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DOI 10.1007/s10578-016-0638-3
ORIGINAL ARTICLE
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and antisocial facets comprise the dimension commonly           environment correlation rather than reflecting a true envi-
referred to as Factor 2.                                        ronmental cause.
   Several theorists have argued explicitly that early             Because psychopathy is commonly understood as a
environmental factors are relevant to the development of        multidimensional construct, with both affective and
psychopathy. McCord and McCord [9] hypothesized that            interpersonal components that are considered relatively
parental rejection, lack of parental attachment, neglect,       specific to psychopathy as well as lifestyle and antisocial
brutal and erratic punishment and emotional deprivation all     components which are associated with other forms of
contribute to the development of psychopathy. Similarly,        externalizing psychopathology (e.g., conduct disorder,
Maher [10] suggested that inconsistent parenting promotes       antisocial personality disorder), it is of some interest that
the development of psychopathic traits. Several early           most prior studies suggest that relationships between
studies provided empirical links between parenting factors      psychopathic traits and environmental adversity are lim-
and outcomes related to antisocial behavior. For example,       ited largely to the lifestyle and antisocial components of
there is evidence that ineffective parenting and inconsistent   psychopathy. For example, both Krischer and Sevecke
parenting contribute to the development of some psycho-         [22] and Schraft et al. [21] reported that child maltreat-
pathic traits [11, 12]. As discussed shortly, we argue that     ment was associated with ratings on the lifestyle and
most prior studies of links between environmental adver-        antisocial facets of psychopathy. There are fewer links in
sity and psychopathic traits have not examined early life       the existing literature between environmental adversity
events per se. Consequently, we address this relationship in    and the interpersonal facet of psychopathy [but see 19,
the current study.                                              21]. Some recent studies have found links between early
   Despite the growing body of literature on psychopathic       environmental factors such as prenatal maternal risks [24],
traits in youth, most research has only indirectly investi-     parenting styles [25], and preschool negative family cli-
gated the etiology of psychopathic traits. Recent behavior      mate [26] and higher levels of CU traits. We wondered
genetic studies have established that genetic factors con-      whether the lack of evidence for relationships between the
tribute substantially to variance in personality traits asso-   affective and interpersonal features and environmental
ciated with psychopathy [13, 14]. Although fewer studies        adversity in most studies and the recent evidence for
have focused on environmental factors in the etiology of        prenatal maternal risks [24] and early life environment
psychopathy, behavior genetic studies also indicate an          [26] could reflect the possibility that the relationships are
important role for nonshared environmental factors in the       different for early environment versus for later childhood
development of psychopathic traits [13, 15], and it is often    environment. Moreover, in spite of the recent increased
suggested that genetic and environmental factors likely         interest in early life environment, there appear to be no
interact in the development of most personality disorders,      prior studies of early discrete life events.
including psychopathy [16–18].
   Recent psychopathy research suggests the importance of       Life Events
some specific environmental factors. Vitacco et al. [19]
reported links between poor and inconsistent parenting and      Prior studies have demonstrated relationships between life
levels of some psychopathic traits. Kimonis et al. [20]         events and several forms of psychopathology including
found relationships between exposure to community vio-          mood disorders, psychotic disorders, and personality dis-
lence and self-reported callous-unemotional (CU) traits in a    orders. For example, negative life events appear to predict
sample of adolescent males. Schraft et al. [21] found that      the subsequent development of depression and suicidal
higher levels of childhood exposure to violence in the          behavior [27–29]. However, only a few prior studies have
home and community were associated with higher levels of        examined relationships between life events and psycho-
PCL: YV-measured psychopathic traits. Similarly, Kri-           pathic traits. Among children with conduct disorder,
scher and Sevecke [22] found a relationship between             Deutsch and Erickson [30] reported that under-socialized
physical and emotional traumatization and PCL: YV scores        juvenile delinquents had experienced more stressful life
among delinquent male adolescents. Marshall and Cooke           events in the first 4 years of life than socialized juvenile
[23] reported that retrospective reports of parental antipa-    delinquents. Recently, among adult offenders, Riser et al.
