Evidence map›Paper›PMID 42291684›Full record

ArticleJCPP advances2026

Psychopathy traits and their link to emotion recognition impairments in conduct disorder.

Gregor Kohls, Anka Bernhard, Graeme Fairchild, Christina Stadler, Lucres Jansen, Stephane A De Brito, Veit Roessner, Christine M Freitag, Kerstin Konrad, Erik M Elster

Abstract read
In one paragraph

Article in JCPP advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Gregor KohlsDepartment of Child and Adolescent Psychiatry Faculty of Medicine TUD Dresden University of Technology German Center for Child and Adolescent Health (DZKJ) partner site Leipzig/Dresden Dresden Germany.ORCID https://orcid.org/0000-0003-2408-2939
Anka BernhardDepartment of Child and Adolescent Psychiatry Faculty of Medicine TUD Dresden University of Technology German Center for Child and Adolescent Health (DZKJ) partner site Leipzig/Dresden Dresden Germany.ORCID https://orcid.org/0000-0001-8864-1360
Graeme FairchildDepartment of Psychology University of Bath Bath UK.ORCID https://orcid.org/0000-0001-7814-9938
Christina StadlerDepartment of Child and Adolescent Psychiatry Psychiatric University Hospital University of Basel Basel Switzerland.ORCID https://orcid.org/0000-0003-2178-0635
Lucres JansenDepartment of Child and Adolescent Psychiatry VU University Medical Center Amsterdam the Netherlands.ORCID https://orcid.org/0000-0001-8475-4050
Stephane A De BritoCentre for Human Brain Health School of Psychology University of Birmingham Birmingham UK.ORCID https://orcid.org/0000-0002-9082-6185
Veit RoessnerDepartment of Child and Adolescent Psychiatry Faculty of Medicine TUD Dresden University of Technology German Center for Child and Adolescent Health (DZKJ) partner site Leipzig/Dresden Dresden Germany.ORCID https://orcid.org/0000-0002-1873-7081
Christine M FreitagDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy University Hospital Frankfurt Goethe University Frankfurt am Main Germany.ORCID https://orcid.org/0000-0001-9676-4782
Kerstin KonradChild Neuropsychology Section Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy RWTH Aachen University Aachen Germany.ORCID https://orcid.org/0000-0001-9039-2615
Erik M ElsterDepartment of Child and Adolescent Psychiatry Faculty of Medicine TUD Dresden University of Technology German Center for Child and Adolescent Health (DZKJ) partner site Leipzig/Dresden Dresden Germany.ORCID https://orcid.org/0000-0002-1059-3415

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neurocognitive models suggest that callous-unemotional (CU) traits in youths with conduct disorder (CD) are linked to emotion recognition impairments, particularly in identifying distress emotions like fear and sadness. However, CD may be accompanied by grandiose-manipulative (GM) and/or impulsive-irresponsible (II) traits in addition to CU traits, consistent with the notion that psychopathy is a multifaceted construct. It remains unclear whether subgroups of CD youths with GM or II traits, as well as a combination of multiple psychopathic traits, show distinct patterns of emotion recognition impairment. Methods: We therefore assessed emotion recognition accuracy, focusing on the six basic emotions, in 538 youths with CD (315 girls, 9-18 years) who were assigned to one of eight mutually exclusive subgroups based on high or low scores (above/below the 75th percentile cut-offs) on CU, GM, and II traits as assessed by the Youth Psychopathy Inventory (YPI) self-report. Results: Support vector machine analyses supported the validity of the subgroup assignment based on YPI cut-off scores (sensitivities/specificities ≥75%-100%). Multinomial logistic regression models revealed that the CD subgroup with high levels across all three psychopathy traits had the most pervasive impairment in terms of higher error rates for recognizing sadness, disgust, and surprise. Notably, high CU traits were not consistently associated with impairments in fear and sadness recognition. Instead, CD youths with both high GM and II traits, but normal CU traits, showed impaired fear recognition. Conclusion: These findings challenge existing models that prioritize CU traits as the main driver of emotion recognition impairments in CD. Instead, different psychopathy traits appear to contribute distinctively to such impairments, including the recognition of distress emotions. This suggests that CU traits alone may not sufficiently explain the neurocognitive heterogeneity in emotion recognition seen in youths with CD.

Indexed as

callous‐unemotional traitsconduct disorderemotion recognitiongrandiose‐manipulative traitsimpulsive‐irresponsible traitspsychopathy

Identifiers

PMID42291684
PMCPMC13260674

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.