Higher-order Social Cognition Research Articles

Selective and prolonged attention to emotional scenes in humans and bonobos.

Perceiving emotions in others is at the foundation of higher-order social cognition. The importance of emotions is evidenced by the fact that they receive prioritized attention at early stages of processing the environment in humans and some other primates. Nevertheless, we do not fully understand how emotion modulates attention over longer durations in primates, particularly in great apes. Bonobos, one of our closest relatives, stand out in emotion processing and regulation among great apes. This makes them an interesting comparison species and a valuable model for studying the evolution of emotion perception in hominids. We investigated how bonobos and humans spontaneously attend to emotionally valent scenes in a preferential looking task using eye-tracking. With Bayesian mixed modelling, we found that bonobos and humans generally looked longer at emotional scenes, mainly of conspecifics. Moreover, while bonobos did not have a bias toward emotional human scenes, humans sustained their attention toward bonobos playing, grooming and having sex. Furthermore, when exploring an immediate bias for emotions, humans showed a bias toward affiliative human scenes, and bonobos showed a bias away from bonobos-in-distress scenes. These findings suggest that emotions modulate attention at early and later attentional stages in bonobos, similar to humans.

Social episodic memory in severe alcohol use disorder: Positive encoding bias and negative bias in accessibility of interpersonal information.

Alterations in higher-order social cognition are well documented in individuals with severe alcohol use disorder (SAUD). However, the basic mechanisms underpinning them are not well understood. This knowledge gap hampers the development of targeted therapeutic interventions. Here, we investigated whether individuals with SAUD show abnormalities in social episodic memory processes, which may represent relevant candidate mechanisms for alterations in social cognition. Recently detoxified patients with SAUD and matched healthy controls (HCs) completed two experimental tasks. We first used a Social Recognition Task in 40 SAUD patients and 40 HCs to measure the participants' ability to implicitly memorize the facial identity and emotion of novel interpersonal cues (i.e., dynamic facial expressions of anger and happiness). We then used a Social Memory Accessibility Task in 29 SAUD patients and 30 HCs) to measure participants' access to and fluency for already existing social memories by asking them to retrieve as many specific positive and negative interpersonal events as possible within equal time limits. In the Social Recognition Task, we found that, compared to HCs, patients with SAUD had a globally lower recognition performance for the facial identities of novel social stimuli, but a preserved bias toward positive information. Conversely, in the social memory accessibility task, patients showed greater access to and fluency for negative interpersonal memories than controls (no group differences were observed for positive ones), resulting in a negative accessibility bias. This exploration of episodic social memory in individuals with SAUD showed (1) a preserved bias for the encoding of positive versus negative novel social information, and (2) greater access to negative than positive interpersonal memories. These results enhance our understanding of socio-affective processing in individuals with SAUD and identify social memory alterations that may contribute to social cognition and interpersonal difficulties.

Individual differences in gaze-cuing effect are associated with facial emotion recognition and social conformity.

Spontaneous gaze following and the concomitant joint attention enable us to share representations of the world with others, which forms a foundation of a broad range of social cognitive processes. Although this form of social orienting has long been suggested as a critical starting point for the development of social and communicative behavior, there is limited evidence directly linking it to higher-level social cognitive processes among healthy adults. Here, using a gaze-cuing paradigm, we examined whether individual differences in gaze following tendency predict higher-order social cognition and behavior among healthy adults. We found that individuals who showed greater gaze-cuing effect performed better in recognizing others' emotion and had greater tendency to conform with group opinion. These findings provide empirical evidence supporting the fundamental role of low-level socio-attentional processes in human sociality.

