RT Journal Article
T1 The prognostic usefulness of multiple specifiers for subtyping conduct problems in early childhood
A1 Colins, Olvier F.
A1 López-Romero, Laura
A1 Romero Triñanes, Estrella
A1 Andershed, Henrik
K1 Callous-unemotional
K1 Conduct problems
K1 Daring-impulsive
K1 Grandiose-manipulative
K1 Limited prosocial emotions
AB ObjectiveTo better describe and treat children with conduct problems (CP), grandiose-manipulative and daring-impulsive traits are proposed for subtyping CP, instead of using only a callous-unemotional specifier. However, the acclaimed benefits of having multiple specifiers for CP remain largely untested and therefore highly speculative. To fill this gap, this study tested longitudinal relations between these 3 specifiers and developmental outcomes in childhood and adolescence, independent of early childhood CP.MethodLongitudinal data from 2 community studies were used. Teacher ratings were used to measure CP and the specifiers in 3- to 5-year-olds from Sweden (n = 2,064) and Spain (n = 2,055). Developmental outcomes were assessed by multiple informants (ie, teachers, parents, and children) 1 to 8 years later.ResultsEarly childhood CP were predictive of all outcomes. Callous-unemotional traits predicted low levels of social competence and prosocial behavior, independent of CP (and age, sex, and socioeconomic status). Grandiose-manipulative and daring-impulsive traits were predictive of aggression and violent delinquency, respectively, independent of CP, but also of higher levels of prosocial behavior or social competence.ConclusionThe 3 specifiers are predictive of different outcomes, independent of CP, which is thought to form the basis for developing specifiers for CP. Findings tentatively challenge the centrality of callous-unemotional traits for subtyping CP, but it is premature to conclude that grandiose-manipulative and daring-impulsive specifiers are needed in future revisions of DSM and ICD. Efforts to systematically evaluate the utility of these specifiers should be welcomed to inform ongoing debates on this matter. 
PB Elsevier
SN 0890-8567
YR 2024
FD 2024
LK https://hdl.handle.net/10347/39997
UL https://hdl.handle.net/10347/39997
LA eng
NO Colins, O. F., López-Romero, L., Romero, E. & Andershed, H. (2024). The Prognostic Usefulness of Multiple Specifiers for Subtyping Conduct Problems in Early Childhood. Journal of the American Academy of Child & Adolescent Psychiatry, 63(4), 443-453.  https://doi.org/10.1016/j.jaac.2023.05.022
NO Swedish Study: Waves 1-3 of the SOFIA study were funded by a grant from the Swedish Research Council (#2007-2440). Waves 4 and 5 were funded by Orebro € University with support from Karlstad municipality and Karlstad University. Spanish Study: This study was supported by projects PID2019-107897RB-I00, funded by MCIN/AEI/10.13039/501100011033, and TED2021-130824B-C22, funded by MCIN/AEI/10.13039/501100011033, and the European Union (EU) NextGenerationEU/PRTR. Laura Lopez-Romero   ’s contribution was supported by grant RYC2021-032890-I, funded by MCIN/AEI/10.13039/501100011033 and the NextGenerationEU/PRTR. The writing of the manuscript was also sup ported by a Fonds Wetenschappelijk Onderzoek (FWO) Odysseus Grant (G0H7818N) and an FWO Research Project (G007720N) awarded to Olivier F. Colins.
DS Minerva
RD 24 abr 2026