Abstract
Theory of Mind (ToM), the process by which an individual imputes mental states to himself and others, is presently considered as a multidimensional cognitive domain, with two main facets (i.e., cognitive and affective ToM) accounting, respectively, for the ability to understand others’ intention (intention attribution-IA) and emotions (emotion attribution-EA). Despite the large amount of literature investigating the behavioural and neural bases of mentalizing abilities in neurological conditions, there is still a lack of validated neuropsychological tools specifically designed to assess such skills. Here, we report the normative data of the Story-Based Empathy Task (SET), a non-verbal test developed for the assessment of intention and emotion attribution in the neurodegenerative conditions characterized by the impairment of social–emotional abilities. It is an easy-to-administer task including 18 stimuli, sub-grouped into two experimental conditions assessing, respectively, the ability to infer others’ intentions (SET-IA) and emotions (SET-EA), compared to a control condition of causal inference (SET-CI). Normative data were collected in 136 Italian subjects pooled across subgroups homogenous for age (range 20–79 years), sex, and education (at least 5 years). The results show a detrimental effect of age and a beneficial effect of education on both the global score and each subscale, for which we provide correction grids. This new task could be a useful tool to investigate both affective and cognitive aspects of ToM in the course of disorders of socio-emotional behaviour, such as the fronto-temporal dementia spectrum.
Similar content being viewed by others
References
Premack D, Woodruff G (1978) Does the chimpanzee have a theory of mind? Behav Brain Sci 1:515–526
Frith CD, Frith U (2006) The neural basis of mentalizing. Neuron 50(4):531–534
Poletti M, Enrici I, Adenzato M (2012) Cognitive and affective theory of mind in neurodegenerative diseases: neuropsychological, neuroanatomical and neurochemical levels. Neurosci Biobehav Rev 36(9):2147–2164
Shamay-Tsoory SG, Harari H, Aharon-Peretz J, Levkovitz Y (2010) The role of the orbitofrontal cortex in affective theory of mind deficits in criminal offenders with psychopathic tendencies. Cortex 46(5):668–677
Shamay-Tsoory SG, Aharon-Peretz J, Perry D (2009) Two systems for empathy: a double dissociation between emotional and cognitive empathy in inferior frontal gyrus versus ventromedial prefrontal lesions. Brain 132(Pt 3):617–627
Sebastian CL, Fontaine NM, Bird G, Blakemore SJ, Brito SA, McCrory EJ, Viding E (2012) Neural processing associated with cognitive and affective theory of mind in adolescents and adults. Soc Cogn Affect Neurosci 7(1):53–63
Shamay-Tsoory SG, Aharon-Peretz J (2007) Dissociable prefrontal networks for cognitive and affective theory of mind: a lesion study. Neuropsychologia 45(13):3054–3067
Brune M (2005) ”Theory of mind” in schizophrenia: a review of the literature. Schizophr Bull 31(1):21–42
Bodden ME, Mollenhauer B, Trenkwalder C, Cabanel N, Eggert KM, Unger MM, Oertel WH, Kessler J, Dodel R, Kalbe E (2010) Affective and cognitive theory of mind in patients with Parkinson’s disease. Parkinsonism Relat Disord 16(7):466–470
Cerami C, Dodich A, Canessa N, Crespi C, Iannaccone S, Corbo M, Lunetta C, Consonni M, Scola E, Falini A, Cappa SF (2014) Emotional empathy in amyotrophic lateral sclerosis: a behavioural and voxel-based morphometry study. Amyotroph Lateral Scler Frontotemporal Degener 15(1–2):21–29
Wang YG, Wang YQ, Chen SL, Zhu CY, Wang K (2008) Theory of mind disability in major depression with or without psychotic symptoms: a componential view. Psychiatry Res 161(2):153–161
Bora E, Yucel M, Pantelis C (2009) Theory of mind impairment: a distinct trait-marker for schizophrenia spectrum disorders and bipolar disorder? Acta Psychiatr Scand 120(4):253–264
Sarfati Y, Hardy-Bayle MC, Besche C, Widlocher D (1997) Attribution of intentions to others in people with schizophrenia: a non-verbal exploration with comic strips. Schizophr Res 25(3):199–209
Cerami C, Dodich A, Canessa N, Crespi C, Marcone A, Cortese F, Chierchia G, Scola E, Falini A, Cappa SF (2014) Neural correlates of empathic impairment in the behavioral variant of frontotemporal dementia. Alzheimers Dement 10(6):827–834
Baron-Cohen S (1989) The autistic child’s theory of mind: a case of specific developmental delay. J Child Psychol Psychiatry 30(2):285–297
Baron-Cohen S, Wheelwright S, Hill J, Raste Y, Plumb I (2001) The “reading the mind in the eyes” test revised version: a study with normal adults, and adults with Asperger syndrome or high-functioning autism. J Child Psychol Psychiatry 42(2):241–251