Prefrontal cortex is necessary for long-term social recognition memory in mice

The prefrontal cortex (PFC) plays critical roles in social cognition and emotional regulation in humans and rodents; however, its involvement in social recognition memory in mice remains unclear. Here, we examined the roles of the PFC in short-term and long-term social recognition memory, social motivation, and anxiety-related behavior in C57BL/6J male mice. Sham control and PFC-lesioned mice underwent four different behavioral tests. In the social recognition test, composed of three daily trials over 3 consecutive days, the control mice spent less time investigating the juvenile stimulus mouse both within each day and across days. By contrast, while social investigation behavior in PFC-lesioned mice decreased across the three trials within each day, it did not decrease over the 3-day testing period. These results indicate that the PFC has an important role in long-term, but not short-term, social recognition memory. The control and PFC-lesioned mice exhibited similar social motivation in the three-chamber test – both groups preferred the juvenile mouse to the empty cylinder and did not prefer the adult mouse. In addition, the PFC lesion had no impact on anxiety-related behavior or general activity in the light–dark transition test or the open field test. Our findings demonstrate that the PFC is essential for long-term social recognition memory and that it plays a critical role in higher-order social cognition.

Asymmetric Prefrontal Cortex Activation Associated with Mutual Gaze of Mothers and Children during Shared Play

Mother–child shared play provides rich opportunities for mutual symmetrical interactions that serve to foster bond formation in dyads. Mutual gaze, a symmetrical behaviour that occurs during direct eye contact between two partners, conveys important cues of social engagement, affect and attention. However, it is not known whether the prefrontal cortical areas responsible for higher-order social cognition of mothers and children likewise exhibit neural symmetry; that is, similarity in direction of neural activation in mothers and children. This study used functional Near-infrared Spectroscopy (fNIRS) hyperscanning on 22 pairs of mothers and their preschool-aged children as they engaged in a 10-min free-play session together. The play interaction was video recorded and instances of mutual gaze were coded for after the experiment. Multivariate linear regression analyses revealed that neural asymmetry occurred during mother–child mutual gaze, where mothers showed a deactivation of prefrontal activity whereas children showed an activation instead. Findings suggest that mothers and children may employ divergent prefrontal mechanisms when engaged in symmetrical behaviours such as mutual gaze. Future studies could ascertain whether the asymmetric nature of a parent–child relationship, or potential neurodevelopmental differences in social processing between adults and children, significantly contribute to this observation.

Invited Session V: GABAergic function and dysfunction in visual perception: Sensory processing in autism: Translational markers and circuit-level insights

Atypical sensory experience is estimated to occur in as many as 90% of autistic individuals and to affect every sensory modality: taste, touch, audition, olfaction and vision. Because the neural computations underlying sensory processing are relatively well understood in typically developing individuals and are conserved between humans and other animals, sensory paradigms have considerable potential for shedding light on autistic neurobiology. But are sensory traits, in fact, core phenotypic markers of autism? In this talk, I will argue that the answer is "yes". The evidence I review shows that the autistic cortex is affected by distinct, low-level changes in neural circuitry that is dedicated to perceptual processing (including primary sensory areas). Further, perceptual symptoms in individuals with autism are evident early in development, account for independent variance in diagnostic criteria of the condition, and show a persistent relationship to clinical measures of higher-order social cognition and behavior. Finally, I will present data from a recent line of work in my laboratory using behavioral, neuroimaging, and pharmacological techniques to identify a marker of autism in low-level visual processing, which has provided concrete insight into the neurobiology of autism in humans.

Effects of sensory distraction and salience priming on emotion identification in autism: an fMRI study

