Affective Theory Of Mind Research Articles

Social Cognition in Patients with Amnestic Mild Cognitive Impairment and Mild Dementia of the Alzheimer Type.

Social cognition (SC) is a core criterion for neurocognitive disorders. However, findings in patients with amnestic mild cognitive impairment (aMCI) and dementia of the Alzheimer type (DAT) are inconsistent. We report assessments of emotion recognition (ER), affective and cognitive theory of mind (ToM) in young (YC) and older controls (OC) compared to aMCI and DAT. 28 aMCI, 30 DAT, 30 YC, and 29 OC received tests of SC and a comprehensive neuropsychological assessment. Analysis of covariance was used to determine group differences. Multiple regression models were applied to identify predictors for each SC task. In controls, OC performed worse in ER and both ToM tasks compared to YC except for one subtest. No significant differences were found between OC and patients concerning ER and affective ToM. In cognitive ToM, differences between OC and patients depended on content and cognitive load with significant impairment in DAT compared to OC. A cognitive composite score predicted SC in OC, but not in patients. Associations of SC with single cognitive domains were found in all groups with language and complex attention as best predictors. Not all variance of SC performance was explained by variance in cognitive domains. Lower performance on SC tasks in OC versus YC was confirmed, although not all tasks were equally affected. With progressive cognitive impairment, cognitive ToM is more impaired than ER or affective ToM. SC seems to be at least partly independent of other cognitive domains, justifying its inclusion in batteries for dementia diagnostic.

What Do We Know about Theory of Mind Impairment in Parkinson's Disease?

Theory of mind (ToM) is a social cognitive skill that involves the ability to attribute mental states to self and others (what they think (cognitive ToM) and feel (affective ToM)). We aim to provide an overview of previous knowledge of ToM in Parkinson’s disease (PD). In the last few years more attention has been paid to the study of this construct as a non-motor manifestation of PD. In advanced stages, both components of ToM (cognitive and affective) are commonly impaired, although in early PD results remain controversial. Executive dysfunction correlates with ToM deficits and other cognitive domains such as language and visuospatial function have also been related to ToM. Recent studies have demonstrated that PD patients with mild cognitive impairment show ToM deficits more frequently in comparison with cognitively normal PD patients. In addition to the heterogeneity of ToM tests administered in different studies, depression and dopaminergic medication may also be acting as confounding factors, but there are still insufficient data to support this. Neuroimaging studies conducted to understand the underlying networks of cognitive and affective ToM deficits in PD are lacking. The study of ToM deficit in PD continues to be important, as this may worsen quality of life and favor social stigma. Future studies should be considered, including assessment of the patients’ cognitive state, associated mood disorders, and the role of dopaminergic deficit.

A Cross-Cultural Study of Theory of Mind Using Strange Stories in School-Aged Children from Australia and Mainland China

ABSTRACT To date, cross-cultural studies on Theory of Mind (ToM) have predominantly focused on preschoolers. This study focuses on middle childhood, comparing two samples of mainland Chinese (n = 126) and Australian (n = 83) children aged between 5.5 and 12 years. Strange Stories, the most commonly used measure of ToM, was employed. The study aimed to examine the one- versus two-factor structure and measurement invariance of Strange Stories across two cultures; use the verified invariant model of Strange Stories to compare children’s cognitive and affective ToM across two cultures; and finally, to investigate correlates of individual differences on Strange Stories cross-culturally. Multiple-groups confirmatory factor analysis revealed the measurement invariance of a two-factor model of Strange Stories (cognitive and affective) in both groups. Chinese children performed comparably to Australian children on cognitive ToM stories, but more poorly than Australian children on affective ToM stories. There were cultural differences in the correlates of ToM. The number of older siblings was a positive predictor of cognitive ToM for Chinese children, but a negative predictor of cognitive ToM for Australian children. The findings confirm that Strange Stories is a reliable measure for evaluating ToM in school-aged children from mainland China and Australia and highlight the importance of considering both cognitive and affective aspects of ToM in cross-cultural comparison.

