Cited by 371Psychopathy, Forensic Psychiatry, Sexual OffendingChild and Adolescent Psychosocial and Emotional DevelopmentPersonality Disorders and Psychopathology

Conduct disorder and callous-unemotional traits in youth

Open access
Blair, R. James R., Leibenluft, Ellen, Pine, Daniel S.·2014·New England Journal of Medicine

Abstract

Children with repetitive rule-breaking, aggression, and disregard for others are at increased risk for substance abuse, educational disruption, and criminal behavior. Progress is being made toward understanding the clinical and neurocognitive features of callous youth.

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Integrity signals

Registry

Crossref · 10.1056/nejmra1315612

Cites

75 of 75 references verified0 citation errors · 0 not checkable

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Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Emotional instability disorders are characterized by emotional hyper-responsiveness in amygdala and insula, regions involved in shaping emotional responses and experience.

    “These “emotional instability disorders” are characterized by emotional hyper-responsiveness in amygdala and insula, regions involved in shaping emotional responses and experience (Blair, 2010; Rubia, 2011; Blair et al., 2014; Glenn and Raine, 2014; Krause-Utz et al., 2014).”

    From Top-Down Dysregulation—From ADHD to Emotional Instability (2016) · cites this paper as Blair et al., 2014

    The “Heightened Threat Sensitivity” section (page not supplied) reports elevated amygdala responses to threat in youth with conduct problems without callous–unemotional traits. It does not establish hyper-responsiveness in the insula or characterize emotional instability disorders generally this way; it also describes reduced amygdala responses in youth with callous–unemotional traits. (LLM, conf=0.87)

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  • Structurally, the gray matter volumes of amygdala and insula are often reduced in emotional instability disorders.

    “Structurally, the gray matter volumes of amygdala and insula are often reduced in such disorders (Blair, 2010; Rubia, 2011; Blair et al., 2014; Glenn and Raine, 2014; Krause-Utz et al., 2014).”

    From Top-Down Dysregulation—From ADHD to Emotional Instability (2016) · cites this paper as Blair et al., 2014

    The References section (page unavailable) cites a study associating lower amygdala volume in men with childhood aggression, psychopathic traits, and future violence. That lends limited support to the amygdala-volume portion, but the paper does not report reduced insula volume or establish that both volumes are often reduced across emotional-instability disorders. Its Neurocognitive Dysfunctions sections discuss amygdala responses and function rather than structural volume. (LLM, conf=0.70)

    Experimental — accuracy not yet measured

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Cites

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Research works printed but not linked: 2

  1. [31]White SF, Marsh AA, Fowler KA, Reduced amygdala responding in youth with disruptive behavior disorder and psychopathic traits reflects a reduced emotional response not increased top- down attention to non-emotional features. Am J Psychiatry 2012; 169: 750– 8. 22456823 PMC10240145
  2. [66]Chamberlain P, Smith DK. Antisocial behavior in children and adolescents: the Oregon Multidimensional Treatment Foster Care model — evidence-based psychotherapies for children and adolescents. New York: Guilford Press, 2003.

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Authors
Blair, R. J. R., Leibenluft, E., & Pine, D. S.
Affiliations
National Institutes of Health (US)
Venue
New England Journal of Medicine
Published
2014-12-04
Volume
371
Issue
23
Pages
2207-2216
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2041104702
Cited by
371
References
75
Citations by year
2026: 11 · 2025: 27 · 2024: 27 · 2023: 30 · 2022: 43 · 2021: 34 · 2020: 50 · 2019: 33 · 2018: 28 · 2017: 35 · 2016: 35 · 2015: 17
FWCI
4.38
Type
journal article
Language
en
Open access
Locations
  • New England Journal of Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Health (Z99 MH999999)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
conduct disorder, callous-unemotional traits, youth, aggression, rule violations, substance abuse risk, criminal behavior, educational disruption, clinical features
MeSH terms
Adolescent, Amygdala, Antisocial Personality Disorder, Child, Child Behavior Disorders, Cognition Disorders, Decision Making, Empathy, Humans, Magnetic Resonance Imaging, Psychotherapy, Social Environment, Conduct Disorder

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