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Callous-unemotional traits and the emotional processing of distress cues in detained boys: Testing the moderating role of aggression, exposure to community violence, and histories of abuse

Published online by Cambridge University Press:  21 April 2008

Eva R. Kimonis ,
Paul J. Frick ,
Luna C. Munoz  and
Katherine J. Aucoin
Eva R. Kimonis*
Affiliation:
Institute for Behavioral Sciences and the Law University of California, Irvine
Paul J. Frick
Affiliation:
University of New Orleans
Luna C. Munoz
Affiliation:
University of Lancashire
Katherine J. Aucoin
Affiliation:
Jefferson Parish Human Services Authority
*
Address correspondence and reprint requests to: Eva R. Kimonis, Institute for Behavioral Sciences and the Law, 750 SE 3rd Avenue, Suite 204, Fort Lauderdale, FL 33316; E-mail: [email protected].
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Abstract

Callous-unemotional (CU) traits in antisocial youth have been associated with deficits in the processing of emotionally distressing stimuli in a number of past studies. In the current study, we investigated moderators of this association in a sample of 88 ethnically diverse detained boys (mean age = 15.57, SD = 1.28). Overall, emotional processing of distressing stimuli using a dot-probe task was not related to CU traits and there was no moderating effect of ethnicity. However, CU traits were related to deficits in emotional processing in youth high on aggression and youth high on exposure to community violence. Further, youth high on CU traits but with enhanced orienting to distressing stimuli had stronger histories of abuse, supporting the possibility that there may be environmentally influenced pathways in the development of these traits.

Type
Research Article
Information
Development and Psychopathology , Volume 20 , Issue 2 , Spring 2008 , pp. 569 - 589
Copyright
Copyright © Cambridge University Press 2008

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References

Aniskiewicz, A. S. (1979). Autonomic components of vicarious conditioning and psychopathic traits. Journal of Clinical Psychology, 35, 60–67.3.0.CO;2-R>CrossRefGoogle Scholar
Baron, M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.CrossRefGoogle ScholarPubMed
Barry, C. T., Frick, P. J., Grooms, T., McCoy, M. G., Ellis, M. L., & Loney, B. R. (2000). The importance of callous-unemotional traits for extending the concept of psychopathic traits to children. Journal of Abnormal Psychology, 109, 335–340.CrossRefGoogle ScholarPubMed
Bjorkqvist, K., Lagerspetz, K. M. J., & Osterman, K. (1992). The direct and indirect aggression scales. Vasa, Finland: Abo Akademi University, Department of Social Sciences.Google Scholar
Blair, R. J. R. (1995). A cognitive developmental approach to morality: Investigating the psychopath. Cognition, 57, 1–29.CrossRefGoogle ScholarPubMed
Blair, R. J. R. (1999). Responsiveness to distress cues in the child with psychopathic tendencies. Personality and Individual Differences, 27, 135–145.CrossRefGoogle Scholar
Blair, R. J. R. (2001). Neuro-cognitive models of aggression, the antisocial personality disorders and psychopathic traits. Journal of Neurology, Neurosurgery, and Psychiatry, 71, 727–731.CrossRefGoogle Scholar
Blair, R. J. R., Budhani, S., Colledge, E., & Scott, S. (2005). Deafness to fear in boys with psychopathic tendencies. Journal of Child Psychology and Psychiatry and Allied Disciplines, 46, 327–336.CrossRefGoogle ScholarPubMed
Blair, R. J. R., Colledge, E., Murray, L., & Mitchell, D. G. V. (2001). A selective impairment in the processing of sad and fearful expressions in children with psychopathic tendencies. Journal of Abnormal Child Psychology, 29, 491–498.CrossRefGoogle ScholarPubMed
