traits in adolescents with autism spectrum disorder. The British Journal of Psychiatry, 207(5), 392-399. https://doi.org/10.1192/bjp.bp.114.159863
Carter Leno, V., Pickard, H., Cybulska, L., Smith, T., Munafo, M., Penton-Voak, I., Simonoff, E., Pickles, A., & Bedford, R. (2023). Associations between emotion recognition and autistic and callous-unemotional traits: differential effects of cueing to the eyes. Journal of Child Psychology and Psychiatry, 64(5), 787-796. https://doi.org/10.1111/jcpp.13736
Centifanti, L. C. M., Stickle, T. R., Thomas, J., Falcón, A., Thomson, N. D., & Gamer, M. (2021). Reflexive gaze shifts and fear recognition deficits in children with callous-unemotional traits and impulsivity/conduct problems. Brain Sciences, 11(10), Article 1342. https://doi.org/10.3390/brainsci11101342
Ciucci, E., Baroncelli, A., Franchi, M., Golmaryami, F. N. & Frick, P. J. (2014). The association between callous-unemotional traits and behavioral and academic adjustment in children: Further validation of the Inventory of Callous-Unemotional Traits. Journal of Psychopathology and Behavioral Assessment, 36, 189-200. https://doi.org/10.1007/s10862-013-9384-z
Dadds, M. R., El Masry, Y., Wimalaweera, S., & Guastella, A. J. (2008). Reduced eye gaze explains “fear blindness” in childhood psychopathic traits. Journal of the American Academy of Child and Adolescent Psychiatry, 47(4), 455-463. https://doi.org/10.1097/CHI.0b013e31816407f1
Dadds, M. R., & Frick, P. J. (2019). Toward a transdiagnostic model of common and unique processes leading to the major disorders of childhood: The REAL model of attention, responsiveness and learning. Behaviour Research and Therapy, 119, Article 103410. https://doi.org/10.1016/j.brat.2019.103410
Dadds, M. R., Perry, Y., Hawes, D. J., Merz, S., Riddell, A. C., Haines, D. J., Solak, E., & Abeygunawardane, A. I. (2006). Attention to the eyes and fear-recognition deficits in child psychopathy. British Journal of Psychiatry, 189(3), 280-281. http://dx.doi.org/10.1192/bjp.bp.105.018150
Dawel, A., McKone, E., O’Kearney, R., Sellbom, M., Irons, J., & Palermo, R. (2015). Elevated levels of callous unemotional traits are associated with reduced attentional cueing, with no specificity for fear or eyes. Personality Disorders: Theory, Research, and Treatment, 6(3), 216-228. https://doi.org/10.1037/per0000108
Dawel, A., O'Kearney, R., McKone, E., & Palermo, R. (2012). Not just fear and sadness: Meta-analytic evidence of pervasive emotion recognition deficits for facial and vocal expressions in psychopathy. Neuroscience & Biobehavioral Reviews, 36(10), 2288-2304. https://doi.org/10.1016/j.neubiorev.2012.08.006
De la Peña Olvera, F. R. (2022). Emociones prosociales limitadas: Especificador transdiagnóstico. Revista de Psiquiatría Infanto-Juvenil, 39(4), 1-2. https://doi.org/10.31766/revpsij.v39n4a1
Demetriou, C. A., & Fanti, K. A. (2022). Are children high on callous-unemotional traits emotionally blind? Testing eye-gaze differences. Child Psychiatry and Human Development, 53(4), 623-634. https://doi.org/10.1007/s10578-021-01152-3
De Ridder, J., Pihet, S., Suter, M., & Caldara, R. (2016). Empathy in institutionalized adolescents with callous-unemotional traits: An ecological momentary assessment study of emotion recognition. Criminal Justice and Behavior, 43(5), 653-669. https://doi.org/10.1177/0093854815618431
Díaz Vázquez, B. (2022). Estudio de la relación entre rasgos psicopáticos y reconocimiento emocional a edades tempranas: implicaciones en la práctica clínica. [Master thesis, Universidade de Santiago de Compostela]. http://hdl.handle.net/10347/30141
Frick, P.J. (2009). Extending the construct of psychopathy to youths: Implications for understanding, diagnosing, and treating antisocial children and adolescents. Canadian Journal of Psychiatry, 12, 803-812. https://doi.org/10.1177/070674370905401203
Frick, P. J., Cornell, A. H., Bodin, S. D., Dane, H. E., Barry, C. T., & Loney, B. R. (2003). Callous-unemotional traits and developmental pathways to severe conduct problems. Developmental Psychology, 39(2), 246-260. https://doi.org/10.1037/0012-1649.39.2.246
Fontaine, N. M., Rijsdijk, F. V., McCrory, E. J., & Viding, E. (2010). Etiology of different developmental trajectories of callous-unemotional traits. Journal of the American Academy of Child and Adolescent Psychiatry, 49(7), 656-664. https://doi.org/10.1016/j. jaac.2010.03.014.
