Abstract

Theory of mind (ToM), or the ability to infer and predict the intentions, thoughts and beliefs of others, involves cognitive perspective taking (cognitive ToM/cToM) and understanding emotions (affective ToM/aToM). While behavioral evidence indicates that ToM is influenced by sex and age, no study has examined the influence of these variables on the neural correlates of cToM and aToM in late childhood/adolescence. Using fMRI with 35 typically-developing youths (aged 9–18 years, 12 males), we investigated the influence of sex and age on the neural correlates of cToM and aToM. We also examined how callous-unemotional traits, indexing a lack of empathy, were related to brain responses during aToM. Across both conditions, we found convergent activity in ToM network regions, such as superior temporal sulcus/temporoparietal junction (TPJ) and precuneus across males and females, but males recruited the left TPJ significantly more than females during cToM. During aToM, age was negatively correlated with brain responses in frontal, temporal and posterior midline regions, while callous-unemotional traits were positively correlated with right anterior insula responses. These results provide the first evidence in youth that sex influences the neural correlates of cToM, while age and callous-unemotional traits are specifically related to brain responses during aToM.

Highlights

  • IntroductionTheory of mind (ToM), or the ability to infer and predict the intentions, thoughts and beliefs of others, involves cognitive perspective taking (cognitive ToM/cToM) and understanding emotions (affective ToM/aToM)

  • Theory of mind (ToM), or the ability to infer and predict the intentions, thoughts and beliefs of others, involves cognitive perspective taking and understanding emotions

  • The results demonstrated that relative to the physical causality (PC) control condition, ToM conditions recruited the ‘core ToM network’; whereas the dorsolateral prefrontal cortex was more involved during cognitive ToM (cToM), and ventromedial prefrontal cortex and posterior cingulate cortex (PCC) activations were only observed during affective ToM (aToM), which is consistent with previous studies on adults[11,12,13,14]

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Summary

Introduction

Theory of mind (ToM), or the ability to infer and predict the intentions, thoughts and beliefs of others, involves cognitive perspective taking (cognitive ToM/cToM) and understanding emotions (affective ToM/aToM). While behavioral evidence indicates that ToM is influenced by sex and age, no study has examined the influence of these variables on the neural correlates of cToM and aToM in late childhood/ adolescence. We examined how callous-unemotional traits, indexing a lack of empathy, were related to brain responses during aToM Across both conditions, we found convergent activity in ToM network regions, such as superior temporal sulcus/temporoparietal junction (TPJ) and precuneus across males and females, but males recruited the left TPJ significantly more than females during cToM. Adolescents showed stronger activation in the vmPFC during aToM relative to adults[6] Given these differences between adults and youths during ToM processing and the lack of research on youths, in females, the first aim of the present study was to investigate the neural substrates underpinning cToM/aToM in a sample of typically-developing female youth. To our knowledge, apart from one study[6], no other fMRI study has investigated the relationship between age (as a continuous variable) and the neural correlates of cToM and aToM in the same study

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