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An Investigation of the Validity of the Edinburgh Social Cognition Test (ESCoT) in Acquired Brain Injury (ABI)

Published online by Cambridge University Press:  19 October 2021

Blanca Poveda Open the ORCID record for Blanca Poveda [Opens in a new window] ,
Sharon Abrahams ,
R. Asaad Baksh ,
Sarah E. MacPherson Open the ORCID record for Sarah E. MacPherson [Opens in a new window]  and
Jonathan J. Evans
Blanca Poveda*
Affiliation:
Department of Clinical Neurosciences, NHS Lothian, Edinburgh, UK
Sharon Abrahams
Affiliation:
Department of Psychology, School of Philosophy, Psychology and Language Sciences, University of Edinburgh, Edinburgh, UK
R. Asaad Baksh
Affiliation:
Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology, and Neuroscience, King’s College London, London, UK The London Down Syndrome (LonDownS) Consortium, London, United Kingdom
Sarah E. MacPherson
Affiliation:
Department of Psychology, School of Philosophy, Psychology and Language Sciences, University of Edinburgh, Edinburgh, UK
Jonathan J. Evans
Affiliation:
Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
*
*Correspondence and reprint requests to: Blanca Poveda, Department of Clinical Neurosciences (DCN), NHS Lothian, Royal Infirmary of Edinburgh, Edinburgh, EH16 4TJ, UK. E-mail blanca.poveda@nhslothian.scot.nhs.uk
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Abstract

Objectives:

Social cognition is frequently impaired following an acquired brain injury (ABI) but often overlooked in clinical assessments. There are few validated and appropriate measures of social cognitive abilities for ABI patients. The current study examined the validity of the Edinburgh Social Cognition Test (ESCoT, Baksh et al., 2018) in measuring social cognition following an ABI.

Methods:

Forty-one patients with ABI were recruited from a rehabilitation service and completed measures of general ability, executive functions and social cognition (Faux Pas; FP, Reading the Mind in the Eyes; RME, Social Norms Questionnaire; SNQ and the ESCoT). Forty-one controls matched on age, sex and years of education also performed the RME, SNQ and ESCoT.

Results:

A diagnosis of ABI was significantly associated with poorer performance on all ESCoT measures and RME while adjusting for age, sex and years of education. In ABI patients, the ESCoT showed good internal consistency with its subcomponents and performance correlated with the other measures of social cognition demonstrating convergent validity. Better Trail Making Test performance predicted better ESCoT total, RME and SNQ scores. Higher TOPF IQ was associated with higher RME scores, while higher WAIS-IV working memory predicted better FP performance.

Conclusions:

The ESCoT is a brief, valid and internally consistent assessment tool able to detect social cognition deficits in neurological patients. Given the prevalence of social cognition deficits in ABI and the marked impact these can have on an individual’s recovery, this assessment can be a helpful addition to a comprehensive neuropsychological assessment.

Keywords

Acquired brain injurySocial cognitionTheory of mindSocial norm understandingExecutive functionAssessment
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 28 , Issue 10 , November 2022 , pp. 1016 - 1028
Copyright
Copyright © INS. Published by Cambridge University Press, 2021

