Theory Of Executive Function Research Articles

On the relation between theory of mind and executive functioning: A developmental cognitive neuroscience perspective.

Theory of mind (ToM) and executive functioning (EF) show marked interrelatedness across childhood, and developmental psychologists have long been interested in understanding the nature of this association. The present review addresses this issue from a cognitive neuroscience perspective by exploring three hypotheses regarding their functional overlap: (1) ToM relies on EF (EF→ToM); (2) EF relies on ToM (ToM→EF); and (3) ToM and EF are mutually related, owing to shared neural structures or networks (ToM↔EF). Drawing on evidence from normative brain development, neurodevelopmental and neurodegenerative diseases, patient lesion studies, and brain-imaging studies, we suggest that only a strict version of the ToM↔EF proposal of complete neural overlap can be confidently ruled out on the basis of existing evidence. The balance of evidence suggests that separable neurobiological mechanisms likely underlie ToM and EF, with shared mechanisms for domain-general processing that support both abilities. We highlight how future studies may empirically substantiate the nature of the ToM-EF relationship using various biobehavioral approaches.

Exploring the link between a theory of mind and executive functions in preschool children

Acquisition of the theory of mind (TOM) is a very important milestone in the development of preschool children. TOM is especially important for the development of children’s social skills. The goal of the present study was to examine the effects of age, gender and executive functions (EF) on the acquisition of TOM. The sample in this study consisted of 116 preschool children aged 36-72 months (mean age 58.8 months, SD= 9.5 months). In relation to the child’s gender, there were 56 girls (48.3%) and 60 boys (51.7%). The Sally Anne test- a task purporting to measure TOM, was used as a dependant variable and age, gender, and EF measures were used as the predictors. Logistic regression was used as a method to determine the effects of predictors on TOM. The results of this study indicated that success on the TOM test can best be predicted by the inhibitory control, followed by verbal fluency and child’s age. The gender of the child was not associated with TOM acquisition. The overall model explained between 27% and 38% of the variance in the TOM scores. Inhibitory control is the executive function that had the greatest predictive power for the results on the theory of the mind task. The findings of this study can help early interventionists in the modification of existing preschool curricula, so that they include more activities that would foster the development of the theory of mind in preschool children. Future studies should aim to find a better model of theory of mind predictors by examining the effects of other executive function constructs, such as working memory.

Children's Demonstrative Comprehension and the Role of Non-linguistic Cognitive Abilities: A Cross-Linguistic Study.

Previous studies have shown that young children often fail to comprehend demonstratives correctly when they are uttered by a speaker whose perspective is different from children's own, and instead tend to interpret them with respect to their own perspective (e.g., Webb and Abrahamson in J Child Lang 3(3):349-367, 1976); Clark and Sengul in J Child Lang 5(3):457-475, 1978). In the current study, we examined children's comprehension of demonstratives in English (this and that) and Mandarin Chinese (zhe and na) in order to test the hypothesis that children's non-adult-like demonstrative comprehension is related to their still-developing non-linguistic cognitive abilities supporting perspective-taking, including Theory of Mind and Executive Function. Testing 3 to 6-year-old children on a set of demonstrative comprehension tasks and assessments of Theory of Mind and Executive Function, our findings revealed that children's successful demonstrative comprehension is related to their development of Theory of Mind and Executive Function, for both of the language groups. These findings suggest that the development of deictic expressions like demonstratives may be related to the development of non-linguistic cognitive abilities, regardless of the language that the children are acquiring.

Television Format and Children's Executive Function.

* Abbreviation: EF — : executive function Theories regarding the impact of media on development can largely be grouped into content-based and content-independent categories.1 Content-based theories argue that the impact of media on aspects of development differs depending on content. For example, media that involve prosocial themes (eg, helping) may positively impact children’s behavior, whereas media that involve violence have the potential to negatively impact behavior. Content-independent theories argue that many of the impacts of media occur irrespective of the content children are exposed to. For example, irrespective of content, viewing media may displace other activities (eg, reading) that positively contribute to children’s intellectual development. A third theory that contains both content-based and content-independent elements is based on media form. Briefly, form-based theories argue that specific features of media may negatively impact children’s behavior. Although form-based theories are generally classified as content-independent,1 many forms commonly intersect with certain types of content. Concerns regarding form have largely focused on the pace of media (ie, the frequency of scene changes or cuts) and the impact pacing may have on aspects of executive function (EF). EF comprises a number of skills, including self-regulation, working memory, and problem solving. Empirical investigations of the potential link between pace and EF can be traced back … Address correspondence to Damian Scarf, PhD, Department of Psychology, University of Otago, PO Box 56, Dunedin 9054, New Zealand. E-mail: damian{at}psy.otago.ac.nz