BackgroundSocial interaction often occurs in noisy environments with many extraneous sensory stimuli. This is especially relevant for youth with autism spectrum disorders (ASD) who commonly experience sensory over-responsivity (SOR) in addition to social challenges. However, the relationship between SOR and social difficulties is still poorly understood and thus rarely addressed in interventions. This study investigated the effect of auditory sensory distracters on neural processing of emotion identification in youth with ASD and the effects of increasing attention to social cues by priming participants with their own emotional faces.MethodsWhile undergoing functional magnetic resonance imaging (fMRI), 30 youth with ASD and 24 typically developing (TD) age-matched controls (ages 8–17 years) identified faces as happy or angry with and without simultaneously hearing aversive environmental noises. Halfway through the task, participants also viewed videos of their own emotional faces. The relationship between parent-rated auditory SOR and brain responses during the task was also examined.ResultsDespite showing comparable behavioral performance on the task, ASD and TD youth demonstrated distinct patterns of neural activity. Compared to TD, ASD youth showed greater increases in amygdala, insula, and primary sensory regions when identifying emotions with noises compared to no sounds. After viewing videos of their own emotion faces, ASD youth showed greater increases in medial prefrontal cortex activation compared to TD youth. Within ASD youth, lower SOR was associated with reduced increased activity in subcortical regions after the prime and greater increased activity in the ventromedial prefrontal cortex after the prime, particularly in trials with noises.ConclusionsThe results suggest that the sensory environment plays an important role in how ASD youth process social information. Additionally, we demonstrated that increasing attention to relevant social cues helps ASD youth engage frontal regions involved in higher-order social cognition, a mechanism that could be targeted in interventions. Importantly, the effect of the intervention may depend on individual differences in SOR, supporting the importance of pre-screening youth for sensory challenges prior to social interventions.

Fact or fiction?

Abstract Many studies have claimed to find that reading fiction leads to improvements in social cognition. But this work has left open the critical question of whether any type of narrative, fictional or nonfictional, might have similar effects. To address this question, as well as to test whether framing a narrative as fiction matters, the current studies presented participants (N = 268 in Study 1; N = 362 in Study 2) with literary fiction texts, narrative nonfiction texts, expository nonfiction texts, or no texts. We tested their theory-of-mind abilities using the picture-based Reading the Mind in the Eyes task and a text-based test of higher-order social cognition. Reading anything was associated with higher scores compared to reading nothing, but the effects of framing and text type were inconsistent. These results suggest that prior claims regarding positive effects of reading fiction on mentalizing should be seen as tenuous; other mechanisms may be driving previously published effects.

Social Robots to Test Flexibility of Human Social Cognition

As the field of social robotics has been dynamically growing and expanding over various areas of research and application, in which robots can be of assistance and companionship for humans, this paper offers a different perspective on a role that social robots can also play, namely the role of informing us about flexibility of human mechanisms of social cognition. The paper focuses on studies in which robots have been used as a new type of “stimuli” in psychological experiments to examine whether similar mechanisms of social cognition would be activated in interaction with a robot, as would be elicited in interaction with another human. Analysing studies in which a direct comparison has been made between a robot and a human agent, the paper examines whether for robot agents, the brain re-uses the same mechanisms that have been developed for interaction with other humans in terms of perception, action representation, attention and higher-order social cognition. Based on this analysis, the paper concludes that the human socio-cognitive mechanisms, in adult brains, are sufficiently flexible to be re-used for robotic agents, at least for those that have some level of resemblance to humans.

Machine Learning for Differential Diagnosis Between Clinical Conditions With Social Difficulty: Autism Spectrum Disorder, Early Psychosis, and Social Anxiety Disorder.

Differential diagnosis in adult cohorts with social difficulty is confounded by comorbid mental health conditions, common etiologies, and shared phenotypes. Identifying shared and discriminating profiles can facilitate intervention and remediation strategies. The objective of the study was to identify salient features of a composite test battery of cognitive and mood measures using a machine learning paradigm in clinical cohorts with social interaction difficulties. We recruited clinical participants who met standardized diagnostic criteria for autism spectrum disorder (ASD: n = 62), early psychosis (EP: n = 48), or social anxiety disorder (SAD: N = 83) and compared them with a neurotypical comparison group (TYP: N = 43). Using five machine-learning algorithms and repeated cross-validation, we trained and tested classification models using measures of cognitive and executive function, lower- and higher-order social cognition and mood severity. Performance metrics were the area under the curve (AUC) and Brier Scores. Sixteen features successfully differentiated between the groups. The control versus social impairment cohorts (ASD, EP, SAD) were differentiated by social cognition, visuospatial memory and mood measures. Importantly, a distinct profile cluster drawn from social cognition, visual learning, executive function and mood, distinguished the neurodevelopmental cohort (EP and ASD) from the SAD group. The mean AUC range was between 0.891 and 0.916 for social impairment versus control cohorts and, 0.729 to 0.781 for SAD vs neurodevelopmental cohorts. This is the first study that compares an extensive battery of neuropsychological and self-report measures using a machine learning protocol in clinical and neurodevelopmental cohorts characterized by social impairment. Findings are relevant for diagnostic, intervention and remediation strategies for these groups.