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References

REFERENCES

Ahmed, F.S. & Miller, L.S. (2011). Executive function mechanisms of theory of mind Journal of Autism and Developmental Disorders, 41, 667–678.CrossRefGoogle ScholarPubMed
Altman, D.G. (1991). Practical Statistics for Medical Research. London: Chapman and Hall.Google Scholar
Apperly, I.A., Samson, D., & Humphreys, G.W. (2005). Domain specificity and theory of mind: evaluating neuropsychological evidence. Trends in Cognitive Sciences, 9, 572–577.CrossRefGoogle ScholarPubMed
Baez, S., Herrera, E., Villarin, L., Theil, D., Gonzalez-Gadea, M. L., Gomez, P., … Ibanez, A.M. (2013). Contextual social cognition impairments in Schizophrenia and Bipolar Disorder. PLoS One, 8, e57664.CrossRefGoogle ScholarPubMed
Baez, S., Rattazzi, A., Gonzalez-Gadea, M.L., Torralva, T., Vigliecca, N., Decety, J., … Ibanez, I. (2012). Integrating intention and context: assessing social cognition in adults with Asperger syndrome. Frontiers in Human Neuroscience, 6, 1–21.CrossRefGoogle ScholarPubMed
Baker, C.A., Peterson, E., Pulos, S., & Kirkland, R.A. (2014). Eyes and IQ: a meta-analysis of the relationship between intelligence and “Reading the Mind in the Eyes”. Intelligence, 44, 78–92.CrossRefGoogle Scholar
Baksh, A.R., Abrahams, S., Auyeung, B., & MacPherson, S.E. (2018). The Edinburgh Social Cognition Test (ESCoT): examining the effects of age on a new measure of theory of mind and social norm understanding. PLoS One, 13, e01955818.CrossRefGoogle ScholarPubMed
Baksh, A.R., Abrahams, S., Bertlich, M., Cameron, R., Jany, S., Dorrian, T., … Auyeung, B. (2020b). Social cognition in adults with autism spectrum disorders: validation of the Edinburgh Social Cognition Test (ESCoT). The Clinical Neuropsychologist, 1–19. Online ahead of print.Google Scholar
Baksh, A.R., Bugeja, T., & MacPherson, S.E. (2020a). Executive functions do not underlie performance on the Edinburgh Social Cognition Test (ESCoT) in healthy younger and older adults. Journal of the International Neuropsychological Society, 26, 527–538.CrossRefGoogle Scholar
Baron-Cohen, S., Jolliffe, T., Mortimore, C., & Robertson, M. (1997). Another advanced test of theory of mind: evidence from very high functioning adults with autism or Asperger syndrome. Journal of Child Psychology and Psychiatry, 38, 813–822.CrossRefGoogle ScholarPubMed
Baron-Cohen, S., O’Riordan, M., Stone, V., Jones, R., & Plaisted, K. (1999). Recognition of faux pas by normally developing children and children with Asperger syndrome or high-functioning autism. Journal of Autism and Developmental Disorders, 29, 407–418.CrossRefGoogle ScholarPubMed
Baron-Cohen, S., Wheelwright, S., Hill, J., Raste, Y., & Plumb, I. (2001). The “Reading the Mind in the Eyes” test revised version: a study with normal adults, and adults with Asperger Syndrome or High-Functioning Autism. Journal of Child Psychology and Psychiatry, 42, 241–251.CrossRefGoogle ScholarPubMed
Beer, J.S., John, O.P., Scabini, D., & Knight, R.T. (2006). Orbitofrontal cortex and social behavior: integrating self-monitoring and emotion–cognition interactions. Journal of Cognitive Neuroscience, 18, 871–879.CrossRefGoogle ScholarPubMed
Bibby, H. & McDonald, S. (2005). Theory of mind after traumatic brain injury. Neuropsychologia, 43, 99–114.CrossRefGoogle ScholarPubMed
Bird, C.M., Castelli, F., Malik, O., Frith, U., & Husain, M. (2004). The impact of extensive medial frontal lobe damage on ‘Theory of Mind’ and cognition. Brain, 127, 914–928.CrossRefGoogle ScholarPubMed
Bora, E., Vahip, S., Gonoul, A.S., Akdeniz, F., Alkan, M., … Eryavuz, A. (2005). Evidence for theory of mind deficits in euthymic patients with bipolar disorder. Acta Psychiatrica Scandinavica, 112, 110–116.CrossRefGoogle ScholarPubMed
Bowers, D., Blonder, L.X., & Heilman, K.M. (1999). Florida Affect Battery: Centre for Neuropsychological Studies, Cognitive Neuroscience Laboratory. Gainesville, FL: Centre for Neuropsychological Studies, University of Florida.Google Scholar
Bursac, Z., Gauss, C.H., Williams, D.K., & Hosmer, D.W. (2008). Purposeful selection of variables in logistic regression. Source Code for Biology and Medicine, 3, 17.CrossRefGoogle ScholarPubMed
Chan, E., MacPherson, S.E., Robinson, G., Turner, M., Lecce, F., Shallice, T., & Cipolotti, L. (2015). Limitations of the trail making test part-B in assessing frontal executive dysfunction. Journal of International Neuropsychology Society, 21, 169–174.CrossRefGoogle ScholarPubMed
