Heritable and Nonheritable Pathways to Early Callous-Unemotional Behaviors

Am J Psychiatry. 2016 Sep 1;173(9):903-10. doi: 10.1176/appi.ajp.2016.15111381. Epub 2016 Apr 8.

Abstract

Objective: Callous-unemotional behaviors in early childhood signal higher risk for trajectories of antisocial behavior and callous-unemotional traits that culminate in later diagnoses of conduct disorder, antisocial personality disorder, and psychopathy. Studies demonstrate high heritability of callous-unemotional traits, but little research has examined specific heritable pathways to early callous-unemotional behaviors. Studies also indicate that positive parenting protects against the development of callous-unemotional traits, but genetically informed designs have not been used to confirm that these relationships are not the product of gene-environment correlations. In a sample of adopted children and their biological and adoptive mothers, the authors tested novel heritable and nonheritable pathways to preschool callous-unemotional behaviors.

Method: In an adoption cohort of 561 families, history of severe antisocial behavior assessed in biological mothers and observations of adoptive mother positive reinforcement at 18 months were examined as predictors of callous-unemotional behaviors at 27 months.

Results: Despite limited or no contact with offspring, biological mother antisocial behavior predicted early callous-unemotional behaviors. Adoptive mother positive reinforcement protected against early callous-unemotional behaviors. High levels of adoptive mother positive reinforcement buffered the effects of heritable risk for callous-unemotional behaviors posed by biological mother antisocial behavior.

Conclusions: The findings elucidate heritable and nonheritable pathways to early callous-unemotional behaviors. The results provide a specific heritable pathway to callous-unemotional behaviors and compelling evidence that parenting is an important nonheritable factor in the development of callous-unemotional behaviors. The finding that positive reinforcement buffered heritable risk for callous-unemotional behaviors has important translational implications for the prevention of trajectories to serious antisocial behavior.

MeSH terms

  • Adoption / psychology*
  • Antisocial Personality Disorder / diagnosis
  • Antisocial Personality Disorder / genetics*
  • Antisocial Personality Disorder / psychology*
  • Attention Deficit Disorder with Hyperactivity / diagnosis
  • Attention Deficit Disorder with Hyperactivity / genetics
  • Attention Deficit Disorder with Hyperactivity / psychology
  • Child of Impaired Parents / psychology
  • Child, Preschool
  • Emotions*
  • Empathy / genetics*
  • Female
  • Follow-Up Studies
  • Gene-Environment Interaction*
  • Genetic Predisposition to Disease / genetics
  • Humans
  • Infant
  • Male
  • Mothers / psychology
  • Personality Assessment
  • Phenotype
  • Reinforcement, Psychology
  • Risk Assessment