Dynamic Interactive Social Cognition Training in Virtual Reality (DiSCoVR) for social cognition and social functioning in people with a psychotic disorder: study protocol for a multicenter randomized controlled trial

BackgroundProblems in social functioning (e.g., unemployment, social isolation), are common in people with a psychotic disorder. Social cognition is a treatment target to improve social functioning, as it is a proximal predictor of social functioning. Social Cognition Training (SCT) improves social cognition, but may not generalize (enduringly) to social functioning, perhaps due to insufficient opportunity to practice in daily-life social situations. Using virtual reality (VR) for SCT could address this problem, as VR is customizable, accessible, and interactive. We will test the effect of a VR SCT, ‘DiSCoVR’, on social cognition and social functioning in a randomized controlled trial (RCT).MethodsIn total 100 people with a psychotic disorder and deficits in social cognition will be recruited for this multicenter randomized controlled trial (RCT). Participants will be randomized to VR SCT (DiSCoVR) or VR relaxation training (VRelax; active control). DiSCoVR is a 16-session individual SCT, consisting of three modules: 1) emotion perception (recognizing facial emotions in a virtual shopping street); 2) social perception and theory of mind (observing social interactions between virtual characters and assessing their behavior, emotions and thoughts); and 3) application of higher-order social cognition in social interaction (role-playing personalized situations in VR). People receiving VRelax complete sixteen individual sessions, in which they receive psycho-education about stress, identify personal stressors, learn relaxation techniques, and explore relaxing immersive virtual environments.Assessments will be performed at baseline, post-treatment, and 3-month follow-up. Primary outcomes are emotion perception (Ekman 60 Faces), social perception and theory of mind (The Awareness of Social Inference Test). Secondary outcomes include social functioning (Personal and Social Performance Scale), experiences and social interactions in daily life (experience sampling of emotions, social participation and subjective experience of social situations), psychiatric symptoms (e.g., depression, perceived stress, anxiety, positive and negative symptoms) and self-esteem.DiscussionTo our knowledge, this will be the first RCT testing the efficacy of VR SCT. It will also investigate generalization to daily life social situations, the durability of treatment effects, and moderators and mediators of treatment success.Trial registrationOn December 5, 2017, this trial was registered prospectively in the Dutch Trial Register as NTR6863.

The development of emotional speech prosody perception in 3- to 14-month infants: a preferential listening study

Developmental studies have shown strong evidence that socially enriched speech signal (including prosodic modifications) attracts infants’ attention and facilitates language development. While emotion understanding is evident at 9 months of age (Otte et al., 2015), the developmental trajectory of the emotional speech prosody perception is still unclear. The present study adopted a widely used preferential looking paradigm to measure 3- to 14-month-old infants’ listening preference to English words spoken in neutral, happy, angry, and sad tones. Analysis using a linear mixed model showed that infants’ preference of emotional prosody changed as a function of age. On average, the three-month olds listened longer to all emotional prosodies over the neutral one whereas older infants showed significantly diminished interests in the sad prosody, followed by the happy and angry voices. Around 12 months, infants appeared to listen to emotional prosodies equally with the exception of reduced interest in the angry prosody. These preferential listening measures were not correlated with the varying durations or fundamental frequencies of the spoken words for the different emotional categories, indicating that the development of emotional speech prosody is not purely driven by the acoustical properties but rather involves higher-order social cognition.

