Training to improve facial emotion recognition in children with callous-unemotional traits

Facial Affect Sensitivity Training for Young Children With CU Traits

Not applicable Interventional University of Alabama, Tuscaloosa · NCT04159168

This study is testing a new training program to help children aged 6-11 with callous-unemotional traits better recognize emotions like fear and sadness on people's faces.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment168 (estimated)
Ages6 Years to 11 Years
SexAll
SponsorUniversity of Alabama, Tuscaloosa Academic / other
Locations1 site (Tuscaloosa, Alabama)
Trial IDNCT04159168 on ClinicalTrials.gov

What this trial studies

This project aims to evaluate a novel intervention called Facial Affect Sensitivity Training (FAST) for children aged 6-11 who exhibit elevated callous-unemotional (CU) traits. The study will assess the effectiveness of FAST in enhancing children's ability to recognize distress-related facial emotions, such as fear and sadness, which are often impaired in this population. Using a randomized controlled trial design, the researchers will measure both behavioral outcomes, like facial emotion recognition accuracy, and neural responses through EEG. The ultimate goal is to develop a targeted approach to improve social functioning and reduce conduct problems associated with CU traits.

Who should consider this trial

Good fit: Ideal candidates for this study are children aged 6-11 with elevated CU traits and difficulties in recognizing distress-related emotions.

Not a fit: Patients with bipolar disorder, autism spectrum disorder, or those currently receiving therapy for CU traits may not benefit from this study.

Why it matters

Potential benefit: If successful, this intervention could significantly improve emotional recognition skills in children with CU traits, potentially leading to better social outcomes and reduced behavioral issues.

How similar studies have performed: While this approach is novel in targeting CU traits specifically, similar interventions aimed at improving emotional recognition in children have shown promise in other studies.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* A standard score less than or equal to 8 on the NEPSY (A Developmental NEuroPSYchological Assessment) Affect Recognition (AR) test, or less than or equal to 70% accuracy for distress-related emotions on a Dynamic FER measure.
* Composite intelligence quotient (IQ) score of at least 80 on the Wechsler Abbreviated Scale of Intelligence, Second Edition.
* Any psychotropic medications must be on stable dosing schedule for 2 weeks prior to entry.
* Presence of elevated CU traits (defined as in prior studies as score of "2" on at least 2 of the 4 CU items on the Antisocial Process Screening Device (APSD).

Exclusion Criteria:

* Bipolar disorder.
* Current risk for suicide or harm to others.
* Autism spectrum disorder (ASD).
* Currently participating in therapy for CU traits or facial emotion recognition deficits.

Where this trial is running

Tuscaloosa, Alabama

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Affective SymptomsEmpathyAttention [F02.830.104.214]Temperament [F01.752.898]Problem Behavior [F01.145.179.750]Social Behavior [F01.145.813]Electroencephalography [E01.370.405.245]Neuropsychological Tests [F04.711.513]
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.