thy, indifference and neglect were positively associated        [31] reported that retrospective ratings of the number of
with psychopathic features in adulthood. These studies          years a biological father had been involved in participants’
suggest that environmental factors could contribute to the      lives before age four was inversely related to their psy-
etiology of psychopathy, although it must be acknowledged       chopathy total scores and interpersonal facet scores; con-
that evidence of relationships between environmental fac-       versely, in the same study, the number of years that a non-
tors and psychopathic traits could reflect an active gene-      biological father was involved before age four was
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positively related to psychopathy scores. However, to our          relationship between early life events and later parental
knowledge, no prior published studies have directly                attachment.
examined relationships between early life events and psy-
chopathic traits in youth. Therefore, the current study was
designed to examine the relationship between psychopathic          Method
traits and major life events during the first 4 years of life.
In this study, our goal was to examine important early life        Participants
events which impacted the parent–child relationship and
the family. Early life events were examined regardless of          This study utilized data from 206 adolescents in two dif-
their assumed emotional valiance, which is subjective.             ferent samples. The first sample consisted of 80 adjudicated
Different individuals may experience the same life event as        adolescent delinquents who were tested while on probation
positive, negative, or neutral. For a complete listing of life     in North Carolina. The participants ranged in age from 12
events used in this study, refer to Table 2.                       to 16 with an average age of 14.5 years. The ethnic com-
                                                                   position of the sample was as follows: 66.7 % African
Attachment                                                         American adolescents, 27.2 % European American ado-
                                                                   lescents, and 6.1 % who identified as ‘‘Other’’.
One prominent explanation for the importance of early life            The second sample consisted of approximately 126
events is attachment theory. According to this perspective,        adolescents detained in a juvenile detention facility near
styles of attachment to caregivers are established early in        Chicago, IL. An analysis of this subsample indicates that
childhood and have important implications for subsequent           the ethnic makeup was approximately 27.2 % African
emotional functioning and behavior throughout childhood            American, 28.6 % European American, 32.9 % Latino/a,
and adulthood. Life events that interfere with an adult’s          and 5.6 % multi-racial youth. The analysis also indicated
ability to care for a child and develop and maintain               that the participants ranged in age from 11 to 17 years old
attachment may disrupt the parent–child attachment pro-            (mean = 15.64 years; SD = 1.13). This sample represents
cess and contribute to the development of psychopathology          a subset of adolescent participants from a larger project
[32]. Examples include types of life events that would             whose parent or guardian provided early life events
physically separate parents from children or that would            information.
reduce parents’ emotional involvement with their children
[32]. Insecure attachment has been linked to a variety of          Procedures
negative outcomes, including severe psychopathology and
aggressive behaviors [33–36]. Disturbances of attachment           As stated above, participants in the current study were
are also prominent in clinical descriptions of psychopathy         drawn from two different samples. In the first sample,
[9, 37], and several studies have reported that psychopathic       participants were recruited and tested while on probation in
traits were associated with poorer attachment to parents           Guilford County, North Carolina. Participants in the second
among both youth [5, 38] and adults [23]. Flight and Forth         sample were recruited and tested at a detention center
[38] found that poor attachment was related to higher              outside of Chicago, IL as part of a larger study. All par-
psychopathy scores, particularly for the behavioral and            ticipants and their parents or guardians were informed
antisocial features of the disorder. To our knowledge, no          about the nature of the risks and benefits of participation in
prior studies have examined the relationship between early         the study. In both Sample 1 and Sample 2, adults gave
life events and later attachment in a sample of youth              consent, and youth gave assent, and both studies operated
assessed for psychopathic traits. Consequently, the present        under full approval of the relevant Institutional Review
study was also designed to examine this issue. In summary,         Board (at the University of North Carolina at Greensboro
we examined the relationship between the total number of           and at Rosalind Franklin University of Medicine and Sci-
life events in the first 4 years of life and total scores on the   ence, respectively).
