Children at high risk of developing criminal behaviour show impaired affective empathy but unimpaired social attention and cognitive empathy. The implications for early identification and intervention studies with antisocial children are discussed.
The cortisol awakening response (CAR) has been widely assessed as a measure of hypothalamic-pituitary-adrenal (HPA) axis activity. Short-term stability is high; however, little is known about the long-term stability of the CAR. Because there are indications that development in adolescence influences HPA axis activity, this study investigated the stability of the CAR over adolescence. Participants were 229 boys and 181 girls from an adolescent general population sample who were assessed in three consecutive years, at mean ages of 15.0 (SD=0.4), 16.0 (SD=0.4) and 17.0 (SD=0.4) years. Cortisol was analyzed in saliva sampled at awakening, and 30 and 60min later. Stability was investigated both as rank-order and as mean-level stability. Effects of physical development during adolescence on stability were investigated as well. Rank-order stability was moderate to low, with tracking coefficients (interpretable as stability coefficients over time) of .15 (p<.001) for cortisol at awakening and .24 (p<.001) for cortisol 30 and 60min after awakening. Mean-levels of cortisol at awakening did not change, while the response to awakening increased over the years (linear slopes for cortisol 30 and 60min after awakening all p<.01). The increase may reflect the physical development of the adolescents. This is the first study, in a large population based sample, indicating that the rank-order of the CAR is stable over the course of several years. Interestingly, mean-levels of the cortisol response to awakening increased over the years, suggesting a maturation of HPA axis reactivity in relation to physical development over adolescence. Physical development should therefore be taken into account when investigating the CAR as a measure of HPA axis activity in adolescence.
Although several studies have associated antisocial behavior with decreased cortisol awakening responses (CAR), studies in adolescent samples yielded inconsistent results. In adolescence however, the CAR develops and antisocial behavior is heterogeneous in type and persistence. Therefore this longitudinal study compared persistent aggressive and rule-breaking adolescents to low aggressive and rule-breaking adolescents on the development of the CAR from ages 15 to 17 (N=390). Persistently high aggressive adolescents showed decreased cortisol levels at awakening consistently over the years (Δχ(2)(1)=6.655, p=.01) as compared to low aggressive adolescents. No differences between adolescents showing persistent high rule-breaking and low rule-breaking were found. This longitudinal study is the first to show that persistent aggression, but not rule-breaking behavior, is related to neurobiological alterations. Moreover, despite development of the CAR over adolescence, the decrease in cortisol is consistent over time in persistent high aggressive adolescents, which is an important prerequisite for the prediction of persistent aggression.
Video-feedback Intervention to promote positive parenting-visual (VIPP-V) or visual-and-intellectual disability is an attachment-based intervention aimed at enhancing sensitive parenting and promoting positive parent-child relationships. A randomized controlled trial was conducted to assess the efficacy of VIPP-V for parents of children aged 1-5 with visual or visual-and-intellectual disabilities. A total of 37 dyads received only care-as-usual (CAU) and 40 received VIPP-V besides CAU. The parents receiving VIPP-V did not show increased parental sensitivity or parent-child interaction quality, however, their parenting self-efficacy increased. Moreover, the increase in parental self-efficacy predicted the increase in parent-child interaction. In conclusion, VIPP-V does not appear to directly improve the quality of contact between parent and child, but does contribute to the self-efficacy of parents to support and to comfort their child. Moreover, as parents experience their parenting as more positive, this may eventually lead to higher sensitive responsiveness and more positive parent-child interactions.
Testosterone and cortisol have been proposed to jointly regulate aggressive behavior. However, few empirical studies actually investigated this joint relation in humans, and reported inconsistent findings. Also, samples in these studies were small and/or specific, and consisted largely of males. Therefore, in the current study testosterone and cortisol in relation to aggression were investigated in a non-clinical sample of 259 boys and girls (mean age 16.98 years, SD = 0.42, 56% boys). A positive testosterone/cortisol ratio, that is, high testosterone relative to cortisol, was found to be associated with aggressive behavior, explaining 7% of the variance. The interaction between testosterone and cortisol was not related to aggressive behavior and gender differences were not found. The ratio may reflect an imbalance leaving the individual more prone to rewarding aspects, than fearful of negative implications of aggressive behavior. Current findings indicate that this relation can be generalized to aggression in non-clinical adolescents.
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