Investigating Sex Differences in Emotion Recognition, Learning, and Regulation Among Youths With Conduct Disorder

被引：41

作者：

Kohls, Gregor ^{[1
]}

Baumann, Sarah ^{[1
]}

Gundlach, Malou ^{[1
]}

Scharke, Wolfgang ^{[1
]}

Bernhard, Anka ^{[2
]}

Martinelli, Anne ^{[2
]}

Ackermann, Katharina ^{[2
]}

Kersten, Linda ^{[1
]}

Praetzlich, Martin ^{[3
,4
]}

Oldenhof, Helena ^{[5
]}

Jansen, Lucres ^{[5
]}

van den Boogaard, Lisette ^{[5
]}

Smaragdi, Areti ^{[6
]}

Gonzalez-Madruga, Karen ^{[7
]}

Cornwell, Harriet ^{[7
]}

Rogers, Jack C. ^{[8
]}

Pauli, Ruth ^{[9
]}

Clanton, Roberta ^{[9
]}

Baker, Rosalind ^{[9
]}

Bigorra, Aitana ^{[10
]}

Kerexeta-Lizeaga, Inaki ^{[11
]}

Sesma-Pardo, Eva ^{[11
]}

Aguirregomoscorta-Menendez, Fernando ^{[11
]}

Siklosi, Reka ^{[12
]}

Dochnal, Roberta ^{[12
]}

Kalogerakis, Zacharias ^{[13
]}

Pirlympou, Mara ^{[13
]}

Papadakos, Leonidas ^{[13
]}

Dikeos, Dimitris ^{[13
]}

Hervas, Amaia ^{[10
]}

Herpertz-Dahlmann, Beate ^{[1
]}

Fernandez-Rivas, Aranzazu ^{[11
]}

Popma, Arne ^{[5
]}

Stadler, Christina ^{[3
,4
]}

De Brito, Stephane A. ^{[9
]}

Blair, James R. ^{[14
]}

Freitag, Christine M. ^{[2
]}

Fairchild, Graeme ^{[15
]}

Konrad, Kerstin ^{[1
]}

机构：

[1] Univ Hosp RWTH Aachen, Aachen, Germany

[2] Univ Hosp Frankfurt, Frankfurt, Germany

[3] Psychiat Univ Clin, Basel, Switzerland

[4] Univ Basel, Basel, Switzerland

[5] Vrije Univ Amsterdam, Med Ctr, Amsterdam, Netherlands

[6] Ctr Addict & Mental Hlth, Toronto, ON, Canada

[7] Univ Southampton, Southampton, Hants, England

[8] Birmingham City Univ, Birmingham, W Midlands, England

[9] Univ Birmingham, Ctr Human Brain Hlth, Sch Psychol, Birmingham, W Midlands, England

[10] Univ Hosp Mutua Terrassa, Child & Adolescent Mental Hlth Unit, Barcelona, Spain

[11] Basurto Univ Hosp, Psychiat Serv, Bilbao, Spain

[12] Univ Szeged, Pediat & Child Hlth Ctr, Szeged, Hungary

[13] Natl & Kapodistrian Univ Athens, Athens, Greece

[14] Boys Town Natl Res Hosp, Ctr Neurobehav Res, Omaha, NE 68131 USA

[15] Univ Bath, Bath, Avon, England

来源：

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY | 2020年 / 59卷 / 02期

关键词：

conduct disorder; emotion processing; sex differences; callous-unemotional traits; FemNAT-CD; CALLOUS-UNEMOTIONAL TRAITS; FACIAL EXPRESSION RECOGNITION; DISRUPTIVE BEHAVIOR DISORDERS; ANTISOCIAL-BEHAVIOR; DEVELOPMENTAL PATHWAYS; PSYCHOPATHIC TRAITS; COMMUNITY SAMPLE; MALE-ADOLESCENTS; EARLY-ONSET; CHILDHOOD;

D O I：

10.1016/j.jaac.2019.04.003

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Objective: Conduct disorder (CD) is a serious neurodevelopmental disorder marked by notably higher prevalence rates for boys than girls. Converging evidence suggests that CD is associated with impairments in emotion recognition, learning, and regulation. However, it is not known whether there are sex differences in the relationship between CD and emotion dysfunction. Prior studies on emotion functioning in CD have so far been underpowered for investigating sex differences. Therefore, our primary aim was to characterize emotion processing skills in a large sample of girls and boys with CD compared to typically developing controls (TDCs) using a comprehensive neuropsychological test battery. Method: We included 542 youths with CD (317 girls) and 710 TDCs (479 girls), 9 to 18 years of age, from a European multisite study (FemNAT-CD). Participants completed three experimental tasks assessing emotion recognition, learning, and regulation, respectively. Data were analyzed to test for effects of group and sex, and group-by-sex interactions, while controlling for potentially confounding factors. Results: Relative to TDCs, youths with CD showed impaired emotion recognition (that was related to more physical and proactive aggression, and higher CU traits), emotional learning (specifically from punishment), and emotion regulation. Boys and girls with CD, however, displayed similar impairments in emotion processing. Conclusion: This study provides compelling evidence for a relationship between CD and deficient neurocognitive functioning across three emotional domains that have previously been linked to CD etiology. However, there was no support for sex-specific profiles of emotion dysfunction, suggesting that current neurocognitive models of CD apply equally to both sexes.

引用

页码：263 / 273

页数：11

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