PCL: YV, as well as scores on the four facets of psy-                 Adolescents in both samples completed a series of
chopathy. We hypothesized that total number of early life          questionnaires and interviews. In both cases, early life
events would correlate positively with ratings on the              events data were collected from adolescent participants’
affective and interpersonal facets of psychopathy. Again,          parent or guardian. A complete review of court records was
these particular features are especially important because         conducted for each participant to verify and supplement
they are considered the core traits of psychopathy that            information collected from interviews and self-reports.
distinguish it from other related disorders. Finally, we           Other measures not used for this study were collected during
examined psychopathic traits as a moderator of the                 the testing sessions as part of a larger project [e.g. 5, 21].
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Parental attachment scores yield adequate internal consis-               events 9 Affective facet interaction was not significant,
tency, a = .94 for parent attachment [50, 51].                           b = .531, p \ .09.
                                                                            Simple slope analyses were conducted to unpack the two
                                                                         significant interactions by calculating F1 and interpersonal
Results                                                                  facet scores centered at the mean, 1 SD below the mean,
                                                                         and 1 SD above the mean. With respect to the Life
Preliminary Analyses                                                     events 9 Factor 1 interaction, we observed a significant
                                                                         negative relationship between number of life events and
Scores on most variables were distributed normally; a                    IPPA parental attachment scores at all levels of F1 (all
square root transformation was used to correct positive                  ps B .03, b s = -4.63, -3.41, -2.19 for low, mean, and
skewness in the index of life events and to correct negative             high levels of F1). However, the negative relationship
skewness in PCL: YV Factor 1 scores. In addition, affec-                 between IPPA scores and life events was stronger for youth
tive facet scores were kurtotic (kurtosis = -1.11, p \ .01).             low in Factor 1 traits than for youth higher in these psy-
However, kurtosis corrections introduced substantial                     chopathic traits. In short, a greater number of life events
skewness; therefore, principal analyses utilized untrans-                was associated with higher levels of attachment to parents,
formed affective facet scores. A comparison of analyses                  and this relationship was stronger for youth who were low
with raw versus transformed scores indicated a very similar              in Factor 1 than for youth who were higher in Factor 1.
pattern of findings.1 Correlational analyses were conducted              Analysis of the significant Life Events X Interpersonal
between scores of all variables used in the current study                facet interaction yielded somewhat similar findings. For
(see Table 1).                                                           adolescents low in interpersonal traits, a greater number of
                                                                         these life events was associated with nonsignificantly bet-
Principal Analyses                                                       ter attachment to parents. Conversely, for adolescents high
                                                                         in interpersonal traits, a greater number of life events was
Pearson correlations indicated no overall relationship                   associated with nonsignificantly poorer attachment to
between early life events scores and PCL: YV total scores,               parents (low: b = -.176, p \ .16, mean: b = -.015,
r (204) = .10, p = .17. Affective facet scores were sig-                 p \ .89, high: b = .228, p \ .13).
nificantly and positively correlated with total early life
events scores, r (202) = .15, p = .04, and the correlation
between interpersonal facet scores and early life events                 Discussion
scores approached significance, r (204) = .12, p = .08. In
contrast, lifestyle and antisocial facet scores were not                 We examined the relationship between early life events and
correlated with early life events scores, r (204) = .03,                 the development of psychopathic traits in youth. Early life
p = .72; r (201) = -.01, p = .94.                                        events appear to be important environmental risk factors
   Multiple regressions were conducted to assess whether                 for several types of psychopathology; however, no prior
indices of psychopathic traits interacted with early life                published studies have examined this issue with respect to
event scores to predict levels of parental attachment as                 psychopathic traits.
measured by scores on the IPPA. In each regression, ratings                 We found significant associations between various PCL:
on a component of psychopathy and early life event scores                YV psychopathy scores and early life events. More
were entered in the first step, and the interaction term was             specifically, we found an association between the total
entered in the second. Two of the three interactions                     number of early life events and higher scores on the
examined proved significant. The regression for Factor 1                 affective facet of psychopathy. Additionally, we found a
scores revealed, in addition to a main effect for life events,           correlation that approached significance with a small to
b = -3.41, p \ .03, a significant Life events 9 Factor 1                 medium effect size between the total number of life events
interaction, b = 3.46, p = .03 (see Fig. 1). The Life events             and higher interpersonal facet scores. These findings, like
X Interpersonal facet interaction was also significant,                  most of the correlations found in this study, represent either
b = .62, p \ .05 (see Fig. 2). Finally, the Life                         small or small to medium effect sizes. As such, we
                                                                         acknowledge that the findings suggest only a modest
                                                                         relationship between life events and psychopathic traits.
