@article{ref1,
title="The association between callous-unemotional traits and substance use in childhood and adolescence: a systematic review and meta-analysis",
journal="Journal of affective disorders",
year="2023",
author="Sakki, Hanna and Clair, Michelle St and Hwang, Suhlim and Allen, Jennifer L.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Callous-unemotional (CU) traits are characterized by lack of guilt and empathy, restricted affect, and low concern about performance, and are increasingly recognized as co-occurring with substance use in youth. However, there is mixed evidence concerning whether they make a unique contribution to substance use. This systematic review and meta-analysis sought to quantify the association between CU traits and substance use in childhood, accounting for potential moderators including sample characteristics (age, gender, community versus clinical/forensic samples), CU traits measure and informant, and study design (cross-sectional or longitudinal). Separate meta-analyses were conducted for alcohol, cannabis, and a substance use composite. Small, significant associations were found between CU traits and alcohol (θ = 0.17), cannabis (θ = 0.17) and the substance use composite (θ = 0.15), which were present in both community and clinical/forensic samples. <br><br>FINDINGS suggest that CU traits co-occur with a range of substance use problems, and that CU traits should be considered in assessments of youth presenting with substance use problems regardless of the severity of co-occurring antisocial behavior.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2023.06.051",
url="http://dx.doi.org/10.1016/j.jad.2023.06.051"
}