Blair, R. J. R., Jones, L., Clark, F., & Smith, M. (1997). The psychopathic individual: A lack of responsiveness to distress cues? Psychophysiology, 34, 192–198.CrossRefGoogle ScholarPubMed
Blair, R. J. R., Mitchell, D. G. V., Richell, R. A., Kelly, S., Leonard, A., Newman, C., et al. (2002). Turning a deaf ear to fear: Impaired recognition of vocal affect in psychopathic individuals. Journal of Abnormal Psychology, 111, 682–686.CrossRefGoogle ScholarPubMed
Bradley, B. P., Mogg, K., Falla, S. J., & Hamilton, L. R. (1998). Attentional bias for threatening facial expressions in anxiety: Manipulation of stimulus durations. Cognition and Emotion, 12, 737–753.CrossRefGoogle Scholar
Brinkley, C. A., Newman, J. P., Widiger, T. A., & Lynam, D. R. (2004). Two approaches to parsing the heterogeneity of psychopathic traits. Clinical Psychology: Science & Practice, 11, 69–94.Google Scholar
Brown, K., Atkins, M. S., Osborne, M. L., & Milnamow, M. (1996). A revised teacher rating scale for reactive and proactive aggression. Journal of Abnormal Child Psychology, 24, 473–480.CrossRefGoogle ScholarPubMed
Camras, L. A., Ribordy, S., Hill, J., Martino, S., Sachs, V., Spaccarelli, S., et al. (1990). Maternal facial behavior and the recognition and production of emotional expression by maltreated and nonmaltreated children. Developmental Psychology, 26, 304–312.CrossRefGoogle Scholar
Cooley, M. R., Turner, S. M., & Beidel, D. C. (1995). The emotional impact of children's exposure to community violence: A preliminary study. Journal of the American Academy of Child & Adolescent Psychiatry, 34, 1362–1368.CrossRefGoogle Scholar
Cooley-Quille, M., Boyd, R. C., Frantz, E., & Walsh, J. (2001). Emotional and behavioral impact of exposure to community violence in inner-city adolescents. Journal of Clinical Child Psychology, 30, 199–206.CrossRefGoogle ScholarPubMed
Crick, N. R., & Grotpeter, J. K. (1995). Relational aggression, gender, and social-aggression among children. Developmental Psychology, 33, 589–600.Google Scholar
Dodge, K. A., & Coie, J. D. (1987). Social-information processing factors in reactive and proactive aggression in children's peer groups. Journal of Personality and Social Psychology, 52, 1146–1158.CrossRefGoogle Scholar
Dodge, K. A., & Pettit, G. S. (2003). A biopsychosocial model of the development of chronic conduct problems in adolescence. Developmental Psychology, 39, 349–371.CrossRefGoogle ScholarPubMed
Dunn, L. M., & Dunn, L. M. (1997). Peabody Picture Vocabulary Test, third edition: Examiner's manual and norms booklet. Circle Pines, MN: American Guidance Service.Google Scholar
Elsesser, K., Sartory, G., & Tackenberg, A. (2004). Attention, heart rate, and startle response during exposure to trauma-relevant pictures: A comparison of recent trauma victims and patients with posttraumatic stress disorder. Journal of Abnormal Psychology, 113, 289–301.CrossRefGoogle ScholarPubMed
Essau, C. A., Sasagawa, S., & Frick, P. J. (2006). Callous-unemotional traits in community sample of adolescents. Assessment, 13, 454–469.CrossRefGoogle ScholarPubMed
Eysenck, H. J. (1964). Crime and personality. Oxford: Houghton Mifflin Co.Google Scholar
Falkenbach, D. M., Poythress, N. G., & Heide, K. M. (2003). Psychopathic features in a juvenile diversion population: Reliability and predictive validity of two self-report measures. Behavioral Sciences and the Law, 21, 787–805.CrossRefGoogle Scholar
Farrell, A. D., & Bruce, S. E. (1997). Impact of exposure to community violence on violent behavior and emotional distress among urban adolescents. Journal of Clinical Child Psychology, 26, 2–14.CrossRefGoogle ScholarPubMed
Fisher, L., & Blair, R. J. R. (1998). Cognitive impairment and its relationship to psychopathic tendencies in children with emotional and behavioral difficulties. Journal of Abnormal Child Psychology, 26, 511–519.CrossRefGoogle ScholarPubMed
