Investigating the differential role of cognitive and affective characteristics associated with depressive symptomatology and callous-unemotional traits in adolescents engaging in externalising and antisocial behaviours

Student thesis: Doctoral ThesisDoctor of Clinical Psychology

Abstract

Adolescents engaging in externalising and antisocial behaviour form a heterogeneous group. Despite diagnostic manuals including specifiers for subtypes (i.e. Depressive Conduct Disorder in ICD-10 and Callous Unemotional Traits in DSM-V), if an adolescent reaches threshold for a Conduct Disorder diagnosis, universal interventions are typically offered which may not take into account these differences. This study investigated the potentially differentiating characteristics associated with depressive symptomatology and callous unemotional traits in a sample of adolescents engaging in externalising and antisocial behaviour. Sixty-eight adolescents participated in the study from four Pupil Referral Units (PRU’s) across London. Depressive symptomatology was positively associated with rumination, low self-esteem and potentially feelings of shame, with regression analysis demonstrating that low self-esteem was the strongest predictor. Higher levels of callous unemotional traits were negatively associated with empathy, guilt, low self-esteem and potentially rumination. Regression analysis demonstrated that a lack of guilt (reparative behaviour), affective empathy and low self-esteem were the strongest predictors of callous unemotional traits. Overall low self-esteem was the strongest predictor of engagement in delinquent behaviour. The clinical implications for treatment are discussed.
Date of Award2014
Original languageEnglish
Awarding Institution
  • King's College London
SupervisorTroy Tranah (Supervisor)

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