Impaired theory of mind in Chinese children and adolescents with idiopathic generalized epilepsy: Association with behavioral manifestations of executive dysfunction

BackgroundEpilepsy is a common neurological disorder with a core feature of cognitive impairments. Previous studies showed that patients with focal epilepsy have deficits in both theory of mind (ToM) and executive function (EF). However, there are few studies of ToM in patients with idiopathic generalized epilepsy (IGE), especially in populations with pediatric epilepsy. The aim of this study was to examine the characteristics of ToM and EF, including some of their subcomponents, and explore the relationship between them in Chinese children with IGE. Materials and methodsWe recruited 54 children and adolescents with IGE as the experimental subjects and 37 typically developing children and adolescents as control subjects. Both groups completed ToM tests, namely, second-order false belief tasks (FBTs) and faux pas tasks (FPTs). Their caregivers completed the Behavior Rating Inventory of Executive Function (BRIEF) at the same time. ResultsChildren and adolescents with IGE displayed worse performance on some of the FBTs and FPTs than healthy controls (p<0.01). They also exhibited widespread EF deficits, comprising eight subcomponents (p<0.05). Pearson's correlation analysis revealed that several subcomponents of EF (inhibition, emotional control, initiation, working memory, and monitoring) were unequally correlated with FBT and FPT. Regression analysis showed that ToM had associations with inhibition, working memory, and duration of seizures. Analysis of variance (ANOVA) indicated that children with newly diagnosed epilepsy displayed significant deficits in FBT, FPT, and distinct subscales of EF. ConclusionsOur results revealed significant impairments in ToM and EF in children and adolescents with IGE compared with healthy controls. We found significant correlations between ToM and two subcomponents of EF (inhibition and working memory) in children with IGE. Additionally, the duration of seizures affected ToM in patients but was a less powerful predictor than the two subcomponents of EF. Even for children with new-onset seizures and without medication, the deficits in ToM and some distinct subscales of EF were apparent. This result has clinical implications for both nonpharmaceutical therapies and cognitive rehabilitation.

Cognición social y funciones cognitivas en pacientes con epilepsia tratados con acetato de eslicarbacepina

Epilepsy is accompanied by cognitive disorders, frequently aggravated by the use of antiepileptic drugs, which can affect social empathy. To analyse the impact of treatment with eslicarbazepine acetate (ESL) on social cognition and prefrontal cognitive functions in adults with focal epilepsy. We conducted a prospective single-centre study with patients aged between 18 and 65 years with focal seizures treated with ESL. The patients were evaluated in their baseline visit and at six months after starting ESL treatment by means of tasks designed for theory of mind, executive and attentional functions, auditory-verbal memory, quality of life, and anxiety and depression. Forty-one patients were treated with ESL, and 30 completed the follow-up. A significant improvement was observed in the theory of mind tasks. In the analysis stratified by sex, the men showed greater improvement. A cognitive improvement was observed in the Wisconsin Card Sorting Test, Symbol Digit, Backward Digit Span and Stroop tests. No differences were found in the Quality of Life in Epilepsy-31 Inventory or in the Hospital Anxiety and Depression Scale. These results were independent of the reduction in the number of seizures and the ESL dosage. Treatment with ESL could improve some aspects of theory of mind in patients with epilepsy, especially in men and independently of the control of seizures, with no changes in quality of life, anxiety or depression.

Associations Between Theory of Mind, Executive Function, and Friendship Quality in Middle Childhood

Despite our wealth of knowledge regarding theory of mind (ToM) development in preschool, less is known about development and the processes that support ToM into middle childhood. The current study examined potential cognitive (i.e., executive function, verbal intelligence, and nonverbal intelligence) and social (i.e., socioeconomic status, siblings, and friendship quality) correlates of ToM in middle childhood. A total of 81 children (6.9–10.0 years of age) completed two ToM tasks (interpretive ToM and faux pas), three executive function tasks (backward-digit span, delay of gratification, and a dimensional change card sort task), a friendship-quality questionnaire, and verbal and nonverbal intelligence measures. Results indicated that executive function differentially related to ToM. Inhibition (i.e., delaying gratification) was positively related to accuracy on faux pas stories, whereas cognitive flexibility (i.e., dimensional change card sort) was related to accuracy on the interpretive ToM task. Social correlates typically found in pre-school (i.e., socioeconomic status and number of siblings) were not significant in our older sample. However, friendship quality was related to ToM performance, with negative friendship quality relating to better interpretive ToM for girls. Results indicate that older children continue to develop in ToM abilities, executive function continues to relate to ToM performance, and social experiences outside the family may be important to consider in ToM tasks appropriate for middle childhood.

