Theory of Mind Impairments Highlighted With an Ecological Performance-Based Test Indicate Behavioral Executive Deficits in Traumatic Brain Injury
Background: In view of the recent literature, the negative impact of traumatic brain injury (TBI) on social cognition remains a debated issue. On one hand, a considerable number of studies reported significant impairments in emotion recognition, empathy, moral reasoning, social problem solving, and...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-01-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2019.01367/full |
| _version_ | 1818778369531052032 |
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| author | Philippe Allain Philippe Allain Martin Hamon Virginie Saoût Christophe Verny Mickaël Dinomais Jeremy Besnard |
| author_facet | Philippe Allain Philippe Allain Martin Hamon Virginie Saoût Christophe Verny Mickaël Dinomais Jeremy Besnard |
| author_sort | Philippe Allain |
| collection | DOAJ |
| description | Background: In view of the recent literature, the negative impact of traumatic brain injury (TBI) on social cognition remains a debated issue. On one hand, a considerable number of studies reported significant impairments in emotion recognition, empathy, moral reasoning, social problem solving, and mentalizing or theory of mind (ToM) abilities in patients with TBI. On the other hand, the ecological validity of social cognition tasks is still a matter of concern and debate for clinicians and researchers.Objectives: The objectives of the present study were 2-fold: (1) to assess social cognition in TBI with an ecological performance-based test which focuses on ToM ability, and (2) to study the relationship between performances on this task and behavioral disorders. To this end, 47 patients with moderate to severe TBI in the chronic stage were assessed with a ToM task, the Movie for the Assessment of Social Cognition (MASC), a film displaying social interactions in natural settings and asking for an evaluation of the emotions, thoughts, and intentions of the characters. Behavioral disorders were assessed with the Behavioral Dysexecutive Syndrome Inventory (BDSI), a structured interview of an informant in assessing changes compared with previous behavior in 12 domains.Results: Patients were significantly less accurate in mental state attribution than a demographically matched group of 38 healthy control subjects. Significant others of patients also reported more behavioral executive problems than controls' relatives on most of the domains of the BDSI. In addition, social cognition performance in the MASC was significantly correlated with behavioral dysexecutive problems rated by proxies on the BDSI.Conclusions: This study is the first to find association between impairments in mentalizing abilities in the MASC and behavioral impairments in patients with TBI, confirming the added value of this ecological task and that the recognition of social signals is a key element for adequate behavioral functioning. |
| first_indexed | 2024-12-18T11:43:38Z |
| format | Article |
| id | doaj.art-197c8c8506b544b088b3ac43104f2292 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-18T11:43:38Z |
| publishDate | 2020-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-197c8c8506b544b088b3ac43104f22922022-12-21T21:09:20ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-01-011010.3389/fneur.2019.01367477667Theory of Mind Impairments Highlighted With an Ecological Performance-Based Test Indicate Behavioral Executive Deficits in Traumatic Brain InjuryPhilippe Allain0Philippe Allain1Martin Hamon2Virginie Saoût3Christophe Verny4Mickaël Dinomais5Jeremy Besnard6Laboratoire de Psychologie des Pays de la Loire (EA 4638), University of Angers, Angers, FranceDepartment of Neurology, Angers University Hospital, Angers, FranceLaboratoire de Psychologie des Pays de la Loire (EA 4638), University of Angers, Angers, FranceArceau Anjou, Angers, FranceDepartment of Neurology, Angers University Hospital, Angers, FranceDepartment of Physical and Rehabilitation Medicine, Angers University Hospital, Angers, FranceLaboratoire de Psychologie des Pays de la Loire (EA 4638), University of Angers, Angers, FranceBackground: In view of the recent literature, the negative impact of traumatic brain injury (TBI) on social cognition remains a debated issue. On one hand, a considerable number of studies reported significant impairments in emotion recognition, empathy, moral reasoning, social problem solving, and mentalizing or theory of mind (ToM) abilities in patients with TBI. On the other hand, the ecological validity of social cognition tasks is still a matter of concern and debate for clinicians and researchers.Objectives: The objectives of the present study were 2-fold: (1) to assess social cognition in TBI with an ecological performance-based test which focuses on ToM ability, and (2) to study the relationship between performances on this task and behavioral disorders. To this end, 47 patients with moderate to severe TBI in the chronic stage were assessed with a ToM task, the Movie for the Assessment of Social Cognition (MASC), a film displaying social interactions in natural settings and asking for an evaluation of the emotions, thoughts, and intentions of the characters. Behavioral disorders were assessed with the Behavioral Dysexecutive Syndrome Inventory (BDSI), a structured interview of an informant in assessing changes compared with previous behavior in 12 domains.Results: Patients were significantly less accurate in mental state attribution than a demographically matched group of 38 healthy control subjects. Significant others of patients also reported more behavioral executive problems than controls' relatives on most of the domains of the BDSI. In addition, social cognition performance in the MASC was significantly correlated with behavioral dysexecutive problems rated by proxies on the BDSI.Conclusions: This study is the first to find association between impairments in mentalizing abilities in the MASC and behavioral impairments in patients with TBI, confirming the added value of this ecological task and that the recognition of social signals is a key element for adequate behavioral functioning.https://www.frontiersin.org/article/10.3389/fneur.2019.01367/fulltheory of mindecological assessmentbehavioral dysexecutive disorderstraumatic brain injurymentalizing abilities |
| spellingShingle | Philippe Allain Philippe Allain Martin Hamon Virginie Saoût Christophe Verny Mickaël Dinomais Jeremy Besnard Theory of Mind Impairments Highlighted With an Ecological Performance-Based Test Indicate Behavioral Executive Deficits in Traumatic Brain Injury Frontiers in Neurology theory of mind ecological assessment behavioral dysexecutive disorders traumatic brain injury mentalizing abilities |
| title | Theory of Mind Impairments Highlighted With an Ecological Performance-Based Test Indicate Behavioral Executive Deficits in Traumatic Brain Injury |
| title_full | Theory of Mind Impairments Highlighted With an Ecological Performance-Based Test Indicate Behavioral Executive Deficits in Traumatic Brain Injury |
| title_fullStr | Theory of Mind Impairments Highlighted With an Ecological Performance-Based Test Indicate Behavioral Executive Deficits in Traumatic Brain Injury |
| title_full_unstemmed | Theory of Mind Impairments Highlighted With an Ecological Performance-Based Test Indicate Behavioral Executive Deficits in Traumatic Brain Injury |
| title_short | Theory of Mind Impairments Highlighted With an Ecological Performance-Based Test Indicate Behavioral Executive Deficits in Traumatic Brain Injury |
| title_sort | theory of mind impairments highlighted with an ecological performance based test indicate behavioral executive deficits in traumatic brain injury |
| topic | theory of mind ecological assessment behavioral dysexecutive disorders traumatic brain injury mentalizing abilities |
| url | https://www.frontiersin.org/article/10.3389/fneur.2019.01367/full |
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