1
  The only difference in the pattern of results for transformed and         As noted above, the majority of prior studies addressing
untransformed variables was that the Affective facet X Life events       environmental factors have suggested that environmental
interaction predicting attachment scores based on untransformed life
                                                                         correlates are usually associated with Factor 2 psychopathy
events scores was marginally significant (p = .05) yet the interaction
based on transformed life events scores only approached significance     traits. For example, Harpur et al. [52] found that the quality
(p = .09).                                                               of family background was strongly correlated with Factor 2
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Table 1 Correlations between total number of life events and scores on measures of psychopathic traits
Measure                               IMPTOT               PCLTOT            AFF               INT                BEH                ANT
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Child Psychiatry Hum Dev
to different components of psychopathy. The current             findings, there are, to our knowledge, no prior studies that
results add to growing evidence suggesting reliable rela-       have examined these associations in samples of youth with
tionships between environmental factors and Factor 1            externalizing psychopathology. Therefore, early life events
traits.                                                         may influence affective and interpersonal characteristics of
    We believe that the most likely explanation for the         psychopathy by means of an early disrupted attachment
different patterns of findings is that events occurring very    which interferes in the emotional development of these
early in life may have a different impact than events           children. Because these results represent novel findings,
occurring later in life. The few prior studies that have        only additional studies can establish the robustness of these
examined early life events employed samples characterized       findings.
by antisocial behavior (e.g., juvenile delinquents and              Methodological differences between the prior literature
children with conduct disorder) and did not specifically        and the current study may help to explain the differences in
assess psychopathic features. As noted above, the vast          findings. For example, Viding et al. [57] examined teacher-
majority of prior studies of life events and psychopathy did    rated CU traits, whereas the current study utilized expert-
not specifically examine early life events. Therefore, early    rated PCL: YV total and facet scores. Several other studies
life events in particular may represent an important envi-      utilized self-report measures to assess psychopathic fea-
ronmental influence on the development of psychopathic          tures. PCL: YV scores differ in important ways from other
traits. This finding is consistent with some theoretical        measures of psychopathy. Ratings are obtained by unbiased
perspectives on the development of psychopathy [9].             experts, rather than teachers, parents, or an individual’s
Overall, our current findings suggest that the influence of     self-report. Also, even among studies that all use the PCL:
risk factors within the environment, such as early life         YV, results may differ at the factor versus facet level. For
events, may extend beyond antisocial and lifestyle traits to    example, studies that utilize factor scores quantify psy-
the core affective features of the psychopathy syndrome,        chopathy traits in a more generalized manner rather than
and possibly the interpersonal features as well. However,       parceling out the more specific facets that make up a par-
because this study only offers preliminary evidence for         ticular factor score [52]. As seen in the current study,
these relationships, more research is needed to see whether     environmental factors may uniquely relate to one facet
these associations could be replicated.                         (i.e., one component of a factor but not the other), in some
    The current study also provided evidence that the rela-     cases making it difficult to detect a significant finding at the
tionship between life events and attachment to parents is       factor level of analysis.
moderated by individual differences in psychopathic traits.         A related issue is that several studies of youth have
Specifically, an interaction between life events and Factor     examined parent ratings, teacher ratings, or self-reported
1 ratings suggested that greater numbers of life events were    CU traits rather than ratings on clinical measures of psy-
associated with higher levels of attachment to parents for      chopathy. Although CU traits are conceptualized as
youth lower in Factor 1 traits but that this relationship was   reflecting the affective features of psychopathy, CU traits
less robust for youth who were higher in Factor 1. As           do not include the interpersonal features of psychopathy.