The connection between theory of mind and executive functions in the senior preschool age

The connection between theory of mind and executive functions in the senior preschool age

Sincere, deceitful and ironic communicative intentions: the role of Theory of Mind, executive functions and inferential processes

Sincere, deceitful and ironic communicative intentions: the role of Theory of Mind, executive functions and inferential processes

Is verbal reference impaired in autism spectrum disorder? A systematic review

Background and aims Pragmatic language is a key difficulty in autism spectrum disorder. One such pragmatic skill is verbal reference, which allows the current entity of shared interest between speakers to be identified and thus enables fluid conversation. The aim of this review was to determine the extent to which studies have found that verbal reference is impaired in autism spectrum disorder. We organise the review in terms of the methodology used and the modality (production versus comprehension) in which proficiency with verbal reference was assessed. Evidence for the potential cognitive underpinnings of these skills is also reviewed. Main contribution and methods To our knowledge, this is the first systematic review of verbal reference in autism spectrum disorder. PsychINFO and Web of Science were systematically screened using the combination of search terms outlined in this paper. Twenty-four studies met our inclusion criteria. Twenty-two of these examined production, whereby the methodology ranged from elicited conversation through to elicited narrative, the ‘director’ task and other referential communication paradigms. Three studies examined reference interpretation. (One study investigated both production and appropriacy judgement). Four studies examined the relationship between appropriate usage of verbal reference and formal language (lexico-syntactic ability). Two studies investigated whether reference production related to Theory of Mind or Executive Functioning. Conclusion and implications Across a range of elicited production tasks, the predominant finding was that children and adults with autism spectrum disorder demonstrate a deficit in the production of appropriate verbal reference in comparison not only to typically developing groups, but also to groups with Developmental Language Disorder or Down syndrome. In contrast, the studies of reference interpretation which compared performance to typical control groups all found no between-group differences in this regard. To understand this cross-modality discrepancy, we need studies with the same sample of individuals, whereby the task requirements for comprehension and production are as closely matched as possible. The field also requires the development of experimental manipulations which allow us to pinpoint precisely if and how each comprehension and/or production task requires mentalising and/or various components of executive functioning. Only through such detailed and controlled experimental work would it be possible to determine the precise location of impairments in verbal reference in autism spectrum disorder. A better understanding of this would contribute to the development of interventions.

Pragmatic Ability Deficit in Schizophrenia and Associated Theory of Mind and Executive Function.

Deficits in pragmatic abilities have frequently been observed in patients with schizophrenia. The objective of the study was to investigate the relationship between pragmatic deficits, ToM deficits and executive dysfunctions in schizophrenia. A group of 42 schizophrenic patients and 42 healthy controls were assessed on irony task (one type of pragmatic language), two subcomponents of ToM (cognitive and affective), and three subcomponents of EF (inhibition, updating, and switching). The clinical symptoms in schizophrenia were assessed using the positive and negative symptoms of schizophrenia. The schizophrenia group exhibited significant impairments in all above tasks compared to the control group. Correlation results found that irony scores were correlated with the two subcomponents of ToM and two of the three subcomponents of EF (inhibition and updating). The regression analysis revealed that the cognitive ToM and inhibition predicted 9.2% and 29.9% of the variance of irony comprehension in the patient group, and inhibition was the best predictor for performance on irony task. Irony understanding was related to positive symptoms, but not to negative symptoms. The results suggest that the ability to interpret pragmatic language depends on schizophrenic patients’ ability to infer mental states and the ability of inhibition. It provides empirical evidence for a particular target of inhibition for rehabilitation and intervention programs developed for schizophrenic patients.

Theory of Mind and Executive Functions are Dissociated in Multiple Sclerosis.