Baron-Cohen S, O’Riordan M, Stone V, Jones R, Plaisted K (1999) Recognition of faux pas by normally developing children and children with Asperger syndrome or high-functioning autism. J Autism Dev Disord 29(5):407–418
Blair M, Marczinski CA, Davis-Faroque N, Kertesz A (2007) A longitudinal study of language decline in Alzheimer’s disease and frontotemporal dementia. J Int Neuropsychol Soc 13(2):237–245
Li X, Branch CA, DeLisi LE (2009) Language pathway abnormalities in schizophrenia: a review of fMRI and other imaging studies. Curr Opin Psychiatry 22(2):131–139
Serafin M, Surian L (2004) Il Test degli Occhi: uno strumento per valutare la” teoria della mente”. Giornale italiano di psicologia 31(4):839–862
Prior M, Sartori G, Marchi S (2003) Cognizione sociale e comportamento: uno strumento per la misurazione. Domenghini Editore, Padova
Brunet E, Sarfati Y, Hardy-Bayle MC, Decety J (2000) A PET investigation of the attribution of intentions with a nonverbal task. Neuroimage 11(2):157–166
Vollm BA, Taylor AN, Richardson P, Corcoran R, Stirling J, McKie S, Deakin JF, Elliott R (2006) Neuronal correlates of theory of mind and empathy: a functional magnetic resonance imaging study in a nonverbal task. Neuroimage 29(1):90–98
Realmuto S, Zummo L, Cerami C, Agrò L, Dodich A, Canessa N, Zizzo A, Fierro B, Daniele O (2015) Social cognition dysfunctions in epileptic patients: evidence from temporal lobe and idiopathic generalized epilepsy patients. Epilepsy Behav (In press)
Capitani E, Laiacona M (1997) Composite neuropsychological batteries and demographic correction: standardization based on equivalent scores, with a review of published data. The Italian Group for the Neuropsychological Study of Ageing. J Clin Exp Neuropsychol 19(6):795–809
Wilks S (1941) Determination of sample sizes for setting tolerance limits. Ann Math Stat 12(1):91–96
Bernstein DM, Thornton WL, Sommerville JA (2011) Theory of mind through the ages: older and middle-aged adults exhibit more errors than do younger adults on a continuous false belief task. Exp Aging Res 37(5):481–502
Li X, Wang K, Wang F, Tao Q, Xie Y, Cheng Q (2013) Aging of theory of mind: the influence of educational level and cognitive processing. Int J Psychol 48(4):715–727
Thakkar KN, Brugger P, Park S (2009) Exploring empathic space: correlates of perspective transformation ability and biases in spatial attention. PLoS One 4(6):e5864
Dodich A, Cerami C, Canessa N, Crespi C, Marcone A, Arpone M, Realmuto S, Cappa SF (2014) Emotion recognition from facial expressions: a normative study of the Ekman 60-Faces Test in the Italian population. Neurol Sci 35(7):1015–1021
Manfrinati A, Sarlo M, Lotto L (2013) Un nuovo set di 60 dilemmi morali: dati normativi italiani per giudizi di accettabilità morale, tempi di decisione e valutazioni emozionali. Giornale italiano di psicologia 40(1):211–230
Adenzato M, Poletti M (2013) Theory of mind abilities in neurodegenerative diseases: an update and a call to introduce mentalizing tasks in standard neuropsychological assessments Clinical. Neuropsychiatry 10:226–234
Campanella F, Shallice T, Ius T, Fabbro F, Skrap M (2014) Impact of brain tumour location on emotion and personality: a voxel-based lesion-symptom mapping study on mentalization processes. Brain 137(Pt 9):2532–2545
McDonald S, Flanagan S (2004) Social perception deficits after traumatic brain injury: interaction between emotion recognition, mentalizing ability, and social communication. Neuropsychology 18(3):572–579
Pardini M, Emberti Gialloreti L, Mascolo M, Benassi F, Abate L, Guida S, Viani E, Dal Monte O, Schintu S, Krueger F, Cocito L (2013) Isolated theory of mind deficits and risk for frontotemporal dementia: a longitudinal pilot study. J Neurol Neurosurg Psychiatry 84(7):818–821
Acknowledgments
This work has been partially supported by the MIUR grant “I meccanismi neurocognitivi alla base delle interazioni sociali” (PRIN2010XPMFW4_008), and by the Università degli Studi di Milano-Bicocca CARIPLO grant“ Dottorato ad alta Formazione in Psicologia Sperimentale, Linguistica e Neuroscienze Cognitive”. Dr. Chiara Cerami was funded by Fondazione Eli-Lilly Grant 2011.
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Dodich, A., Cerami, C., Canessa, N. et al. A novel task assessing intention and emotion attribution: Italian standardization and normative data of the Story-based Empathy Task. Neurol Sci 36, 1907–1912 (2015). https://doi.org/10.1007/s10072-015-2281-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10072-015-2281-3