Executive function ratings in educational settings: concurrent relations with cognitive and affective theory of mind

ABSTRACT The present study examined the way in which behavioural difficulties in cool and hot EFs relate to measures of cognitive and affective ToM in preschoolers. A total of 144 children between 35 and 71 months were assessed with a first-order false-belief task (measuring cognitive ToM), the Test of Emotion Comprehension (measuring affective ToM) and a control task measuring productive language. Teachers filled in the preschool version of the Behavior Rating Inventory of Executive Function (BRIEF-P), a questionnaire examining children's difficulties in educational settings in five different areas tapping both cool (Working Memory, Shift, Plan/Organize) and hot EFs (Inhibition and Emotional Control). Multiple regressions showed that cognitive ToM was predicted by productive language and executive difficulties in the Working Memory subscales of the BRIEF-P, whereas affective ToM was only predicted by age and productive language. Similarities and differences with the results of previous studies are discussed.

Do cognitive reserve and executive functions matter to perform the reading the mind in the eyes test in late lifespan?

Theory of Mind (ToM) is the capacity to understand the feelings and emotional states (i.e., affective ToM) or intentions, goals, and beliefs (i.e., cognitive ToM) of others. Previous evidence on the effect of executive functions and educational attainment on affective ToM is controversial. This study was conducted to investigate: (1) the nature of the associations between affective ToM and some indexes of cognitive reserve (i.e., years of education, vocabulary) in late adulthood when age was controlled; (2) whether cognitive reserve (e.g., years of education, leisure activities, vocabulary) and age predicted affective ToM in late adulthood; (3) the associations between affective ToM and some executive functions measures in late adulthood, controlling for the effect of age; (4) whether executive functioning predicted affective ToM performance; (5) whether some executive functions (i.e., cognitive flexibility and inhibition) mediated between vocabulary score (i.e., used as an index of cognitive reserve) and affective ToM score. Fifty-six 75–93-year-old community-dwellers completed a battery of tasks to assess some executive functions and affective ToM skills (i.e., through the Reading the Mind in the Eyes Test). It was found that vocabulary, age, and participation in outdoor socio-recreational leisure activities predicted 31% of the variance in the Reading the Mind in the Eyes condition. Moreover, significant relationships were found between ToM and some executive functions, that is, cognitive flexibility and inhibition predicted 34% of the ToM score. Finally, cognitive flexibility and inhibition mediate between cognitive reserve (i.e., assessed in terms of vocabulary) and Reading the Mind in the Eyes test score.

The role of executive functions in older adults’ affective theory of mind

PurposeExecutive function (EF) has three subsystems: inhibition, updating, and shifting. Of these three, only inhibition is considered to be involved in affective theory of mind (ToM). This study investigated whether inhibition remains the sole driver for affective ToM in the three EF subsystems in older adults as well as in young people without functional reorganization via aging within EF. Materials and methodsThrough hierarchical multiple regression analysis, we examined how these three subsystems affect older participants’ performance in the Reading the Mind in the Eyes Test (RMET), a measure of affective ToM, after determining the effect of domain-specific cognitive (nonverbal and verbal) abilities. ResultsWe found that only inhibition influenced the participants’ performance in the RMET, with effects from nonverbal (fluid) ability but not from verbal ability. ConclusionsResults showed that inhibition continues to be essential for affective ToM after aging decline, and functional reorganization via aging is less likely to occur within EF.

The relationship between theory of mind and sluggish cognitive tempo in school-age children with attention deficit and hyperactivity disorder.

Sluggish cognitive tempo (SCT) is considered as a cognitive-emotional style. Theory of mind (ToM) skills form the basis of human cognition and social behavior. The aim of this study is to contribute to SCT literature by examining the relationship between SCT and cognitive and affective ToM in school-age children with attention deficit and hyperactivity disorder (ADHD). Fifty school-age children with ADHD (43 boys and seven girls) and 40 typically developing children (34 boys and six girls) were assessed using Parent-rated Barkley Child Attention Scale and Child Behavior Checklist/6-18, cognitive (first- and second-order ToM) and affective ToM (Reading Mind in the Eyes Test and Unexpected Outcomes Test (UOT)) tests. Multiple linear regression analysis was performed to determine the variables that may predict SCT levels in children with ADHD. Attention deficit and hyperactivity disorder-inattention (Exp(B) = .334, p = .027), internalization (Exp(B) = .305, p = .006), and UOT scores (Exp(B) = .933, p = .015) significantly predicted SCT severity in children with ADHD. SCT severity was significantly associated with impaired cognitive ToM skills as measured by second-order ToM (Exp(B) = 1.933, p = .045). Our findings may indicate that affective ToM developing with age, and impaired cognitive ToM skills are associated with increasing SCT severity.