Fitzpatrick, K. M. (1993). Exposure to violence and presence of depression among low-income African American youth. Journal of Consulting and Clinical Psychology, 61, 528–531.CrossRefGoogle ScholarPubMed
Fox, E. (2002). Processing emotional facial expression: The role of anxiety and awareness. Cognitive, Affective, & Behavioral Neuroscience, 2, 52–63.CrossRefGoogle ScholarPubMed
Frick, P. J. (2004). The Inventory of Callous-Unemotional Traits. Unpublished manuscript.Google Scholar
Frick, P. J. (2006). Developmental pathways to conduct disorder. Child Psychiatric Clinics of North America, 15, 311–332.CrossRefGoogle ScholarPubMed
Frick, P. J., Bodin, S. D., & Barry, C. T. (2000). Psychopathic traits and conduct problems in community and clinic-referred samples of children: Further development of the Psychopathic Traits Screening Device. Psychological Assessment, 12, 382–393.CrossRefGoogle ScholarPubMed
Frick, P. J., Cornell, A. H., Barry, C. T., Bodin, S. D., & Dane, H. E. (2003). Callous-unemotional traits and conduct problems in the prediction of conduct problem severity, aggression, and self-report of delinquency. Journal of Abnormal Child Psychology, 31, 457–470.CrossRefGoogle ScholarPubMed
Frick, P. J., Cornell, A. H., Bodin, S. D., Dane, H. E., Barry, C. T., & Loney, B. R. (2003). Callous-unemotional traits and developmental pathways to severe conduct problems. Developmental Psychology, 39, 246–260.CrossRefGoogle ScholarPubMed
Frick, P. J., & Dickens, C. (2006). Current perspectives on conduct disorder. Current Psychiatry Reports, 8, 59–72.CrossRefGoogle ScholarPubMed
Frick, P. J., & Hare, R. D. (2001). The Antisocial Process Screening Device (APSD). Toronto: Multi-Health Systems.Google Scholar
Frick, P. J., Lilienfeld, S. O., Ellis, M., Loney, B., & Silverthorn, P. (1999). The association between anxiety and psychopathic traits dimensions in children. Journal of Abnormal Child Psychology, 27, 383–392.CrossRefGoogle ScholarPubMed
Frick, P. J., & Marsee, M. A. (2006). Psychopathic traits and developmental pathways to antisocial behavior in youth. In Patrick, C. J. (Eds.), Handbook of psychopathic traits (pp. 355–374). New York: Guilford Press.Google Scholar
Frick, P. J., & Morris, A. S. (2004). Temperament and developmental pathways to conduct problems. Journal of Clinical Child and Adolescent Psychology, 33, 54–68.CrossRefGoogle ScholarPubMed
Frick, P. J., Stickle, T. R., Dandreaux, D. M., Farrell, J. M., & Kimonis, E. R. (2005). Callous-unemotional traits in predicting the severity and stability of conduct problems and delinquency. Journal of Abnormal Child Psychology, 33, 471–487.CrossRefGoogle ScholarPubMed
Galen, B. R., & Underwood, M. K. (1997). A developmental investigation of social aggression among children. Developmental Psychology, 33, 589–600.CrossRefGoogle ScholarPubMed
Garbarino, J., Kostelny, K., & Dubrow, N. (1991). What children can tell us about living in danger. American Psychologist, 46, 376–383.CrossRefGoogle ScholarPubMed
Haapasalo, J., & Pulkkinen, L. (1992). The psychopathic traits checklist and non-violent offender groups. Criminal Behaviour and Mental Health, 2, 315–328.CrossRefGoogle Scholar
Hare, R. D., Hart, S. D., & Harpur, T. J. (1991). Psychopathic traits and the DSM-IV criteria for antisocial personality disorder. Journal of Abnormal Psychology, 100, 391–398.CrossRefGoogle ScholarPubMed
Hiatt, K. D., Lorenz, A. R., & Newman, J. P. (2002). Assessment of emotion and language processing in psychopathic offenders: Results from a dichotic listening task. Personality and Individual Differences, 32, 1255–1268.CrossRefGoogle Scholar