postulated above, life events that could be disruptive of       Moreover, parent and teacher ratings of CU traits and
parental attachment may be particularly salient in              clinical measures of psychopathy correlate only modestly
explaining the development of the Factor 1 features of          with clinical ratings of psychopathic traits [58, 59].
psychopathy. It has previously been demonstrated that               Contrary to popular belief, current research findings
disturbances of parental attachment are prominent in youth      suggest the importance of further investigation into the
with psychopathic traits [5, 38]. Reasons for these disrup-     early environmental correlates of psychopathic traits in
tions are largely unknown. Early life events serve as a         adolescents. Further research is also needed to probe the
potential explanation for the link between poor attachment      nature of the relationship between early environmental
and psychopathic traits.                                        factors and their impact on attachment and psychopathic
    Bowlby’s [32] perspective was that important life events    traits in order to better understand how these factors
can be disruptive of attachment. For example, in some           specifically impact the development of psychopathy.
cases, life events may directly interfere with a parent’s
ability to care for a child or may distract a parent, making    Limitations
him or her less emotionally available for a child (e.g., in
grieving the loss of a child). However, current findings        This study had several limitations that warrant discussion.
suggest that, in this sample, larger numbers of disruptive      The cross-sectional design of the study is a primary limi-
life events were nonsignificantly associated with better        tation. This design limits us to describing relationships and
attachment to parents in youth without psychopathic traits.     correlations. Additionally, it must be acknowledged that
Although this result may appear to be at odds with prior        current evidence of relationships between environmental
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Table 2 Comparison of exact item wording between the two different life events questionnaires
Item         Teen life events survey                                               Children’s life events Questionnaire
number
factors and psychopathic traits could reflect a gene-envi-                 occurrence of the life events measured. Nevertheless, it
ronment correlation rather than a true environmental cause.                appears unlikely that a child’s behavior before the age of
A third primary limitation of the current study is the size of             four contributed substantially to the kinds of life event
the effects. Each of the associations found in this study had              examined in this study.
small or small to medium effect sizes. Therefore, results
suggest only modest associations between early life events                 Directions for Future Research
and psychopathic traits.
   Other study limitations include the use of self-report                  The current study examined the relationship between early
questionnaires to obtain parents’ ratings of the occurrence                life events and later psychopathic traits. It improved upon
of early life events and to assess adolescents’ parental                   prior studies by utilizing a more validated four facet model
attachment. Self-report measures potentially introduce                     of psychopathy, a larger sample size, and additional mea-
error due to human factors like selective recall, honesty,                 sures of early life events. The results of the current study
and over-reporting. Additionally, it has been recommended                  stand in contrast to a body of literature which suggests that
by some experts that attachment in particular should be                    environmental etiological correlates are more pertinent to
measured with specialized interview techniques rather than                 explaining variation in Factor 2 traits and less useful in
self-report measures. Although self-report questionnaires                  explaining variation in Factor 1 traits. There has been a
involve bias, there is no evidence to suggest that parental                general acceptance of this idea in the field despite the
recall of events occurring early in their child’s life would               limited data to address it adequately. On the contrary, the
be biased, or that recall biases would covary with a child’s               current results imply that early environmental factors are,
scores on a measure of psychopathy. Additionally, the                      to some extent, associated with the characteristics that
impact/importance of these life events (as shown in                        make up Factor 1. Results also raise the possibility that
Table 2) increases their salience for parents, which should                some specific life events may contribute to the develop-
reduce susceptibility to poor recall.                                      ment of affective or interpersonal psychopathic character-
   Finally, as noted above, we cannot assume the inde-                     istics. Findings of the current study suggest the importance
pendence of all the major life events examined. A subset of                of further investigation into the early environmental cor-
major life events included in this study are considered non-               relates of psychopathic traits in adolescents. Further
independent, which refers to the idea that particular life                 research is also needed to probe the nature of the rela-
events may occur as the result of a participant’s influence                tionship between early environmental factors and psycho-
or behavior. In this study, it is plausible that a parent’s                pathic traits in order to better understand how these factors
behavior, or even a child’s, could contribute to the                       specifically impact the development of psychopathy.
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