Endogenous oxytocin levels are associated with impaired social cognition and neurocognition in schizophrenia

Intranasal administration of the neuropeptide oxytocin (OT) has yielded inconsistent effects on social cognition and general cognition in individuals with schizophrenia (SZ). Few studies have examined whether endogenous peripheral OT levels are also associated with social and general cognition in SZ. The current study examined whether plasma OT levels are associated with performance on a higher-order social cognition measure (i.e., a task that requires inferential processes and knowledge not directly presented in social stimuli), as well as domains of general cognition. Participants included 30 individuals with SZ and 21 demographically matched healthy controls (CN). The MATRICS Consensus Cognitive Battery was administered to assess neuropsychological impairment in relation to 7 domains (processing speed, attention/vigilance, working memory, verbal learning, visual learning, reasoning/problem solving, and social cognition). Plasma OT levels were measured via radioimmunoassay. SZ had significantly lower endogenous OT levels and poorer MCCB performance on all 7 domains than CN. In CN and SZ, lower endogenous OT was associated with poorer social cognition. In SZ, lower endogenous OT was also associated with poorer processing speed and working memory. The significant association between OT and social cognition in both CN and SZ highlights the importance of endogenous OT levels as a biological predictor of social cognition, irrespective of clinical status. Significant associations between plasma OT and general neurocognition may reflect either an anxiolytic effect of plasma OT that results in better neurocognitive performance, or OT's action on dopamine and enhancement of dopamine tone that results in improved cognition.

Autism, early psychosis, and social anxiety disorder: understanding the role of social cognition and its relationship to disability in young adults with disorders characterized by social impairments

Impairments in social cognition are believed contribute to disability, particularly for disorders characterized by difficulties in social interaction. There has been little transdiagnostic investigation of this across social cognition domains in young adults. A total of 199 young adults diagnosed with autism spectrum disorder (ASD; N = 53), early psychosis (EP; N = 51), and social anxiety disorder (SAD; N = 64) were compared against neurotypical controls (NT; N = 31) on a battery of lower and higher-order and self-report social cognition measures. For both ASD and EP, participants showed impaired performance on all lower-order emotion recognition tasks and one higher-order social cognition test. Self-reports of empathy were reduced in all clinical groups and particularly in ASD. For SAD, despite showing no objective social cognition impairment, self-reported empathy was reduced to the same level as EP. Discriminant analysis revealed that self-reported empathy and lower-order emotion recognition tests provide best capacity to differentiate groups. Regressions predicting disability revealed depression as the strongest predictor across all disability measures. Empathy provided additional predictive value for social disability and social interaction anxiety. Overall, results support a similar social-cognitive development profile across ASD and EP. While self-reported empathy differentiated between groups, discrepancy between objective social cognition test performance and self-reported empathy in the SAD group suggests probable threat-related self-monitoring report biases that likely further influence all group outcomes. As depression and empathy were the most important predictors of disability, regardless of diagnostic group, research is required to explore targeted interventions for difficulties in these domains to reduce disability.

T155. SEPARABLE AND REPLICABLE NEURAL STRATEGIES DURING SOCIAL BRAIN FUNCTION IN PEOPLE WITH AND WITHOUT SEVERE MENTAL ILLNESS

BackgroundThe case-control design and disease heterogeneity may be major limiting factors impeding biomarker discovery in brain disorders, including serious mental illness such as schizophrenia spectrum disorder (SSD) or bipolar disorder (BPD). We propose that this heterogeneity represents an opportunity for discovery by uncovering relevant biologically driven sub-types within disorders. Individuals with schizophrenia spectrum disorder (SSD) have deficits in social cognition related to poor functional outcome.MethodsA total of 109 SSD and 70 matched healthy controls (HC) were recruited across three sites. Participants performed an fMRI task in which they observed or imitated emotional faces. For each participant, an individual pattern of activity (Imitate > Observe for emotional faces) was identified. Hierarchical clustering (Ward’s method) identified clusters of individuals with similar patterns of activity. We then examined whether new data-driven groups of participants (based on patterns of brain activity) demonstrated performance differences on a batter of social and neuro cognitive tests completed out of the scanner. As a validation of the importance of cluster membership, Euclidean distance was compared between participants to members of their own cluster, diagnosis, or site. The clustering analysis was repeated on a replication sample consisting of 32 SSD, 37 euthymic BPD, and 39 HC.ResultsThree clusters with distinct patterns of neural activity were found. Cluster one (24 HC and 44 SSD) represented ‘typical activators’ (lateral frontal and parietal activity). Cluster two (21 HC and 31 SSD) were identified as ‘hyper-activators’, showing more intense and extended activity. This was interpreted as a ‘compensatory’ response of over-activation related to impaired neural circuits, such as is seen in aging. Interestingly, cluster three (25 Controls and 35 SSD) showed a very atypical pattern, including suppression of activity during imitation in regions involved in the default mode network and/or higher order social cognition (e.g. theory of mind). This group also had improved social cognitive performance relative to the other clusters. Participants were found to have more similar patterns of brain activity to members of their cluster rather than to members of their diagnostic group or scanning site. Importantly, when clustering was applied to the replication sample, the same three patterns (typical activators, hyper activators, and deactivators) were identified.DiscussionIn independently collected samples, our findings demonstrate different patterns of neural activity among individuals during a socio-emotional task that were independent of DSM-diagnosis or scan site. Our findings may provide objective neuroimaging endpoints (or biomarkers) for subgroups of individuals in target engagement research aimed at enhancing cognitive performance independent of diagnostic category.