Longitudinal Study of Cognitive and Emotional Alterations in Amyotrophic Lateral Sclerosis: Clinical and Imaging Data.

Objectives: Extra-motor manifestations occur in 50% of patients with amyotrophic lateral sclerosis (ALS). These mainly concern cognition, emotional processing and behavior. Depression and anxiety are less frequent. Little is known about how these manifestations change as the disease progresses. Similarly, although cortical thinning has been well-documented at disease onset, there are scant data about cortical thinning over time and how this correlates with extra-motor manifestations. The present study therefore assessed cognitive, emotional and psychological state and cortical thinning in a group of patients with ALS at baseline and after a follow-up period.Methods: We assessed executive functions, facial emotion recognition, depressive and anxious symptoms, and cortical thinning in 43 patients with ALS at baseline, comparing them with 28 healthy controls, and 21 of them 9 months later. We looked for links among the extra-motor manifestations and correlations with cortical thickness.Results: At baseline, patients had poor executive function and recognition of complex emotions from the eyes, and more anxious and depressive symptoms than controls. At follow-up, only inhibition abilities had worsened. Cortical thinning was observed in bilateral pre-central regions and other parts of the cerebral cortex at baseline. Over time, it worsened in motor and extra-motor areas. Executive functions correlated with thinning in the middle and inferior frontal gyrus and orbitofrontal cortex.Conclusions: During follow-up, there was little deterioration in extra-motor manifestations and psychological state, despite continuing cortical thinning. Patients with affective Theory of Mind (ToM) changes seemed less depressed than the others. Impaired mental flexibility was subtended by prefrontal regions with cortical thinning.

Characterization and interrelationships of theory of mind, socially competitive emotions and affective empathy in bipolar disorder.

Evidence shows impaired theory of mind (ToM) in patients with bipolar disorder (BD), yet research examining its cognitive and affective components simultaneously is sparse. Moreover, recognition of socially competitive 'fortune of others' emotions (e.g. envy/gloat) may be related to ToM, but has not been assessed in BD. Finally, if and how ToM and 'fortune of others' emotions relate to affective empathy in BD is currently unclear. This study aimed to address these points. 64 BD patients and 34 healthy controls completed the Yoni task, a visual task assessing first- and second-order cognitive and affective ToM as well as 'fortune of others' emotions. The Toronto Empathy Questionnaire was used to assess self-reported affective empathy. Patients with BD showed no deficits in cognitive and affective ToM or recognition of 'fortune of others' emotions. The ability to infer 'fortune of others' emotions correlated with several ToM measures, indicating that these functions are part of the same system. Patients with BD reported similar levels of affective empathy to healthy controls, and this was not related to ToM or 'fortune of others' emotions, suggesting that affective empathy represents a separate social domain. These findings highlight areas of spared social functioning in BD, which may be utilized in therapeutic strategies. Our results suggest theory of mind and empathy may represent areas of potentially spared cognitive functioning in BD. As many BD patients have experienced adversity during developmental periods in which theory of mind and empathy develop, our findings suggest that these abilities may be markers of resilience in the disorder. Our findings are important for the formulation of therapeutic interventions for BD, which may include considering practical ways that a patients' knowledge of intact ToM and empathy could be utilized to reduce self-stigma and promote self-efficacy, improved well-being and functioning.

Group and sex differences in social cognition in bipolar disorder, schizophrenia/schizoaffective disorder and healthy people

BackgroundImpairment of social cognition is documented in bipolar disorder (BD) and schizophrenia/schizoaffective disorder (SCH). In healthy individuals, women perform better than men in some of its sub-domains. However, in BD and SCH the results are mixed. Our aim was to compare emotion recognition, affective Theory of Mind (ToM) and first- and second-order cognitive ToM in BD, SCH and healthy subjects, and to investigate sex-related differences. Methods120 patients (BD = 60, SCH = 60) and 40 healthy subjects were recruited. Emotion recognition was assessed by the Pictures of Facial Affect (POFA) test, affective ToM by the Reading the Mind in the Eyes Test (RMET) and cognitive ToM by several false-belief stories. Group and sex differences were analyzed using parametric (POFA, RMET) and non-parametric (false-belief stories) tests. The impact of age, intelligence quotient (IQ) and clinical variables on patient performance was examined using a series of linear/logistic regressions. ResultsBoth groups of patients performed worse than healthy subjects on POFA, RMET and second-order false-belief (p < 0.001), but no differences were found between them. Instead, their deficits were related to older age and/or lower IQ (p < 0.01). Subthreshold depression was associated with a 6-fold increased risk of first-order false-belief failure (p < 0.001). Sex differences were only found in healthy subjects, with women outperforming men on POFA and RMET (p ≤ 0.012), but not on first/second-order false-belief. LimitationsThe cross-sectional design does not allow for causal inferences. ConclusionBD and SCH patients had deficits in emotion recognition, affective ToM, and second-order cognitive ToM, but their performance was comparable to each other, highlighting that the differences between them may be subtler than previously thought. First-order cognitive ToM remained intact, but subthreshold depression altered their normal functioning. Our results suggest that the advantage of healthy women in the emotional and affective aspects of social cognition would not be maintained in BD and SCH.

