The investigation of implicit Theory of Mind in patients with schizophrenia – a whole brain fMRI study

Introduction Theory of Mind is the ability to attribute mental states to others. Investigations have distinguished implicit and explicit forms of ToM. It is known, that patients with schizoprenia have deficits in their explicit ToM, and they also show altered brain activations during examining expl...

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Main Authors: E. Varga, T. Bugya, A. Hajnal, T. Tényi, R. Herold
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822005223/type/journal_article
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author E. Varga
T. Bugya
A. Hajnal
T. Tényi
R. Herold
author_facet E. Varga
T. Bugya
A. Hajnal
T. Tényi
R. Herold
author_sort E. Varga
collection DOAJ
description Introduction Theory of Mind is the ability to attribute mental states to others. Investigations have distinguished implicit and explicit forms of ToM. It is known, that patients with schizoprenia have deficits in their explicit ToM, and they also show altered brain activations during examining explicit ToM. Objectives In this study our aim was to investigate the underlying neural substrates of implicit ToM in patients with schizophrenia with fMRI. Methods Seven healthy subjects and two patients with first episode schizophrenia were involved. We used: false belief condition and control condition. All movies consisted of a belief formation phase and an outcome phase. The belief formation phase started with an agent placing a ball on a table in front of an occluder. Then the ball rolled behind the occluder. The movies could continue in different ways leading to a true or false belief. At the end of each movie, the agent reentered the scene and the occluder was lowered. In the outcome phase the ball was either present or absent behind the occluder. The control conditions started with a ball rolled behind the occluder on a table ended up with two different ways as the ball was either present or absent behind the occluder. There was no agent in the control movies. Results We found that healthy subjects activated significantly stronger the left lingual gyrus as well as the right temporoparietal junction. Conclusions Our findings suggest deficits in implicit ToM in schizophrenia and our findings also might help to clarify the underlying neural substrates of implicit ToM. Disclosure This research project was supported by the KTIA-13-NAP-A-II/12 (2018–2022) and the Hungarian National Excellence Centrum Grant 2018–2019.
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spelling doaj.art-9bfb77191a5c44319f3c394c0b8ae40a2023-11-17T05:06:53ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S199S19910.1192/j.eurpsy.2022.522The investigation of implicit Theory of Mind in patients with schizophrenia – a whole brain fMRI studyE. Varga0T. Bugya1A. Hajnal2T. Tényi3R. Herold4University of Pécs, Medical School, Department Of Pediatrics, Pécs, HungaryUniversity of Pécs, Department Of Cartography And Geoinformatics, Pécs, HungaryUniversity of Pécs, Department Of Psychiatry And Psychotherapy, Pécs, HungaryUniversity of Pécs, Department Of Psychiatry And Psychotherapy, Pécs, HungaryUniversity of Pécs, Department Of Psychiatry And Psychotherapy, Pécs, Hungary Introduction Theory of Mind is the ability to attribute mental states to others. Investigations have distinguished implicit and explicit forms of ToM. It is known, that patients with schizoprenia have deficits in their explicit ToM, and they also show altered brain activations during examining explicit ToM. Objectives In this study our aim was to investigate the underlying neural substrates of implicit ToM in patients with schizophrenia with fMRI. Methods Seven healthy subjects and two patients with first episode schizophrenia were involved. We used: false belief condition and control condition. All movies consisted of a belief formation phase and an outcome phase. The belief formation phase started with an agent placing a ball on a table in front of an occluder. Then the ball rolled behind the occluder. The movies could continue in different ways leading to a true or false belief. At the end of each movie, the agent reentered the scene and the occluder was lowered. In the outcome phase the ball was either present or absent behind the occluder. The control conditions started with a ball rolled behind the occluder on a table ended up with two different ways as the ball was either present or absent behind the occluder. There was no agent in the control movies. Results We found that healthy subjects activated significantly stronger the left lingual gyrus as well as the right temporoparietal junction. Conclusions Our findings suggest deficits in implicit ToM in schizophrenia and our findings also might help to clarify the underlying neural substrates of implicit ToM. Disclosure This research project was supported by the KTIA-13-NAP-A-II/12 (2018–2022) and the Hungarian National Excellence Centrum Grant 2018–2019. https://www.cambridge.org/core/product/identifier/S0924933822005223/type/journal_articleschizophréniaNeuroimagingTheory of MindfMRI
spellingShingle E. Varga
T. Bugya
A. Hajnal
T. Tényi
R. Herold
The investigation of implicit Theory of Mind in patients with schizophrenia – a whole brain fMRI study
European Psychiatry
schizophrénia
Neuroimaging
Theory of Mind
fMRI
title The investigation of implicit Theory of Mind in patients with schizophrenia – a whole brain fMRI study
title_full The investigation of implicit Theory of Mind in patients with schizophrenia – a whole brain fMRI study
title_fullStr The investigation of implicit Theory of Mind in patients with schizophrenia – a whole brain fMRI study
title_full_unstemmed The investigation of implicit Theory of Mind in patients with schizophrenia – a whole brain fMRI study
title_short The investigation of implicit Theory of Mind in patients with schizophrenia – a whole brain fMRI study
title_sort investigation of implicit theory of mind in patients with schizophrenia a whole brain fmri study
topic schizophrénia
Neuroimaging
Theory of Mind
fMRI
url https://www.cambridge.org/core/product/identifier/S0924933822005223/type/journal_article
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