Holmbeck, G. N. (2002). Post-hoc probing of significant moderational and mediational effects in studies of pediatric populations. Journal of Pediatric Psychology, 27, 87–96.CrossRefGoogle ScholarPubMed
House, T. H., & Milligan, W. L. (1976). Autonomic responses to modeled distress in prison psychopaths. Journal of Personality and Social Psychology, 34, 556–560.CrossRefGoogle ScholarPubMed
Hubbard, J. A., Smithmyer, C. M., Ramsden, S. R., Parker, E. H., Flanagan, K. D., Dearing, K. F., et al. (2002). Observational, physiological, and self-report measures of children's anger: Relations to reactive versus proactive aggression. Child Development, 73, 1101–1118.CrossRefGoogle ScholarPubMed
Ishikawa, S. S., Raine, A., Lencz, T., Bihrle, S., & Lacasse, L. (2001). Autonomic stress reactivity and executive functions in successful and unsuccessful criminal psychopaths from the community. Journal of Abnormal Psychology, 110, 423–432.CrossRefGoogle ScholarPubMed
Jaccard, J., Turrisi, R., & Wan, C.K. (1990). Interaction effects in multiple regression. Newbury Park, CA: Sage.Google ScholarPubMed
Jonson-Reid, M. (1998). Youth violence and exposure to violence in childhood: An ecological review. Aggression and Violent Behavior, 3, 159–179.CrossRefGoogle Scholar
Karpman, B. (1948). Conscience in the psychopath: Another version. American Journal of Orthopsychiatry, 18, 455–491.CrossRefGoogle ScholarPubMed
Kimonis, E. R., Frick, P. J., & Barry, C. T. (2004). Callous-unemotional traits and delinquent peer affiliation. Journal of Consulting and Clinical Psychology, 72, 956–966.CrossRefGoogle ScholarPubMed
Kimonis, E. R., Frick, P. J., Fazekas, H., & Loney, B. R. (2006). Psychopathic traits, aggression, and the processing of emotional stimuli in non-referred children. Behavioral Sciences and the Law, 24, 21–37.CrossRefGoogle Scholar
Kimonis, E. R., Frick, P. J., Skeem, J. L., Marsee, M. A., Cruise, K., Munoz, L.C., et al. (in press). Callous-unemotional traits in male and female adolescent offenders: Validation of the Inventory of Callous-Unemotional Traits. International Journal of Law and Psychiatry.Google Scholar
Kimonis, E. R., Marsee, M. A., & Frick, P. J. (2004). The Peer Conflict Scale. Unpublished manuscript.Google Scholar
Klimes-Dougan, B., & Kistner, J. (1990). Physically abused preschoolers' responses to peers' distress. Developmental Psychology, 26, 599–602.CrossRefGoogle Scholar
Kochanska, G. (1993). Toward a synthesis of parental socialization and child temperament in early development of conscience. Child Development, 64, 325–347.CrossRefGoogle Scholar
Kosson, D. S., Smith, S. S., & Newman, J. P. (1990). Evaluation of the construct validity of psychopathic traits and black and white male inmates: Three preliminary studies. Journal of Abnormal Psychology, 99, 250–259.CrossRefGoogle Scholar
Kruh, I. P., Frick, P. J., & Clements, C. B. (2005). Historical and personality correlates to the violence patterns of juveniles tried as adults. Criminal Justice and Behavior, 32, 69–96.CrossRefGoogle Scholar
Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (1997). International Affective Picture System (IAPS). Washington, DC: NIMH Center for the Study of Emotions and Attention.Google Scholar
Laursen, B. & Hoff, E. (2006). Person-centered and variable-centered approaches to longitudinal data. Merrill–Palmer Quarterly, 52, 377–389.CrossRefGoogle Scholar
Levenson, M. R., Kiehl, K. A., & Fitzpatrick, C. M. (1995). Assessing psychopathic attributes in a noninstitutionalized population. Journal of Personality and Social Psychology, 68, 151–158.CrossRefGoogle Scholar
Levenston, G. K., Patrick, C. J., Bradley, M. M., & Lang, P. J. (2000). The psychopath as observer: Emotion and attention in picture processing. Journal of Abnormal Psychology, 109, 373–385.CrossRefGoogle ScholarPubMed