Cognitive Empathy in Subtypes of Antisocial Individuals.

Cognitive empathy allows individuals to recognize and infer how others think and feel in social situations and provides a foundation for the formation and maintenance of mutually constructive relationships. It may seem intuitive to assume that individuals who engage in antisocial behavior, who disregard the rights of others, might have problems with cognitive empathy. However, careful examination of the literature suggests that any dysfunction in cognitive empathy associated with antisociality varies by subtype of antisocial individual and is specific to subcomponents of cognitive empathy. In this review, we (1) briefly define subtypes of antisocial individuals (“psychopathic” vs. “antisocial-only”), (2) summarize specific components of cognitive empathy; (3) review existing literature examining cognitive empathy through questionnaires, behavioral tasks, and neuroimaging within different antisocial subtypes; and (4) discuss the limitations of the current research and potential future directions. Individuals in the psychopathic subtype fail to implicitly engage in cognitive empathy, and potentially lack insight into this issue reflected in no self-reported problems with cognitive empathy, but show an ability to engage in cognitive empathy when explicitly required. Individuals in the antisocial-only subtype appear able to engage in cognitive empathy, showing no differences on questionnaire or behavioral tasks that tap explicit cognitive empathy, but may display subtle difficulties accurately inferring (affective theory of mind) the emotions of others. We end the review by noting areas for future research, including the need to: (1) document the patterns of equifinality that exist across levels of analysis for these antisocial subtypes; (2) examine the temporality of empathy and antisociality development; (3) carefully consider and label subcomponents of cognitive empathy in research on antisocial behavior; and (4) investigate the intersection among environmental experiences, cognitive empathy, and antisocial behavior.

Theory of mind and its relationship with alexithymia and quality of life in patients with psychogenic nonepileptic seizures: Comparisons with generalised epilepsy and healthy controls

ObjectivePsychogenic nonepileptic seizures (PNES) are associated with high alexithymia, social cognition problems and low quality of life (QoL). Theory of Mind (ToM) has been studied in several conditions as a significant predictor of QoL. We aimed to assess the relationship between ToM abilities, alexithymia and subjective QoL in PNES patients and compare with generalised epilepsy (ES) patients and healthy controls. MethodPatients with PNES (n = 28), ES (n = 28) and healthy volunteers (n = 28) were evaluated for alexithymia and quality of life (QoL) with Toronto Alexithymia Scale-20 (TAS-20) and Short Form-36 (SF-36). Reading the Mind in the Eyes test was used for assessment of affective ToM and Hinting Task and Strange Stories tests for cognitive ToM abilities. ResultsAnalyses revealed lower SF-36 scores and poorer ToM performance in the PNES group compared to healthy group and poorer cognitive ToM performance than ES group. Cognitive ToM performance was inversely correlated with TAS-20 “difficulty identifying feelings” subscale and “physical functioning” subscale of SF-36 in the PNES group. ConclusionThese results are consistent with previous research on PNES and other somatoform disorders and suggest that PNES is associated with impaired ToM task performance. ToM task performance might be related to specific aspects of alexithymia and QoL.