Channon, S. & Crawford, S. (2000). The effects of anterior lesions on performance on a story comprehension test: Left anterior impairment on a theory of mind-type task. Neuropsychologia, 38, 1006–1017.CrossRefGoogle ScholarPubMed
Charlton, R.A., Barrick, T.R., Markus, H.S., & Morris, R.G. (2009). Theory of mind associations with other cognitive functions and brain imaging in normal aging. Psychology and Aging, 24, 338–348.CrossRefGoogle ScholarPubMed
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.CrossRefGoogle ScholarPubMed
Costanzo, M. & Archer, B. (1994). The Interpersonal Perception Task 15 (IPT–15): A Guide for Researchers and Teachers. Berkeley: University of California Center for Media and Independent Learning.Google Scholar
Crawford, J.R., Henry, J.D., Crombie, C., & Taylor, E.P. (2001). Normative data for the HADS from a large non-clinical sample. British Journal of Clinical Psychology, 40, 429–434.CrossRefGoogle ScholarPubMed
Delis, D.C., Kaplan, E., & Kramer, J.H. (2001). Delis-Kaplan Executive Function System: Technical Manual. San Antonio, TX: Harcourt Assessment Company.Google Scholar
Duval, C., Piolino, P., Bejanin, A., Eustache, F., & Desgranges, B. (2011). Age effects on different components of theory of mind. Consciousness and Cognition, 20, 627–642.CrossRefGoogle ScholarPubMed
Gregory, C., Lough, S., Stone, V.E., Erzinclioglu, S., Martin, L., Baron-Cohen, S., & Hodges, J. R. (2002). Theory of mind in patients with frontal variant frontotemporal dementia and Alzheimer’s disease: theoretical and practical implications. Brain, 125, 752–764.CrossRefGoogle ScholarPubMed
Halberstadt, J., Ruffman, T., Murray, J., Taumoepeau, M., & Ryan, M. (2011). Emotion perception explains age-related differences in the perception of social gaffes. Psychology and Aging, 26, 133–136.CrossRefGoogle ScholarPubMed
Happé, F.G. (1994). An advanced test of theory of mind: understanding of story characters’ thoughts and feelings by able autistic; mentally handicapped, and normal children and adults. Journal of Autism and Developmental Disorders, 24, 129–154.CrossRefGoogle ScholarPubMed
Henry, J.D., Cowan, D.G., Lee, T., & Sachdev, P. (2015). Recent trends in testing social cognition. Current Opinion in Psychiatry, 28, 133–140.CrossRefGoogle ScholarPubMed
Henry, J.D., Phillips, L.H., Crawford, J.R., Ietswaart, M., & Summers, F. (2006). Theory of mind following traumatic brain injury: the role of emotion recognition and executive dysfunction. Neuropsychologia, 44, 1623–1628.CrossRefGoogle ScholarPubMed
Henry, J.D., Phillips, L.H., Ruffman, T., & Bailey, P.E. (2013). A meta-analytic review of age differences in theory of mind. Psychology and Aging, 28, 826–839.CrossRefGoogle ScholarPubMed
Holdnack, J.A. & Whipple Drozdick, L. (2009). Advanced clinical solutions for WAIS-IV and WMS-IV: Clinical and Interpretive Manual. San Antonio, TX: Pearson.Google Scholar
Jacobson, S.C., Blanchard, M., Connolly, C.C., Cannon, M., & Garavan, H. (2011). An fMRI investigation of a novel analogue to the trail-making test. Brain and Cognition, 77, 60–70.CrossRefGoogle Scholar
Kelly, M., McDonald, S., & Frith, M.H. (2017). A survey of clinicians working in brain injury rehabilitation: Are social cognition impairments on the radar? Journal of Head Trauma Rehabilitation, 32, E55–E65.CrossRefGoogle Scholar
Kline, P. (1999). The Handbook of Psychological Testing (2nd ed.). London: Routledge.Google Scholar
Lee, P.H. (2014). Should we adjust for a confounder if empirical and theoretical criteria yield contradictory results? A simulation study. Scientific Reports, 4, 6085.CrossRefGoogle ScholarPubMed
Levin, H.S. (1995). Neurobehavioral outcome of closed head injury: implications for clinical trials. Journal of Neurotrauma, 12, 601–610.CrossRefGoogle ScholarPubMed
Li, X., Wang, K., Wang, F., Tao, Q., Xie, Y., & Cheng, Q. (2012). Aging of theory of mind: the influence of educational level and cognitive processing. International Journal of Psychology, 48, 715–727.CrossRefGoogle ScholarPubMed
Lough, S., Gregory, C., & Hodges, J. R. (2001). Dissociation of social cognition and executive function in frontal variant frontotemporal dementia. Neurocase, 7, 123–130.CrossRefGoogle ScholarPubMed
MacPherson, S.E., Della Sala, S., Cox, S.R., Girardi, A. & Iveson, M.H. (2015). Handbook of Frontal Lobe Assessment. Oxford: Oxford University Press.CrossRefGoogle Scholar
