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Callous-Unemotional Traits Moderate the Relationship Between Irritability and Threatening Responding

Bibliographic Data

ID15519371
AuthorsRu Zhang (0000-0002-4860-7800, Boys Town, corresponding author), Johannah Bashford-Largo (0000-0002-0128-9526, Boys Town), Jennie Lukoff (Boys Town), Jaimie Elowsky (0000-0001-7995-3725, Boys Town), Erin Carollo (0000-0002-7341-9123, Boys Town), Amanda Schwartz (Boys Town National Research Hospital), Matthew Dobbertin (0000-0003-4556-5892, Boys Town National Research Hospital), Sahil Bajaj (0000-0003-0629-6036, Boys Town National Research Hospital), Karina S Blair (0000-0003-4382-6219, Boys Town), Ellen Leibenluft (0000-0001-8971-2087, National Institutes of Health), James Blair (0000-0002-6377-2361, Boys Town), R James R Blair
Year2021
Volume12
Pages617052-617052
Publication date2021-11-16
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.617052
PMID34867494
OpenAlexW3214029882
LanguageEN
References cited68

Background: Irritability and callous-unemotional (CU; reduced guilt/empathy) traits vary dimensionally in the typically developing population but may be particularly marked in youth with conduct disorder (CD). While these dimensional traits are positively correlated, they have been associated with divergent forms of dysfunction, particularly with respect to threat processing (i.e., irritability with increased, and CU traits with decreased, threat responsiveness). This suggests that interactions between these two dimensions may be complex at the neurobiological level. However, this issue has received minimal empirical attention. Methods: The study included 105 adolescents (typically developing and cases with CD; N = 59). They were scanned with fMRI during a looming threat task that involved images of threatening and neutral human faces or animals that appeared to be either looming or receding. Results: Significant irritability-by-CU traits-by-Direction-by-Emotion interactions were seen within right thalamus/PAG, left lingual gyrus and right fusiform gyrus; irritability was positively associated with the BOLD response for Looming Threatening vs. Receding Threatening trials, particularly for youth with low CU traits. In contrast, CU traits were negatively associated with the same differential BOLD response but particularly for youth showing higher levels of irritability. Similar findings were seen within left ventral anterior and posterior cingulate cortices, though the addition of the interaction with CU traits was only seen at slightly more lenient thresholds. Conclusions: The results support previous work linking irritability to increased, and CU traits to reduced, threat responsiveness. However, for adolescents with high irritability, if CU traits are also high, the underlying neuropathology appears to relate to reduced, rather than increased, threat responsiveness

Aggression · Cognition · Cognitive psychology · Developmental psychology · Empathy · Irritability · Looming · Psychiatry · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Neuroscience · Personality Disorders and Psychopathology · Psychology · Psychopathy, Forensic Psychiatry, Sexual Offending

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