Theory of mind abilities and its relationship with clinical features in euthymic bipolar patients
Öz
Purpose: The term of ‘Theory of mind’ (ToM), is the ability to understand one’s own others’ mental states, is an important capacity for social cognition and there is increasing data that theory of mind is compromised in bipolar patients even in euthymic periods. The aim of this study was to investigate theory of mind deficits in euthymic bipolar disorder patients and its relation to the clinical features.
Materials and method:Fifty two euthymic patients with bipolar I disorder
according to DSM IV-TR and 60 matched healthy control subjects were involved
in this study. ToM was assessed by Reading the Mind in the Eyes test and the
Dokuz Eylül Theory of Mind Scale.
Results: The patient group had significantly lower performance on both of the ToM tests. We observed significant correlation between age of onset, the number of hospitalizations, the number of manic/mixed episodes and theory of mind performance.
Conclusion: The result we showed is that ToM is impaired in
euthymic bipolar I patients, which is consistent with the studies suggesting
that ToM might be a trait marker for bipolar disorder.
Anahtar Kelimeler
Kaynakça
- Brüne M, Brüne-Cohrs U. Theory of mind - evolution, ontogeny, brain mechanisms and psychopathology. Neurosci Biobehav Rev 2006; 30(4):437-455
- Baron-Cohen S, Leslie AM, Frith U. Does the autistic child have a 'theory of mind’?. Cognition 1985; 21:37-46.) 36.
- Inoue Y, Tonooka Y, Yamada K, Kanba S. Deficiency of theory of mind in patients with remitted mood disorder. J. Affect. Disord 2004; 82:403-409
- Bora E, Vahip S, Gönül AS, et al. Evidence for theory of mind deficits in euthymic patients with bipolar disorder. Acta Psychiatr Scand 2005;112(2),110-116.).
- Montag C, Ehrlich A, Neuhaus K, et al. Theory of mind impairments in euthymic bipolar patients. J Affect Disord. 2010 Jun;123(1-3):264-9.
- Kerr N, Dunbar RI, Bentall RP. Theory of mind in bipolar affective disorder. J Affect Disord 2003;73(3):253-259.
- Bora E, Bartholomeusz C, Pantelis C. Meta-analysis of Theory of Mind impairment in bipolar disorder. Psychol Med. 2016 Jan;46(2):253-64.
- McKinnon MC, Cusi AM, Macqueen GM. Impaired theory of mind performance in patients with recurrent bipolar disorder: Moderating effect of cognitive load. Psychiatry Res. 2010 May 15;177(1-2):261-2
- Barrera A1, Vázquez G, Tannenhaus L, Lolich M, Herbst L. Theory of mind and functionality in bipolar patients with symptomatic remission. Rev Psiquiatr Salud Ment. 2013 Apr-Jun;6(2):67-74.
- Bora E. Şizofreni spektrum bozukluklarında zihin kuramı. Türk Psikiyatri Dergisi 2009; 20(3):269-281
