Neural correlates of affective theory of mind in medication-free nonsuicidal self-injury: An fMRI study

Emerging evidence indicates that emotion processing deficits are associated with nonsuicidal self-injury (NSSI). However, limited attention has been paid to the socio-affective functions of NSSI. In this study, we aimed to investigate the affective theory of mind (ToM) in medication-free individuals...

Full description

Bibliographic Details
Main Authors: Hyeri Moon, Gieun Nam, Ji-Won Hur
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.850794/full
_version_ 1818465824622510080
author Hyeri Moon
Gieun Nam
Ji-Won Hur
author_facet Hyeri Moon
Gieun Nam
Ji-Won Hur
author_sort Hyeri Moon
collection DOAJ
description Emerging evidence indicates that emotion processing deficits are associated with nonsuicidal self-injury (NSSI). However, limited attention has been paid to the socio-affective functions of NSSI. In this study, we aimed to investigate the affective theory of mind (ToM) in medication-free individuals engaging in NSSI at both behavioral and neural levels. Twenty-eight individuals (mean age = 22.96 years) who engaged in NSSI and 38 age-, sex-, and IQ-matched controls (mean age = 22.79 years) underwent functional magnetic resonance imaging while performing the “Reading the Mind in the Eyes Test” (RMET). All participants also completed the Difficulties in Emotion Regulation Scale (DERS), Toronto Alexithymia Scale (TAS-20), and Beck Scale for Suicide Ideation (BSI). Although we did not find significant group differences in the RMET performance, the NSSI group, relative to the controls, exhibited significantly greater left medial superior frontal lobe activation and decreased right angular gyrus activation than did the control group. Reduced right angular gyrus activity was related to higher DERS and TAS scores across all participants. Our findings provide new evidence for aberrant neural processing of affective ToM in self-injurers. Future studies in developing intervention protocols for NSSI should focus on the multifaceted phases of socio-affective processing.
first_indexed 2024-04-13T20:50:51Z
format Article
id doaj.art-6c2e8988d4db4f42950e4aa9d4a22bea
institution Directory Open Access Journal
issn 1664-0640
language English
last_indexed 2024-04-13T20:50:51Z
publishDate 2022-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychiatry
spelling doaj.art-6c2e8988d4db4f42950e4aa9d4a22bea2022-12-22T02:30:32ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-07-011310.3389/fpsyt.2022.850794850794Neural correlates of affective theory of mind in medication-free nonsuicidal self-injury: An fMRI studyHyeri Moon0Gieun Nam1Ji-Won Hur2School of Psychology, Korea University, Seoul, South KoreaDepartment of Psychology, Chung-Ang University, Seoul, South KoreaSchool of Psychology, Korea University, Seoul, South KoreaEmerging evidence indicates that emotion processing deficits are associated with nonsuicidal self-injury (NSSI). However, limited attention has been paid to the socio-affective functions of NSSI. In this study, we aimed to investigate the affective theory of mind (ToM) in medication-free individuals engaging in NSSI at both behavioral and neural levels. Twenty-eight individuals (mean age = 22.96 years) who engaged in NSSI and 38 age-, sex-, and IQ-matched controls (mean age = 22.79 years) underwent functional magnetic resonance imaging while performing the “Reading the Mind in the Eyes Test” (RMET). All participants also completed the Difficulties in Emotion Regulation Scale (DERS), Toronto Alexithymia Scale (TAS-20), and Beck Scale for Suicide Ideation (BSI). Although we did not find significant group differences in the RMET performance, the NSSI group, relative to the controls, exhibited significantly greater left medial superior frontal lobe activation and decreased right angular gyrus activation than did the control group. Reduced right angular gyrus activity was related to higher DERS and TAS scores across all participants. Our findings provide new evidence for aberrant neural processing of affective ToM in self-injurers. Future studies in developing intervention protocols for NSSI should focus on the multifaceted phases of socio-affective processing.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.850794/fullnonsuicidal self-injuryaffective ToMtheory of mindfMRIReading the Mind in the Eyes Test
spellingShingle Hyeri Moon
Gieun Nam
Ji-Won Hur
Neural correlates of affective theory of mind in medication-free nonsuicidal self-injury: An fMRI study
Frontiers in Psychiatry
nonsuicidal self-injury
affective ToM
theory of mind
fMRI
Reading the Mind in the Eyes Test
title Neural correlates of affective theory of mind in medication-free nonsuicidal self-injury: An fMRI study
title_full Neural correlates of affective theory of mind in medication-free nonsuicidal self-injury: An fMRI study
title_fullStr Neural correlates of affective theory of mind in medication-free nonsuicidal self-injury: An fMRI study
title_full_unstemmed Neural correlates of affective theory of mind in medication-free nonsuicidal self-injury: An fMRI study
title_short Neural correlates of affective theory of mind in medication-free nonsuicidal self-injury: An fMRI study
title_sort neural correlates of affective theory of mind in medication free nonsuicidal self injury an fmri study
topic nonsuicidal self-injury
affective ToM
theory of mind
fMRI
Reading the Mind in the Eyes Test
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.850794/full
work_keys_str_mv AT hyerimoon neuralcorrelatesofaffectivetheoryofmindinmedicationfreenonsuicidalselfinjuryanfmristudy
AT gieunnam neuralcorrelatesofaffectivetheoryofmindinmedicationfreenonsuicidalselfinjuryanfmristudy
AT jiwonhur neuralcorrelatesofaffectivetheoryofmindinmedicationfreenonsuicidalselfinjuryanfmristudy