The mindedness of maternal touch: An investigation of maternal mind-mindedness and mother-infant touch interactions

Increasing evidence shows that maternal touch may promote emotion regulation in infants, however less is known about how parental higher-order social cognition abilities are translated into tactile, affect-regulatory behaviours towards their infants. During 10 min book-reading, mother-infant sessions when infants were 12 months old (N = 45), we investigated maternal mind-mindedness (MM), the social cognitive ability to understand an infant’s mental state, by coding the contingency of maternal verbal statements towards the infants’ needs and desires. We also rated spontaneous tactile interactions in terms of their emotional contingency. We found that frequent non-attuned mind-related comments were associated with touch behaviours that were not contingent with the infant’s emotions; ultimately discouraging affective tactile responses from the infant. However, comments that were more appropriate to infant’s mental states did not necessarily predict more emotionally-contingent tactile behaviours. These findings suggest that when parental high-order social cognitive abilities are compromised, they are also likely to translate into inappropriate, tactile attempts to regulate infant’s emotions.

The relative contributions of social cognition and self-reflectiveness to clinical insight in enduring schizophrenia

Poor clinical insight represents a major barrier to recovery in schizophrenia. Research suggests that higher-order social cognitive abilities such as theory of mind (TOM) and metacognition contribute to levels of clinical insight. However, few studies have examined whether social cognitive abilities other than TOM are related to clinical insight. Moreover, to date, no investigation has attempted to determine whether the contribution of metacognitive ability to clinical insight can be differentiated from the contribution of higher-order social cognition, despite their conceptual similarity. Therefore, the purpose of this study was to examine the relative contribution of different social cognitive abilities, as well as metacognition, to clinical insight in a large sample of 139 enduring schizophrenia patients, and controlling for established predictors of clinical insight. Hierarchical regression analyses were used to evaluate the portion of variance explained by 3 social cognitive abilities: emotion recognition, TOM, and affective empathy, and the metacognitive ability of self-reflectiveness. Clinical insight levels were assessed using the Schedule for the Assessment of Insight-Expanded version. Results indicated that affective empathy and self-reflectiveness are the strongest predictors of clinical insight. These results provide insights on the development of targeted interventions for improving clinical insight in this population.

Clinical trial of modulatory effects of oxytocin treatment on higher-order social cognition in autism spectrum disorder: a randomized, placebo-controlled, double-blind and crossover trial.