Little, T. D., Jones, S. M., Henrich, C. C., & Hawley, P. H. (2003). Disentangling the “whys” from the “whats” of aggressive behavior. International Journal of Behavioral Development, 27, 122–133.CrossRefGoogle Scholar
Loney, B. R., Frick, P. J., Clements, C. B., Ellis, M. L., & Kerlin, K. (2003). Callous-unemotional traits, impulsivity, and emotional processing in antisocial adolescents. Journal of Clinical Child and Adolescent Psychology, 32, 66–80.CrossRefGoogle Scholar
Lorenz, A. R., & Newman, J. P. (2002a). Do emotion and information processing deficiencies found in Caucasian psychopaths generalize to African American psychopaths? Personality and Individual Differences, 32, 1077–1086.CrossRefGoogle Scholar
Lorenz, A. R., & Newman, J. P. (2002b). Utilization of emotion cues in male and female offenders with antisocial personality disorder: Results from a lexical decision task. Journal of Abnormal Psychology, 111, 513–516.CrossRefGoogle ScholarPubMed
Lykken, D. (1995). The antisocial personalities. Hillsdale, NJ: Erlbaum.Google Scholar
MacLeod, C., & Mathews, A. (1988). Anxiety and the allocation of attention to threat. Quarterly Journal of Experimental Psychology A: Human Experimental Psychology, 40, 653–670.CrossRefGoogle ScholarPubMed
MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95, 15–20.CrossRefGoogle ScholarPubMed
Main, M., & George, C. (1985). Responses of abused and disadvantaged toddlers to distress in agemates: A study in the day care setting. Developmental Psychology, 21, 407–412.CrossRefGoogle Scholar
McManis, M. H., Bradley, M. M., Berg, W. K., Cuthbert, B. N., & Lang, P. J. (2001). Emotional reactions in children: Verbal, physiological, and behavioral responses to affective pictures. Psychophysiology, 38, 222–231.CrossRefGoogle ScholarPubMed
Mealey, L. (1995). The sociobiology of sociopathy: An integrated evolutionary model. Behavioral and Brain Sciences, 18, 523–599.CrossRefGoogle Scholar
Newman, J. P., & Brinkley, C. A. (1997). Reconsidering the low-fear explanation for primary psychopathic traits. Psychological Inquiry, 8, 236–244.CrossRefGoogle Scholar
Ney, P. G., Fung, T., & Wickett, A. R. (1994). The worst combinations of child abuse and neglect. Child Abuse and Neglect, 18, 705–714.CrossRefGoogle ScholarPubMed
Ohman, A. (1993). Fear and anxiety as emotional phenomena: Clinical phenomenology, evolutionary perspectives, and information processing mechanisms. In Lewis, M. & Haviland, J. M. (Eds.), Handbook of emotions. New York: Guilford Press.Google Scholar
Osofsky, J. D. (1995). The effects of exposure to violence on young children. American Psychologist, 50, 782–788.CrossRefGoogle ScholarPubMed
Patrick, C. (1994). Emotion and psychopathic traits: Startling new insights. Psychophysiology, 31, 319–330.CrossRefGoogle Scholar
Patrick, C., Bradley, M. M., & Lang, P. J. (1993). Emotion in the criminal psychopath: Startle reflex modulation. Journal of Abnormal Psychology, 102, 82–92.CrossRefGoogle ScholarPubMed
Patrick, C. J., Cuthbert, B. N., & Lang, P. J. (1994). Emotion in the criminal psychopath: Fear image processing. Journal of Abnormal Psychology, 103, 523–534.CrossRefGoogle ScholarPubMed
Pitts, T. B. (1997). Reduced heart rate levels in aggressive children. In Raine, A., Brennan, P., Farrington, B. P., & Mednick, S. A. (Eds.), Biosocial bases of violence. NATO ASI series A: Life sciences (Vol. 292). New York: Plenum Press.Google Scholar
Pollak, S. D., Cicchetti, D., Hornung, K., & Reed, A. (2000). Recognizing emotion in faces: Developmental effects of child abuse and neglect. Developmental Psychology, 36, 679–688.CrossRefGoogle ScholarPubMed
Porter, S. (1996). Without conscience or without active conscience? The etiology of psychopathic traits revisited. Aggression and Violent Behavior, 1, 179–189.CrossRefGoogle Scholar
