Cognitive theory of mind in bipolar disorder: Comparisons with healthy controls and associations with function

Raffaele Popolo; Irene Borsella; Laura Meschini; Umberto Pianella; Gabriella Zampaglione; Giancarlo Vinci; Giampaolo Salvatore; Giancarlo Dimaggio; Roberta Vecchiotti; Kelsey Huling; Paul H Lysaker

doi:10.1016/j.psychres.2020.113030

Cognitive theory of mind in bipolar disorder: Comparisons with healthy controls and associations with function

Psychiatry Res. 2020 Aug:290:113030. doi: 10.1016/j.psychres.2020.113030. Epub 2020 May 16.

Authors

Affiliations

¹ Centro di Terapia Metacognitiva Interpersonale, Piazza dei Martiri di Belfiore, 4, Rome, 00195, Italy. Electronic address: popoloraffaele@gmail.com.
² Coop. "Il Faro", Macerata, Italy.
³ Coop. "Il Camaleonte", Macerata, Italy.
⁴ Centro di Terapia Metacognitiva Interpersonale, Piazza dei Martiri di Belfiore, 4, Rome, 00195, Italy; Coop. "Il Faro", Macerata, Italy; Coop. "Il Camaleonte", Macerata, Italy; DSM ASL Roma 3, Rome, Italy; Villa S. Giuseppe Hospital, Hermanas Hospitalarias, Ascoli Piceno, Italy; Polyedra Research, Polyedra, Teramo, Italy; School of Psychological Sciences, University of Indianapolis, 1400 E. Hanna Ave., Indianapolis, IN, 46227, USA; Department of Psychiatry, Indiana University School of Medicine, 340 W. 10(th) St., Indianapolis, IN, 46202, USA; Department of Psychiatry, Richard L. Roudebush Veterans Affairs Medical Center, 1481 W. 10th St., Indianapolis, IN, 46202, USA.
⁵ DSM ASL Roma 3, Rome, Italy.
⁶ Centro di Terapia Metacognitiva Interpersonale, Piazza dei Martiri di Belfiore, 4, Rome, 00195, Italy.
⁷ Villa S. Giuseppe Hospital, Hermanas Hospitalarias, Ascoli Piceno, Italy; Polyedra Research, Polyedra, Teramo, Italy.
⁸ School of Psychological Sciences, University of Indianapolis, 1400 E. Hanna Ave., Indianapolis, IN, 46227, USA.
⁹ Department of Psychiatry, Indiana University School of Medicine, 340 W. 10(th) St., Indianapolis, IN, 46202, USA; Department of Psychiatry, Richard L. Roudebush Veterans Affairs Medical Center, 1481 W. 10th St., Indianapolis, IN, 46202, USA.

PMID: 32485485
DOI: 10.1016/j.psychres.2020.113030

Abstract

Cognitive forms of Theory of Mind (ToM) have been linked to social function in Bipolar Disorder (BD). To explore this social functioning was assessed with the GAF and cognitive ToM was assessed with the Hinting Task and the Picture Sequencing Task (PST) in 45 patients with BP and 45 healthy controls. As predicted, the BD group took longer to complete the PST. The BD group did not offer more incorrect responses to either cognitive ToM task. Greater latency on the PST predicted poorer social function after controlling for symptoms, partially supporting a relationship between ToM and social function in BD.

Keywords: Bipolar disorder; Psychosocial function; Social Cognition.

Published by Elsevier B.V.

Publication types

Comparative Study

MeSH terms

Adult
Bipolar Disorder / diagnosis*
Bipolar Disorder / psychology*
Bipolar Disorder / therapy
Cognition / physiology*
Female
Humans
Male
Middle Aged
Neuropsychological Tests
Social Adjustment*
Theory of Mind / physiology*