What Do You Have in Mind? Measures to Assess Mental State Reasoning in Neuropsychiatric Populations

Social interaction is closely associated with both functional capacity and well-being. Previous research has not only revealed evidence of social dysfunction in individuals with a wide range of psychiatric and neurological disorders but also generated an abundance of potential measures for assessing...

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Main Author: Clare M. Eddy
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-07-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2019.00425/full
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author Clare M. Eddy
Clare M. Eddy
author_facet Clare M. Eddy
Clare M. Eddy
author_sort Clare M. Eddy
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description Social interaction is closely associated with both functional capacity and well-being. Previous research has not only revealed evidence of social dysfunction in individuals with a wide range of psychiatric and neurological disorders but also generated an abundance of potential measures for assessing social cognition. This review explores the most popular measures used within neuropsychiatric populations to investigate the ability to recognize or reason about the mental states of others. Measures are also critically analyzed in terms of strengths and limitations to aid task selection in future clinical studies. The most frequently applied assessment tools use verbal, visual or audiovisual forms of presentation and assess recognition of mental states from facial features, self-rated empathy, the understanding of other’s cognitive mental states such as beliefs and intentions, or the ability to combine knowledge of other’s thoughts and emotions in order to understand subtle communications or socially inappropriate behavior. Key weaknesses of previous research include limited investigation of relationships with clinical symptoms, and underutilization of measures of everyday social functioning that offer a useful counterpart to traditional “lab” tasks. Future studies should aim to carefully select measures not only based on the range of skills to be assessed but also taking into account potential difficulties with interpretation and the need to gain insight into the application of social cognitive skills as well as ability per se. Some of the best measures include those with well-matched control trials (e.g., Yoni Task) or those that restrict the influence of verbal deficits (e.g., intentions comic strip task), elicit spontaneous mentalizing (e.g., Animations Task), and possess greater ecological validity (e.g., Movie for the Assessment of Social Cognition). Social cognitive research within psychiatric populations will be further enhanced through the development of more closely matched control tasks, and the exploration of relationships between task performance, medication, strategy use, and broader emotional and motor functions.
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spelling doaj.art-295e89120ffa411886e7d29ac7534eb32022-12-22T03:15:07ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402019-07-011010.3389/fpsyt.2019.00425459572What Do You Have in Mind? Measures to Assess Mental State Reasoning in Neuropsychiatric PopulationsClare M. Eddy0Clare M. Eddy1Research and Innovation, BSMHFT National Centre for Mental Health, Birmingham, United KingdomInstitute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United KingdomSocial interaction is closely associated with both functional capacity and well-being. Previous research has not only revealed evidence of social dysfunction in individuals with a wide range of psychiatric and neurological disorders but also generated an abundance of potential measures for assessing social cognition. This review explores the most popular measures used within neuropsychiatric populations to investigate the ability to recognize or reason about the mental states of others. Measures are also critically analyzed in terms of strengths and limitations to aid task selection in future clinical studies. The most frequently applied assessment tools use verbal, visual or audiovisual forms of presentation and assess recognition of mental states from facial features, self-rated empathy, the understanding of other’s cognitive mental states such as beliefs and intentions, or the ability to combine knowledge of other’s thoughts and emotions in order to understand subtle communications or socially inappropriate behavior. Key weaknesses of previous research include limited investigation of relationships with clinical symptoms, and underutilization of measures of everyday social functioning that offer a useful counterpart to traditional “lab” tasks. Future studies should aim to carefully select measures not only based on the range of skills to be assessed but also taking into account potential difficulties with interpretation and the need to gain insight into the application of social cognitive skills as well as ability per se. Some of the best measures include those with well-matched control trials (e.g., Yoni Task) or those that restrict the influence of verbal deficits (e.g., intentions comic strip task), elicit spontaneous mentalizing (e.g., Animations Task), and possess greater ecological validity (e.g., Movie for the Assessment of Social Cognition). Social cognitive research within psychiatric populations will be further enhanced through the development of more closely matched control tasks, and the exploration of relationships between task performance, medication, strategy use, and broader emotional and motor functions.https://www.frontiersin.org/article/10.3389/fpsyt.2019.00425/fullassessmentempathymeasurespsychiatrysocial cognitiontheory of mind
spellingShingle Clare M. Eddy
Clare M. Eddy
What Do You Have in Mind? Measures to Assess Mental State Reasoning in Neuropsychiatric Populations
Frontiers in Psychiatry
assessment
empathy
measures
psychiatry
social cognition
theory of mind
title What Do You Have in Mind? Measures to Assess Mental State Reasoning in Neuropsychiatric Populations
title_full What Do You Have in Mind? Measures to Assess Mental State Reasoning in Neuropsychiatric Populations
title_fullStr What Do You Have in Mind? Measures to Assess Mental State Reasoning in Neuropsychiatric Populations
title_full_unstemmed What Do You Have in Mind? Measures to Assess Mental State Reasoning in Neuropsychiatric Populations
title_short What Do You Have in Mind? Measures to Assess Mental State Reasoning in Neuropsychiatric Populations
title_sort what do you have in mind measures to assess mental state reasoning in neuropsychiatric populations
topic assessment
empathy
measures
psychiatry
social cognition
theory of mind
url https://www.frontiersin.org/article/10.3389/fpsyt.2019.00425/full
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