“…Although an examination of mediating effects was not possible with their study design, Salekin and colleagues hypothesized that increases in positive affect could produce reductions in CU traits. In addition to positive affect, interventions targeting general behavioral problems could help target a callous interpersonal style, particularly if this outcome stems from adverse life experiences (e.g., Kimonis, Centifanti, Allen, & Frick, ). This explanation could, in part, account for the decreases in levels of CU traits reported in the trial of mixed package treatment including CBT, medication, family therapy, and social skills work (Kolko et al., ), where changes in CU traits could have occurred as a response to improvements in general antisocial behavior over the 3 year follow‐up, although potential reciprocity between the CU traits and antisocial behavior over time was not explicitly tested.…”