PMID- 24371798 OWN - NLM STAT- MEDLINE DCOM- 20150519 LR - 20220330 IS - 2213-1582 (Print) IS - 2213-1582 (Electronic) IS - 2213-1582 (Linking) VI - 4 DP - 2014 TI - The neural basis of theory of mind and its relationship to social functioning and social anhedonia in individuals with schizophrenia. PG - 154-63 LID - 10.1016/j.nicl.2013.11.006 [doi] AB - Theory of mind (ToM), the ability to attribute and reason about the mental states of others, is a strong determinant of social functioning among individuals with schizophrenia. Identifying the neural bases of ToM and their relationship to social functioning may elucidate functionally relevant neurobiological targets for intervention. ToM ability may additionally account for other social phenomena that affect social functioning, such as social anhedonia (SocAnh). Given recent research in schizophrenia demonstrating improved neural functioning in response to increased use of cognitive skills, it is possible that SocAnh, which decreases one's opportunity to engage in ToM, could compromise social functioning through its deleterious effect on ToM-related neural circuitry. Here, twenty individuals with schizophrenia and 18 healthy controls underwent fMRI while performing the False-Belief Task. Aspects of social functioning were assessed using multiple methods including self-report (Interpersonal Reactivity Index, Social Adjustment Scale), clinician-ratings (Global Functioning Social Scale), and performance-based tasks (MSCEIT-Managing Emotions). SocAnh was measured with the Revised Social Anhedonia Scale. Region-of-interest and whole-brain analyses revealed reduced recruitment of medial prefrontal cortex (MPFC) for ToM in individuals with schizophrenia. Across all participants, activity in this region correlated with most social variables. Mediation analysis revealed that neural activity for ToM in MPFC accounted for the relationship between SocAnh and social functioning. These findings demonstrate that reduced recruitment of MPFC for ToM is an important neurobiological determinant of social functioning. Furthermore, SocAhn may affect social functioning through its impact on ToM-related neural circuitry. Together, these findings suggest ToM ability as an important locus for intervention. FAU - Dodell-Feder, David AU - Dodell-Feder D AD - Department of Psychology, Harvard University, Cambridge, MA 02138, USA. FAU - Tully, Laura M AU - Tully LM AD - Department of Psychology, Harvard University, Cambridge, MA 02138, USA. FAU - Lincoln, Sarah Hope AU - Lincoln SH AD - Department of Psychology, Harvard University, Cambridge, MA 02138, USA. FAU - Hooker, Christine I AU - Hooker CI AD - Department of Psychology, Harvard University, Cambridge, MA 02138, USA. LA - eng GR - R90 DA023427/DA/NIDA NIH HHS/United States GR - T90 DA022759/DA/NIDA NIH HHS/United States GR - T90DA022759/DA/NIDA NIH HHS/United States GR - R90DA023427/DA/NIDA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20131127 PL - Netherlands TA - Neuroimage Clin JT - NeuroImage. Clinical JID - 101597070 RN - S88TT14065 (Oxygen) SB - IM MH - Adult MH - Anhedonia/*physiology MH - Brain/blood supply/pathology MH - Case-Control Studies MH - Cognition Disorders/*etiology MH - Female MH - Humans MH - Image Processing, Computer-Assisted MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Oxygen/blood MH - Psychiatric Status Rating Scales MH - Schizophrenia/*complications/*pathology MH - *Schizophrenic Psychology MH - Self Report MH - *Social Perception MH - Statistics as Topic MH - Theory of Mind/*physiology MH - Young Adult PMC - PMC3871293 OTO - NOTNLM OT - Schizophrenia OT - Social anhedonia OT - Social functioning OT - Theory of mind OT - fMRI EDAT- 2013/12/29 06:00 MHDA- 2013/12/29 06:01 PMCR- 2013/11/27 CRDT- 2013/12/28 06:00 PHST- 2013/09/18 00:00 [received] PHST- 2013/11/16 00:00 [revised] PHST- 2013/11/18 00:00 [accepted] PHST- 2013/12/28 06:00 [entrez] PHST- 2013/12/29 06:00 [pubmed] PHST- 2013/12/29 06:01 [medline] PHST- 2013/11/27 00:00 [pmc-release] AID - S2213-1582(13)00154-X [pii] AID - 10.1016/j.nicl.2013.11.006 [doi] PST - epublish SO - Neuroimage Clin. 2013 Nov 27;4:154-63. doi: 10.1016/j.nicl.2013.11.006. eCollection 2014.