BackgroundAutism spectrum disorders are neurodevelopmental conditions with severe impairments in social communication and interaction. Pioneering research suggests that oxytocin can improve motivation, cognition and attention to social cues in patients with autism spectrum disorder. The aim of this clinical trial is to characterize basic mechanisms of action of acute oxytocin treatment on neural levels and to relate these to changes in different levels of socio-affective and -cognitive functioning.MethodsThis clinical study is a randomized, double-blind, cross-over, placebo-controlled, multicenter functional magnetic resonance imaging study with two arms. A sample of 102 male autism spectrum disorder patients, diagnosed with Infantile Autistic Disorder (F84.0 according to ICD-10), Asperger Syndrome (F84.5 according to ICD-10), or Atypical Autism (F84.1 according to ICD-10) will be recruited and will receive oxytocin and placebo nasal spray on two different days. Autism spectrum disorder patients will be randomized to determine who receives oxytocin on the first and who on the second visit. Healthy control participants will be recruited and case-control matched to the autism spectrum disorder patients. The primary outcome will be neural network activity, measured with functional magnetic resonance imaging while participants perform socio-affective and -cognitive tasks. Behavioral markers such as theory of mind accuracy ratings and response times will be assessed as secondary outcomes in addition to physiological measures such as skin conductance. Trait measures for alexithymia, interpersonal reactivity, and social anxiety will also be evaluated. Additionally, we will analyze the effect of oxytocin receptor gene variants and how these potentially influence the primary and secondary outcome measures. Functional magnetic resonance imaging assessments will take place at two time points which will be scheduled at least two weeks apart to ensure a sufficient wash-out time after oxytocin treatment. The study has been approved by an ethical review board and the competent authority.DiscussionRevealing the mechanisms of acute oxytocin administration, especially on the socio-affective and -cognitive domains at hand, will be a further step towards novel therapeutic interventions regarding autism.Trial registrationGerman Clinical Trial Register DRKS00010053. The trial was registered on the 8th of April 2016

Socio-Cognitive Phenotypes Differentially Modulate Large-Scale Structural Covariance Networks.

Functional neuroimaging studies have suggested the existence of 2 largely distinct social cognition networks, one for theory of mind (taking others' cognitive perspective) and another for empathy (sharing others' affective states). To address whether these networks can also be dissociated at the level of brain structure, we combined behavioral phenotyping across multiple socio-cognitive tasks with 3-Tesla MRI cortical thickness and structural covariance analysis in 270 healthy adults, recruited across 2 sites. Regional thickness mapping only provided partial support for divergent substrates, highlighting that individual differences in empathy relate to left insular-opercular thickness while no correlation between thickness and mentalizing scores was found. Conversely, structural covariance analysis showed clearly divergent network modulations by socio-cognitive and -affective phenotypes. Specifically, individual differences in theory of mind related to structural integration between temporo-parietal and dorsomedial prefrontal regions while empathy modulated the strength of dorsal anterior insula networks. Findings were robust across both recruitment sites, suggesting generalizability. At the level of structural network embedding, our study provides a double dissociation between empathy and mentalizing. Moreover, our findings suggest that structural substrates of higher-order social cognition are reflected rather in interregional networks than in the the local anatomical markup of specific regions per se.

A single dose of oxytocin nasal spray improves higher-order social cognition in schizophrenia

Schizophrenia is associated with significant impairments in both higher and lower order social cognitive performance and these impairments contribute to poor social functioning. People with schizophrenia report poor social functioning to be one of their greatest unmet treatment needs. Recent studies have suggested the potential of oxytocin as such a treatment, but mixed results render it uncertain what aspects of social cognition are improved by oxytocin and, subsequently, how oxytocin might best be applied as a therapeutic. The aim of this study was to determine whether a single dose of oxytocin improved higher-order and lower-order social cognition performance for patients with schizophrenia across a well-established battery of social cognition tests. Twenty-one male patients received both a single dose of oxytocin nasal spray (24IU) and a placebo, two weeks apart in a randomized within-subjects placebo controlled design. Following each administration, participants completed the social cognition tasks, as well as a test of general neurocognition. Results revealed that oxytocin particularly enhanced performance on higher order social cognition tasks, with no effects on general neurocognition. Results for individual tasks showed most improvement on tests measuring appreciation of indirect hints and recognition of social faux pas. These results suggest that oxytocin, if combined to enhance social cognition learning, may be beneficial when targeted at higher order social cognition domains. This study also suggests that these higher order tasks, which assess social cognitive processing in a social communication context, may provide useful markers of response to oxytocin in schizophrenia.