Theory of Mind and its relation to presbycusis. A pilot study

ABSTRACT Theory of Mind (ToM) is a crucial factor in the social integration of the elderly. Nonetheless, there has been a dearth of research into the relationship between ToM and presbycusis, even though presbycusis is a very common pathology among people over 65 years of age. The aim of this study is to analyze the functioning of the two types of ToM (affective and cognitive ToM) in aging populations, as well as to examine the components of ToM connected to ironic language, all in order to determine whether people with presbycusis show a similar ToM profile to those without any hearing loss. The sample consisted of 69 participants with a mean age of 75. Of the participants, 52 had some degree of hearing loss. Some participants with hearing loss used a hearing aid. All participants were asked to complete six ToM tasks. The results show that age influences ToM scores, especially for cognitive and irony recognition tasks. This decline in ToM was greater in participants experiencing mild cognitive impairment and also among those with hearing loss. Among participants with presbycusis, those who used a hearing aid obtained better results than those who did not. Gender and sociocultural background were not found to be significant variables. The results point to a need to monitor both hearing and cognitive abilities, especially those related to ToM, and to offer specific treatment whenever possible to avoid social alienation.

Brief Report: Test-Retest Reliability of Cognitive, Affective, and Spontaneous Theory of Mind Tasks Among School-Aged Children with Autism Spectrum Disorder.

The present study evaluates the test-retest reliability of six theory of mind (ToM) tasks that measured cognitive, affective, and spontaneous ToM in 7 to 11year-old children with autism spectrum disorder. Our results revealed considerable variation in test-retest reliability depending on the type of ToM task, which ranged from poor to good with the majority of the measures exhibiting moderate reliability. Results inform which common measures of cognitive ToM should be selected versus avoided in future intervention work, suggest our measure of spontaneous ToM should be used more widely in intervention and ToM research more broadly, and indicate more work is needed to develop reliable measures of affective ToM. Implications for research and clinical practice are discussed.

The mediating effect of language on the development of cognitive and affective theory of mind

Theory of mind (ToM) development is critical to effective social functioning and appears to depend on complementary language abilities. The current study explored the mediating influence of language on the development of both cognitive and affective ToM. A total of 151 children aged 5–12 years completed ToM (cognitive and affective) and language assessments, and parents provided ratings of their children’s empathic ability. Results showed that language mediated the relationship between age and both cognitive and affective ToM but not parent-reported cognitive empathy. Examination of younger and older subgroups revealed that language mediated cognitive and affective ToM differently across developmental periods. Findings highlight the dynamic role that language plays in the development of both cognitive and affective ToM throughout early and middle childhood.

Face perception predicts affective theory of mind in autism spectrum disorder but not schizophrenia or typical development.

Autism spectrum disorder (ASD) and schizophrenia spectrum disorder (SCZ) have overlapping symptomatology related to difficulties with social cognition. Yet, few studies have directly compared social cognition in ASD, SCZ, and typical development (TD). The current study examined individual differences in face recognition and its relation to affective theory of mind (ToM) in each diagnostic group. Adults with ASD (n = 31), SCZ (n = 43), and TD (n = 47) between the ages of 18 and 48 years-old with full scale IQ above 80 participated in this study. The Reading the Mind in the Eyes Test (RMET) measured affective ToM, and the Benton Facial Recognition Test (BFRT) measured face perception. Adults with ASD and SCZ did not differ in their affective ToM abilities, and both groups showed affective ToM difficulties compared with TD. However, better face recognition ability uniquely predicted better affective ToM ability in ASD. Results suggest that affective ToM difficulties may relate to face processing in ASD but not SCZ. By clarifying the complex nature of individual differences in affective ToM and face recognition difficulties in these disorders, the present study suggests there may be divergent mechanisms underlying pathways to social dysfunction in ASD compared with SCZ. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The Relationship Between Different Aspects of Theory of Mind and Symptom Clusters in Psychotic Disorders: Deconstructing Theory of Mind Into Cognitive, Affective, and Hyper Theory of Mind.

