PMID- 34098065 OWN - NLM STAT- MEDLINE DCOM- 20211102 LR - 20211102 IS - 1095-9572 (Electronic) IS - 1053-8119 (Linking) VI - 238 DP - 2021 Sep TI - Seeing things differently: Gaze shapes neural signal during mentalizing according to emotional awareness. PG - 118223 LID - S1053-8119(21)00500-0 [pii] LID - 10.1016/j.neuroimage.2021.118223 [doi] AB - Studies on social cognition often use complex visual stimuli to asses neural processes attributed to abilities like "mentalizing" or "Theory of Mind" (ToM). During the processing of these stimuli, eye gaze, however, shapes neural signal patterns. Individual differences in neural operations on social cognition may therefore be obscured if individuals' gaze behavior differs systematically. These obstacles can be overcome by the combined analysis of neural signal and natural viewing behavior. Here, we combined functional magnetic resonance imaging (fMRI) with eye-tracking to examine effects of unconstrained gaze on neural ToM processes in healthy individuals with differing levels of emotional awareness, i.e. alexithymia. First, as previously described for emotional tasks, people with higher alexithymia levels look less at eyes in both ToM and task-free viewing contexts. Further, we find that neural ToM processes are not affected by individual differences in alexithymia per se. Instead, depending on alexithymia levels, gaze on critical stimulus aspects reversely shapes the signal in medial prefrontal cortex (MPFC) and anterior temporoparietal junction (TPJ) as distinct nodes of the ToM system. These results emphasize that natural selective attention affects fMRI patterns well beyond the visual system. Our study implies that, whenever using a task with multiple degrees of freedom in scan paths, ignoring the latter might obscure important conclusions. CI - Copyright (c) 2021. Published by Elsevier Inc. FAU - Zimmermann, Kristin Marie AU - Zimmermann KM AD - Laboratory for Multimodal Neuroimaging, Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany; Department of Neurology and Neurorehabilitation, Hospital zum Heiligen Geist, Academic Teaching Hospital of the Heinrich-Heine-University Dusseldorf, Dusseldorf, Germany; Center for Mind, Brain and Behavior (CMBB), University of Marburg and Justus Liebig University Giessen. Electronic address: kzimmerm@med.uni-marburg.de. FAU - Schmidt, Kirsten Daniela AU - Schmidt KD AD - Laboratory for Multimodal Neuroimaging, Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany. FAU - Gronow, Franziska AU - Gronow F AD - Laboratory for Multimodal Neuroimaging, Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany; Center for Mind, Brain and Behavior (CMBB), University of Marburg and Justus Liebig University Giessen. FAU - Sommer, Jens AU - Sommer J AD - Center for Mind, Brain and Behavior (CMBB), University of Marburg and Justus Liebig University Giessen; Core-Unit Brainimaging, Faculty of Medicine, University of Marburg, Marburg, Germany. FAU - Leweke, Frank AU - Leweke F AD - Clinic for Psychosomatic Medicine and Psychotherapy, Justus Liebig University Giessen, Giessen, Germany. FAU - Jansen, Andreas AU - Jansen A AD - Laboratory for Multimodal Neuroimaging, Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany; Center for Mind, Brain and Behavior (CMBB), University of Marburg and Justus Liebig University Giessen; Core-Unit Brainimaging, Faculty of Medicine, University of Marburg, Marburg, Germany. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210604 PL - United States TA - Neuroimage JT - NeuroImage JID - 9215515 SB - IM MH - Adult MH - Affective Symptoms MH - Attention/physiology MH - Brain Mapping MH - *Emotions MH - Eye-Tracking Technology MH - Female MH - Fixation, Ocular/*physiology MH - Humans MH - Individuality MH - Magnetic Resonance Imaging MH - Male MH - Mentalization/*physiology MH - Parietal Lobe/diagnostic imaging/physiology/physiopathology MH - Prefrontal Cortex/diagnostic imaging/physiology/physiopathology MH - *Social Cognition MH - Temporal Lobe/diagnostic imaging/physiology/physiopathology MH - Theory of Mind/*physiology MH - Young Adult OTO - NOTNLM OT - Alexithymia OT - Emotional awareness OT - Eye-tracking OT - Mentalizing OT - Theory of Mind OT - fMRI COIS- Declaration of Competing Interest None. EDAT- 2021/06/08 06:00 MHDA- 2021/11/03 06:00 CRDT- 2021/06/07 20:14 PHST- 2021/03/11 00:00 [received] PHST- 2021/05/26 00:00 [revised] PHST- 2021/05/29 00:00 [accepted] PHST- 2021/06/08 06:00 [pubmed] PHST- 2021/11/03 06:00 [medline] PHST- 2021/06/07 20:14 [entrez] AID - S1053-8119(21)00500-0 [pii] AID - 10.1016/j.neuroimage.2021.118223 [doi] PST - ppublish SO - Neuroimage. 2021 Sep;238:118223. doi: 10.1016/j.neuroimage.2021.118223. Epub 2021 Jun 4.