Revelations: The Role of Callous-Unemotional Traits and Anxiety in the Relationship between Aggression and Treatment Outcome in Conduct Disordered Youth

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2019-09-23

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en

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There is very little literature on the relation between aggression and treatment outcome (TO) in youth with conduct disorder (CD), and the nature of this relation remains unclear. Since both anxiety and callous-unemotional (CU) traits are strongly related to aggression, this study aimed to clarify the relationship between aggression and TO in youth with CD, focusing on anxiety and CU traits within a mindfulness-based treatment approach. Questionnaires measuring proactive and reactive aggression, anxiety and CU traits were administered to youth living in residential care before and after youth receive treatment and were used to predict TO. Results showed that reactive aggression, but not proactive aggression, was negatively related to TO in adolescents with CD and anxiety mediated this relationship. Furthermore, adolescents with CD higher on CU traits responded better to treatment than those lower on CU traits. From the results it can be concluded that addressing anxiety is essential to increase treatment response in treating adolescents with CD for aggressive behavioral problems. Moreover, mindfulness based meditation treatments are a promising type of treatment for adolescents with CD, although more research is needed.

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Faculteit der Sociale Wetenschappen