Poythress, N. G., Douglas, K. S., Falkenbach, D., Cruise, K., Lee, Z., Murrie, D. C., et al. (2006). Internal consistency reliability of the self-report Antisocial Process Screening Device. Assessment, 13, 107–113.CrossRefGoogle ScholarPubMed
Pynoos, R. S. (1993). Traumatic stress and developmental psychopathology in children and adolescents. Review of Psychiatry, 12, 205–238.Google Scholar
Schmitt, W. A., & Newman, J. P. (1999). Are all psychopathic individuals low-anxious? Journal of Abnormal Psychology, 108, 353–358.CrossRefGoogle ScholarPubMed
Skeem, J. L., Edens, J. F., Camp, J., & Colwell, L. H. (2004). Are there ethnic differences in levels of psychopathy? A meta-analysis. Law and Human Behavior, 28, 505–527.CrossRefGoogle ScholarPubMed
Skeem, J. L., Edens, J. F., Sanford, G. M., & Hauser, L. (2004). Psychopathic personality and racial/ethnic differences reconsidered. Personality and Individual Differences, 35, 1439–1462.CrossRefGoogle Scholar
Skeem, J. L., Poythress, N., Edens, J. F., Lilienfeld, S. O., & Cale, E. M. (2003). Psychopathic personality or personalities? Exploring potential variants of psychopathic traits and their implications for risk assessment. Aggression and Violent Behavior, 8, 513–546.CrossRefGoogle Scholar
Stevens, D., Charman, T., & Blair, R. J. R. (2001). Recognition of emotion in facial expressions and vocal tones in children with psychopathic tendencies. The Journal of Genetic Psychology, 162, 201–211.CrossRefGoogle ScholarPubMed
Straus, M. A., & Hamby, S. L. (1997). Measuring physical and psychological maltreatment of children with the conflict tactics scales. In Kaufman Kantor, G. & Jasinski, J. L. (Eds.), Out of the darkness: Contemporary perspectives on family violence. Thousand Oaks, CA: Sage.Google Scholar
Trainham, A. (2000). Manual for multi-faceted assessment of juvenile offender risk (developed for Jefferson Parish). Baton Rouge, LA: Lousiana State University, School of Social Work, Office of Social Service Research and Development.Google Scholar
Troy, M., & Sroufe, L. A. (1987). Victimization among preschoolers: Role of attachment relationship history. Journal of the American Academy of Child & Adolescent Psychiatry, 26, 166–172.CrossRefGoogle ScholarPubMed
Vasey, M. W., Daleidon, E. L., Williams, L. L., & Brown, L. M. (1995). Biased attention in childhood anxiety disorders: A preliminary study. Journal of Abnormal Child Psychology, 23, 267–279.CrossRefGoogle ScholarPubMed
Vasey, M. W., El-Hag, N., & Daleidon, E. L. (1996). Anxiety and the processing of emotionally threatening stimuli: Distinctive patterns of selective attention among high and low-test-anxious children. Child Development, 67, 1173–1185.CrossRefGoogle ScholarPubMed
Verona, E., Patrick, C. J., Curtin, J. J., Bradley, M. M., & Lang, P. J. (2004). Psychopathy and physiological response to emotionally evocative sounds. Journal of Abnormal Psychopathy, 113, 99–108.CrossRefGoogle ScholarPubMed
Viding, E., Blair, R. J. R., Moffitt, T., & Plomin, R. (2005). Evidence for a substantial genetic risk for psychopathic traits in 7-year-olds. Journal of Child Psychology and Psychiatry, 46, 592–597.CrossRefGoogle ScholarPubMed
Vincent, G. M., Vitacco, M. J., Grisso, T., & Corrado, R. R. (2003). Subtypes of adolescent offenders: Affective traits and antisocial behavior patterns. Behavioral Sciences and the Law, 21, 695–712.CrossRefGoogle ScholarPubMed
Williamson, S., Harpur, T. J., & Hare, R. D. (1991). Abnormal processing of affective words by psychopaths. Psychophysiology, 28, 260–273.CrossRefGoogle ScholarPubMed
Woodworth, M., & Porter, S. (2002). In cold blood: Characteristics of criminal homicides as a function of psychopathy. Journal of Abnormal Psychology, 111, 436–445.CrossRefGoogle ScholarPubMed