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Living with conduct problem youth: Family functioning and parental perceptions of their child

Viding, E; Roberts, R; McCrory, E; Joffe, H; De Lima, N; (2017) Living with conduct problem youth: Family functioning and parental perceptions of their child. European Child and Adolescent Psychiatry , 27 pp. 595-604. 10.1007/s00787-017-1088-6. Green open access

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Abstract

Parenting children with conduct problems (CP) is challenging, yet very little is known about the impact of the child’s behaviour on family functioning or how parents of children with CP perceive their child. The aim of this research was to examine whether families with children with CP and high vs. low levels of callous–unemotional traits (HCU vs. LCU) experience differences in family functioning and parental perceptions. One hundred and one parents/caregivers of boys aged 11–16 [Typically developing (TD) n = 31; CP/HCU n = 35; CP/LCU n = 35] completed the McMaster Family Assessment Device, measuring multiple domains of family functioning. Parents/caregivers also completed a written statement describing their child, used for qualitative analysis. Families with CP/HCU children had poorer affective involvement than TD (p = 0.00; d = − 1.17) and CP/LCU (p = 0.03; d = − 0.62) families. Families with CP/HCU children showed significantly poorer general family functioning (p = 0.04; d = − 0.63) and more poorly defined family roles (p = 0.005; d = − 0.82) than families with TD children. Qualitative analyses indicated that parents/caregivers of CP/HCU children characterised them as having a dichotomous personality and being superficially charming. CP/LCU children were characterised as cheeky and endearing, with parents reporting good rapport. Families with CP/HCU children presented with specific difficulties in affective involvement and parents described challenges which were in line with the child’s specific presentation of lack of empathy and shallow affect. These findings may be used to help clinicians identify targets for family interventions.

Type: Article
Title: Living with conduct problem youth: Family functioning and parental perceptions of their child
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s00787-017-1088-6
Publisher version: http://dx.doi.org/10.1007/s00787-017-1088-6
Language: English
Additional information: © The Author(s) 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Keywords: Conduct problems, Callous–unemotional traits, Family functioning, Qualitative methods, Adolescent males
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10039636
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