BACKGROUND: @entity1 and adolescents with callous unemotional (CU) traits are at risk of severe and persistent @entity146 . It is commonly assumed that these @entity1 are difficult to treat but it has been proposed that they may benefit from being involved in interventions that go beyond typical parent training programs. AIM: This systematic review sought to answer two previously unanswered questions: do interventions involving young @entity1 reduce levels of CU traits? Do CU traits predict the effectiveness of interventions for @entity146 involving young @entity1 ? METHOD: Studies were included that adopted an randomized controlled trial, controlled or open trial design and that had examined whether treatment was related to reductions in CU traits or whether CU traits predicted or moderated treatment effectiveness. RESULTS: Treatments used a range of approaches, including behavioral therapy, emotion recognition training, and multimodal interventions. 4/7 studies reported reductions in CU traits following treatment. There was a mixed pattern of findings in 15 studies that examined whether CU traits predicted treatment outcomes following interventions for @entity146 . In 7/15 studies, CU traits were associated with worse outcomes, although three of these studies did not provide data on baseline @entity146 , making it difficult to evaluate whether @entity1 with high CU traits had shown improvements relative to their own behavioral baseline, despite having the worst behavioral outcomes overall. CU traits did not predict outcomes in 7/15 studies. Finally, a single study reported that CU traits predicted an overall increased response to treatment. CONCLUSIONS: Overall, the evidence supports the idea that @entity1 with CU traits do show reductions in both their CU traits and their @entity146 , but typically begin treatment with poorer premorbid functioning and can still end with higher levels of @entity146 . However, there is considerable scope to build on the current evidence base.

Practitioner Review: Involving young XXXX with callous unemotional traits in treatment - does it work? A systematic review.

@entity1 :: ('9606', 'Species') :: ['children', 'people', 'Children'] @entity146 :: ('MESH:D001523', 'Disease') :: ['antisocial behavior']
@entity1 :: (9606,Species) :: ['people']