Halty, L., & Caperos, J. M. (2023). Anxiety as a differentiating variable in emotional recognition in juvenile offenders with high callous-unemotional traits. Criminal Behaviour and Mental Health, 33(1), 22-32. https://doi.org/10.1002/cbm.2276
Hartmann, D. & Schwenck, C. (2020) Emotion processing in children with conduct problems and callous-unemotional traits: An investigation of speed, accuracy, and attention. Child Psychiatry and Human Development, 51, 721-733. https://doi.org/10.1007/s10578-020-00976-9
Kahn, R. E., Frick, P. J., Youngstrom, E., Findling, R. L., & Youngstrom, J. K. (2012). The effects of including a callous-unemotional specifier for the diagnosis of conduct disorder. Journal of Child Psychology and Psychiatry, 53(3), 271-282. https://doi.org/10.1111/j.1469-7610.2011.02463.x
Kahn, R. E., Frick, P. J., Youngstrom, E.A., Kogos, J, Feeny, N. C., & Findling, R. L. (2013). Distinguishing primary and secondary variants of callous-unemotional traits among adolescents in a clinic-referred sample. Psychology Assessment, 25(3), 966-978. https://doi.org/10.1037/a0032880
Kyranides, M. N., Fanti, K. A., Petridou, M., & Kimonis, E. R. (2020). In the eyes of the beholder: Investigating the effect of visual probing on accuracy and gaze fixations when attending to facial expressions among primary and secondary callous-unemotional variants. European Child & Adolescent Psychiatry, 29, 1441-1451. https://doi.org/10.1007/s00787-019-01452-z
Larsson, H., Viding, E., & Plomin, R. (2008). Callous—unemotional traits and antisocial behavior: Genetic, environmental, and early parenting characteristics. Criminal Justice and Behavior, 35(2), 197-211. https://doi.org/10.1177/0093854807310225
Levantini, V., Muratori, P., Calderoni, S., Inguaggiato, E., Masi, G., Milone, A., Tonacci, A., & Billeci, L. (2022). Parenting practices moderate the link between attention to the eyes and callous unemotional traits in children with Disruptive Behavior Disorder: An eye-tracking study. Journal of Psychiatric Research, 146, 272-278. https://doi.org/10.1016/j.jpsychires.2021.11.016
Levantini, V., Muratori, P., Calderoni, S., Inguaggiato, E., Masi, G., Milone, A., Tonacci, A. & Billeci, L. (2023). Psychopathic traits and emotion processing in a clinical sample of children with disruptive behavior disorder. Current Psychology, 42, 19981-19990 https://doi.org/10.1007/s12144-022-03138-3
Martin-Key, N. A., Graf, E. W., Adams, W. J., & Fairchild, G. (2018). Facial emotion recognition and eye movement behaviour in conduct disorder. Journal of Child Psychology and Psychiatry, 59(3), 247-257. https://doi.org/10.1111/jcpp.12795
Menks, W. M., Fehlbaum, L. V., Borbás, R., Sterzer, P., Stadler, C., & Raschle, N. M. (2021). Eye gaze patterns and functional brain responses during emotional face processing in adolescents with conduct disorder. NeuroImage: Clinical, 29, Article 102519. https://doi.org/10.1016/j.nicl.2020.102519
Newman, J. P. (1998). Psychopathic behavior: An information processing perspective. In D. J. Cooke, A. E. Forth y R. D. Hare (Eds.), Psychopathy: Theory, research and implications for society (pp. 81-104). Springer Netherlands. https://doi.org/10.1007/978-94-011-3965-6_5
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E., W., Mayo-Wilson, E., McDonald, S., … & Moher, D. (2021). Declaración PRISMA 2020: Una guía actualizada para la publicación de revisiones sistemáticas. Revista Española de Cardiología, 74(9), 790-799. https://doi.org/10.1016/j.recesp.2021.06.016
Sánchez, V., Ortega, R., & Menesini, E. (2012). La competencia emocional de agresores y víctimas de bullying. Anales de Psicología / Annals of Psychology, 28(1), 71-82.
Sica, C., Ciucci, E., Baroncelli, A., Frick, P. J., & Patrick, C. J. (2019). Not just for adults: Using the triarchic model of psychopathy to inform developmental models of conduct problems in adolescence. Journal of Clinical Child & Adolescent Psychology, 49(6), 897-911. https://doi.org/10.1080/15374416.2019.1574228
Wolf, S., & Centifanti, L. C. M. (2014). Recognition of pain as another deficit in young males with high callous-unemotional traits. Child Psychiatry and Human Development, 45, 422-432. https://doi.org/10.1007/s10578-013-0412-8
Wright, N., Hill, J., Sharp, H. & Pickles, A. (2018). Maternal sensitivity to distress, attachment and the development of callous–unemotional traits in young children. Journal of Child Psychology and Psychiatry, 59(7), 790-800. https://doi.org/10.1111/jcpp.12867