To investigate the relationship of executive functions (EF) and theory of mind (ToM) in multiple sclerosis (MS), clarifing whether ToM impairment in MS is related to EF dysfunction or whether they represent dissociable processes which can be independently impaired in MS. We enrolled 60 consecutive MS patients and 60 healthy controls (HC) matched on age, gender, and education level. All participants underwent ToM testing using the Eyes Test and the Videos Test and neuropsychological testing tapping different EF subdomains. A correlation analysis and a hierarchical cluster analysis were used to determine the similarity between explained variance between EF measures and ToM tests. MS patients had lower scores on both tasks of ToM compared to HC, i.e., Eyes Test (21.1 ± 5.0 vs. 29.5 ± 3.8, p < .001; Cohen's d: 1.9) and Videos Test (19.6 ± 2.4 vs. 22.9 ± 1.8, p < .001; Cohen's d: 1.6). They also performed significantly worse on different measures of EF. ToM performance was not significantly correlated with EF tests. The hierarchical cluster analysis showed that ToM measures in MS were clustered separately from the EF measures, revealing three executive clusters (Attention/working memory cluster; Inhibitory control/shifting ability cluster; Verbal Initiative/Abstract reasoning cluster) and one ToM cluster. This study suggests a dissociation of EF and ToM in MS, meaning that the MS-related neurobehavioral symptoms may be associated with a significant impairment in ToM independent of the level of EF performance. Ultimately, this discrimination of ToM deficits in MS may help to identify the appropriate cognitive and behavioral interventions.

Not just a sum of its parts: How tasks of the theory of mind scale relate to executive function across time

There is a well-established relationship between theory of mind (ToM) and executive function (EF) during the preschool years. However, less is known about the concurrent and longitudinal relations between EF and specific tasks tapping different aspects of ToM. The current study investigated the ToM-EF relationship across 1 year in 3- to 5-year-old Turkish children using the ToM battery of Wellman and Liu (2004), which measures understanding of diverse desires (DD), diverse beliefs (DB), knowledge access (KA), contents false belief (CFB), explicit false belief (EFB), and hidden emotion (HE). This battery has not yet been used in its entirety to test the predictive relations between ToM and EF. We used peg-tapping and day–night tasks to measure EF. Our sample comprised 150 Turkish preschool children (69 girls) aged 36–60 months at Time 1 (T1) and 49–73 months at Time 2 (T2). Using the ToM composite with all six tasks, when child’s age, receptive language, and T1 ability level (EF or ToM) were controlled, T1 EF significantly predicted T2 ToM, whereas T1 ToM did not predict T2 EF. Among DD, DB, KA, false belief understanding (FBU: the composite score of CFB and EFB), and HE, only KA and FBU were significantly associated with EF at T1 and T2. Further regression analyses showed that KA did not have a predictive relationship with EF. Instead, FBU drove the predictive EF–ToM relationship across time. Thus, in Turkish children, earlier EF predicts later ToM, but especially the FBU component, in this well-validated battery.

Contribution of Theory of Mind, Executive Functioning, and Pragmatics to Socialization Behaviors of Children with High-Functioning Autism.

Social difficulties are a key aspect of autism, but the intervening factors are still poorly understood. This study had two objectives: to compare the profile of ToM skills, executive functioning (EF), and pragmatic competence (PC) of children with high-functioning autism (HFA) and children with typical development (TD), and analyze their mediator role in social functioning. The participants were 52 children with HFA and 37 children with TD matched on age, intelligence quotient, and expressive vocabulary. Significant differences were found on measures of ToM, both explicit and applied, EF, and PC between children with HFA and TD. Multiple mediation analysis revealed that applied ToM skills and PC mediated the relations between autism symptoms and social functioning. Implications for social cognitive interventions to address these findings are discussed.

The association between theory of mind, executive function, and the symptoms of autism spectrum disorder.

The behaviours that are common to autism spectrum disorder (ASD) have been linked to differences in thinking ability. We assessed autistic adolescents and found that social communication difficulties and the presence of restricted and repetitive behaviours related to difficulties in understanding other peoples' minds (theory of mind). In contrast, these behaviours were not associated with the general thinking abilities involved in planning and executing tasks (executive function).