Background: Several meta-analyses highlight pronounced problems in general Theory of Mind (ToM), the ability to infer other persons' mental states, in patients with psychosis in comparison to non-clinical controls. In addition, first studies suggest associations between Hyper-ToM, an exaggerated inference of mental states to others, and delusions. Research on different ToM subtypes (Cognitive ToM, Affective ToM, and Hyper-ToM) and symptom clusters of psychosis (positive, negative, and disorganized symptoms) have gathered conflicting findings. Thus, the present study examined group differences between patients with psychosis and non-clinical controls concerning Cognitive ToM/Affective ToM and Hyper-ToM. Further, the association between ToM subtypes and symptom clusters (positive, negative, and disorganized symptoms) were examined.Methods: Patients with psychotic disorders (n = 64, 1/3 with present delusions indicated by a minimum score of four in the PANSS P1 item) and non-clinical controls (n = 21) were examined with assessments of Cognitive ToM and Affective ToM abilities and Hyper-ToM errors using the Frith-Happé animations. Psychopathology was assessed using the Positive and Negative Syndrome Scale.Results: Patients with psychosis presented more pronounced problems in Cognitive and Affective ToM in comparison to non-clinical controls, whereas there were no group differences with regard to Hyper-ToM errors. Furthermore, deficits in Cognitive ToM were associated with general delusions, whereas problems in Affective ToM were associated with negative and disorganized symptoms. In addition, there was no association between Hyper-ToM errors and any symptoms when controlling for years of education.Conclusions: Our findings suggest that deficits in ToM subtypes might not be directly related to delusions and positive symptoms and are in line with more recently developed cognitive models of delusions. In addition, our results support the well-established finding of associations between ToM alterations and negative or disorganized symptoms. Our results shed light on the role of different dimensions of ToM in specific symptoms of psychosis.

Empathetic Concern in Emerging Adolescents: The Role of Theory of Mind and Gender Roles.

The current study examined the roles of gender, and gender-role orientation in young adolescents’ empathetic concern. In addition, this study aimed to explore the contribution of Theory of Mind in participants’ empathetic concern. Finally, this study examined whether gender and gender-role orientation were implicated in emerging adolescents’ Theory of Mind understanding. One-hundred-fifty 11- to 12-year-olds (79 self-identified females) completed questionnaires measuring their empathetic concern, Theory of Mind, and their perceived gender-role orientation. Results showed that gender-role orientation, specifically, femininity and masculinity predicted empathetic concern above and beyond gender. In addition, the effects of cognitive and affective Theory of Mind are explored and discussed in relation to empathetic concern. Finally, neither gender nor gender-role orientation was found to contribute to participants’ Theory of Mind understanding. These findings suggest that emerging adolescents’ perceived gender roles, as well as their ability to consider another’s beliefs, play a role in their expression of empathetic concern.

The role of empathy in the relationship between childhood trauma and borderline personality tendencies in male offenders

ABSTRACT Childhood trauma and empathy deficits have been found to be related to borderline personality disorder (BPD), but the mechanisms of action remain unclear. This study aims to investigate the characteristics of empathy in male offenders with BPD tendencies and to test its mediating role in the relationship between childhood trauma and BPD tendencies. Two hundred and fifty-seven male offenders and 43 male nonoffender controls completed the Childhood Trauma Questionnaire Short From (CTQ-SF), the Questionnaire of Cognitive and Affective Empathy (QCAE) and the Chinese version of the computerized Yoni Task. ANOVA, Mixed-model ANOVAs and the PROCESS macro were used to analyze the inventory data and task performances. Compared to male offenders without BPD tendencies and nonoffender controls, offenders with BPD tendencies showed more severe childhood abuse, lower cognitive empathy and poorer task performances in second-order cognitive and second-order affective theory of mind. Furthermore, cognitive empathy was found to play a mediating role in the relationship between childhood trauma and BPD tendencies. Our findings indicate the effects of childhood trauma and empathy impairments on BPD and suggest the possible application value of the precision empathy ability training in the intervention of offenders with BPD.

The functional significance of cognitive empathy and theory of mind in early and chronic schizophrenia

Theoretical models suggest that it is the interplay between social cognitive processes that result in adaptive social functioning in schizophrenia. This study explored the relative contributions of, and interplay between, cognitive empathy, affective theory of mind (ToM), neurocognition, and severity of clinical symptoms, in predicting the social functioning of individuals with schizophrenia. Clinical participants (early schizophrenia n = 26, chronic schizophrenia n = 32) were administered an ecologically valid measure of ToM (viz., the Virtual Assessment of Mentalising Ability or VAMA) and the Empathy Quotient (EQ) as part of a larger neuropsychological and social functioning assessment battery. Results indicated that individuals with early schizophrenia reported significantly better cognitive empathy than individuals with chronic schizophrenia. ToM was found to have added value in predicting both community functioning and functional capacity that was beyond that accounted for by cognitive empathy, clinical symptoms, and neurocognition for both clinical groups. Further, our results indicated that the capacity to demonstrate empathic understanding of another's situation (i.e., cognitive empathy) mediates the relationship between ToM and social functioning. Together, our findings highlight the intricate and compounding nature of social cognition constructs, and their effect on social functioning for individuals with schizophrenia.