# Risky Parenting and Temperament Pathways To Callous-Unemotional Traits In Early Childhood

> **NIH NIH R01** · UNIVERSITY OF PENNSYLVANIA · 2024 · $785,035

## Abstract

Project Summary/Abstract
Callous-unemotional (CU) traits, defined by low empathy, guilt, and prosociality, predict very high risk for
childhood disruptive behavior disorders (DBD) and adverse adult outcomes, including violence, psychopathy,
and crime. Standard treatments for DBD are not as effective for children with CU traits. To inform personalized
treatments for DBD, a better understanding is needed of specific risk factors for CU traits beginning early in
childhood. The overall objectives of this proposal are to identify specific child-level and parenting-level risk factors
that predict CU traits across early childhood. The central hypothesis is that reduced sensitivity to cues of threat
and affiliation will specifically predict CU traits. High parental harshness, low warmth, and low emotion scaffolding
are also hypothesized to predict increases in CU traits, including via interactions with low threat sensitivity and
affiliation among both parents and children. The rationale for the proposal is that by successfully isolating specific
child- and parenting-level risk factors that predict CU traits, novel treatment strategies can be developed to
reduce CU traits, and in turn, disrupt pathways to DBDs, including via multi-level treatment modules that target
behavior, physiology, and attention. The hypotheses will be tested by pursuing the following specific aims: (1)
Establish phenotypic markers of CU traits in early childhood; (2) Establish phenotypic markers of parenting
practices; and (3) Illuminate shared temperament and parenting factors that predict CU traits. All three aims will
be pursued within a prospective longitudinal study. Participants (N=500) will be recruited from community and
clinical settings at the University of Pennsylvania (n=250) and Boston University (n=250) and assessed at time
1 (aged 3–4) and time 2 (aged 5-6). Under the first aim, low threat sensitivity and affiliation will be tested as child-
level risk factors for CU traits across multiple levels of analysis, including parent-report and multiple new
computer and observational tasks that allow simultaneous measurement of attentional (i.e., eye-tracking) and
physiological (i.e., respiratory sinus arrythmia) processes. Under the second aim, low threat sensitivity and
affiliation of parents, assessed again across multiple levels of analysis, will be tested as predictors of different
parenting dimensions of harshness, low warmth, and low emotion scaffolding. Under the third aim, the interplay
of parenting behaviors and shared temperament features of parents and children will be tested as dyadic risk
factors for CU traits. The proposal is innovative because it will generate new measures of precision risk factors
that predict CU traits, is guided by extensive preliminary data, hypotheses are tested during a critical
developmental period for understanding CU traits, and the sophisticated quantitative analysis incorporates a rich
multi-method measurement framework that will g...

## Key facts

- **NIH application ID:** 10747327
- **Project number:** 5R01MH125904-03
- **Recipient organization:** UNIVERSITY OF PENNSYLVANIA
- **Principal Investigator:** Nicholas J Wagner
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $785,035
- **Award type:** 5
- **Project period:** 2022-01-25 → 2026-11-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10747327

## Citation

> US National Institutes of Health, RePORTER application 10747327, Risky Parenting and Temperament Pathways To Callous-Unemotional Traits In Early Childhood (5R01MH125904-03). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10747327. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*