Prosocial behavior in childhood: Theory of mind and executive functions as bases for teaching behavior

Prosocial behavior in childhood: Theory of mind and executive functions as bases for teaching behavior

Young children's self‐benefiting lies and their relation to executive functioning and theory of mind

AbstractIt is well established that children lie in different social contexts for various purposes from the age of 2 years. Surprisingly, little is known about whether very young children will spontaneously lie for personal gain, how self‐benefiting lies emerge, and what cognitive factors affect the emergence of self‐benefiting lies. To bridge this gap in the literature, we situated children between 2 and 4 years of age in a zero‐sum game where children must lie to their opponent if they wanted to win a desirable reward. We found that the majority of young children did not lie even when they experienced personal losses repeatedly. However, some children spontaneously lied during the game; as the game progressed, more children lied. Further, we found that children's theory of mind understanding and executive functioning in terms of a combination of inhibitory control and cognitive flexibility had significant positive and unique correlations with how frequently children lied for personal gain. The present results taken together with the existing findings regarding children's lies for self‐protection and politeness purposes suggest that the act of lying begins early in life. Further, its emergence and development are influenced by children's specific cognitive abilities in the domains of theory of mind understanding and executive functioning.Highlights The study investigated whether very young children will spontaneously lie for personal gain. This study used a zero‐sum game to elicit children's self‐benefiting lies. Results showed the majority of young children did not lie, and it is related to children's theory of mind understanding and executive functioning. The act of lying begins early in life, and its emergence and development are influenced by children's specific cognitive abilities in the domains of theory of mind understanding and executive functioning.

Relations between theory of mind and executive function in middle childhood: A short-term longitudinal study

Studies with preschool children have shown significant links between children’s executive function (EF) and theory of mind (ToM), but few studies have examined these associations in primary school children. To address this gap, we designed a three-wave cross-lagged longitudinal study in which we followed a group of 113 children (61 boys) across three time points from age 9.5–10.5years (mean age at Time 1=112.3months, SD=4.18; mean age at Time 2=118.3months, SD=4.15; mean age at Time 3=124.7months, SD=4.06). At each time point, we measured EF (working memory and inhibitory control), ToM, and language. Our analyses showed (a) moderate rank-order stability of individual differences in both EF and ToM and (b) growth in ToM task performance across time. Cross-lagged longitudinal analyses revealed an asymmetric developmental relation between ToM and working memory. Early working memory predicted later ToM but not vice versa. Our results suggest a specific role for working memory in the ongoing development of ToM in middle childhood.

Functional connectivity within and between intrinsic brain networks correlates with trait mind wandering.

Individual differences across a variety of cognitive processes are functionally associated with individual differences in intrinsic networks such as the default mode network (DMN). The extent to which these networks correlate or anticorrelate has been associated with performance in a variety of circumstances. Despite the established role of the DMN in mind wandering processes, little research has investigated how large-scale brain networks at rest relate to mind wandering tendencies outside the laboratory. Here we examine the extent to which the DMN, along with the dorsal attention network (DAN) and frontoparietal control network (FPCN) correlate with the tendency to mind wander in daily life. Participants completed the Mind Wandering Questionnaire and a 5-min resting state fMRI scan. In addition, participants completed measures of executive function, fluid intelligence, and creativity. We observed significant positive correlations between trait mind wandering and 1) increased DMN connectivity at rest and 2) increased connectivity between the DMN and FPCN at rest. Lastly, we found significant positive correlations between trait mind wandering and fluid intelligence (Ravens) and creativity (Remote Associates Task). We interpret these findings within the context of current theories of mind wandering and executive function and discuss the possibility that certain instances of mind wandering may not be inherently harmful. Due to the controversial nature of global signal regression (GSReg) in functional connectivity analyses, we performed our analyses with and without GSReg and contrast the results from each set of analyses.

A Multi-Method Investigation of Pragmatic Development in Individuals With Down Syndrome.

This longitudinal study examined pragmatic language in boys and girls with Down syndrome (DS) at up to three time points, using parent report, standardized and direct assessments. We also explored relationships among theory of mind, executive function, nonverbal mental age, receptive and expressive vocabulary, grammatical complexity, and pragmatic competence. Controlling for cognitive and language abilities, children with DS demonstrated greater difficulty than younger typically developing controls on parent report and standardized assessments, but only girls with DS differed on direct assessments. Further, pragmatic skills of individuals with DS developed at a delayed rate relative to controls. Some sex-specific patterns of pragmatic impairments emerged. Theory of mind and executive function both correlated with pragmatic competence. Clinical and theoretical implications are discussed.