Martín-Rodríguez, J. F., & León-Carrión, J. (2010). Theory of mind deficits in patients with acquired brain injury: a quantitative review. Neuropsychologia, 48, 1181–1191.CrossRefGoogle ScholarPubMed
Martory, M. D., Pegna, A. J., Sheybani, L., Métral, M., Benasconi, P. & Annoni, J. M. (2015). Assessment of social cognition and theory of mind: Initial validation of the Geneva Social Cognition Scale. European Neurology, 74, 288–295.CrossRefGoogle ScholarPubMed
McDonald, S. (2013). Impairments in social cognition following severe traumatic brain injury. Journal of the International Neuropsychological Society, 19(3), 231–246.CrossRefGoogle ScholarPubMed
McDonald, S., Bornhofen, C., Shum, D., Long, E., Saunders, C., & Neulinger, K. (2006). Reliability and validity of The Awareness of Social Inference Test (TASIT): A clinical test of social perception. Disability and Rehabilitation, 28, 1529–1542.CrossRefGoogle ScholarPubMed
McDonald, S., Flanagan, S., & Rollins, J. (2011). The Awareness of Social Inference Test (Revised). Pearson Assessment.Google Scholar
McDonald, S., Flanagan, S., Rollins, J., & Kinch, J. (2003). TASIT: A new clinical tool for assessing social perception after traumatic brain injury. Journal of Head Trauma Rehabilitation, 18, 219–238.CrossRefGoogle ScholarPubMed
McKay, C., Casey, J.E., Wertheimer, J., & Fichtenberg, N.L. (2007) Reliability and validity of the RBANS in a traumatic brain injured sample. Archives of Clinical Neuropsychology, 22, 91–98.CrossRefGoogle Scholar
Milders, M., Fuchs, S., & Crawford, J.R. (2003). Neuropsychological impairments and changes in emotional and social behaviour following severe traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 25, 157–172.CrossRefGoogle ScholarPubMed
Milders, M.V., Ietswaart, M., Crawford, J.R., & Currie, D. (2006). Impairments in theory of mind shortly after traumatic brain injury and at 1 year follow-up. Neuropsychology, 20, 400–408.CrossRefGoogle ScholarPubMed
Morton, M. & Wehman, P. (1995). Psychosocial and emotional sequelae of individuals with traumatic brain injury: A literature review and recommendations. Brain Injury, 9, 81–92.CrossRefGoogle ScholarPubMed
Office for National Statistics (2010). Standard Occupational Classification: Volume 1 Structure and Description of Unit Groups. SOC-2010. United Kingdom.Google Scholar
Olderbak, S., Wilhelm, P., Olaru, G., Geiger, M., Brenneman, M.W., & Roberts, R.D. (2015). A psychometric analysis of the reading the mind in the eyes test: toward a brief form for research and applied settings. Frontiers in Psychology, 6, 1–14.CrossRefGoogle Scholar
Ownsworth, T. & McKenna, K. (2004). Investigation of factors related to employment outcome following traumatic brain injury: a critical review and conceptual model. Disability and Rehabilitation, 26, 765–784.CrossRefGoogle ScholarPubMed
Ozonoff, S. & McEvoy, R.E. (1994). A longitudinal study of executive function and theory of mind development in autism. Development and Psychopathology, 6, 415–431.CrossRefGoogle Scholar
Pachet, A.K. (2007). Construct validity of the Repeatable Battery of Neuropsychological Status (RBANS) with acquired brain injury patients. The Clinical Neuropsychologist, 21, 286–293.CrossRefGoogle ScholarPubMed
Randolph, C. (2009). RBANS Update: Repeatable Battery for the Assessment of Neuropsychological Status: Manual. Bloomington, MN: Pearson.Google Scholar
Rankin, K.P. (2008). Social Norms Questionnaire NINDS Domain Specific Tasks of Executive Function (unpublished).Google Scholar
Sabbagh, M.A., Xu, F., Carlson, S.M., Moses, L.H., & Lee, K. (2006). The development of executive functioning and theory of mind: A comparison of Chinese and U.S. pre-schoolers. Psychological Science, 17, 74–81.CrossRefGoogle Scholar
Shamay-Tsoory, S.G. & Aharon-Peretz, J. (2007). Dissociable prefrontal networks for cognitive and affective theory of mind: a lesion study. Neuropsychologia, 45, 3054–3067.CrossRefGoogle ScholarPubMed
Shamay-Tsoory, S.G., Tibi-Elhanany, Y., & Aharon-Peretz, J. (2006). The ventromedial prefrontal cortex is involved in understanding affective but not cognitive theory of mind stories. Social Neuroscience, 1, 149–166.CrossRefGoogle Scholar
Shamay-Tsoory, S.G., Tomer, R., Berger, B., & Aharon-Peretz, J. (2003). Characterization of empathy deficits following prefrontal brain damage: the role of the right ventromedial prefrontal cortex. Journal of Cognitive Neuroscience, 15, 324–337.CrossRefGoogle ScholarPubMed
Sohlberg, M.M., MacDonald, S., Byom, L., Iwashita, H., Lemoncello, R., Meulenbroek, P., Ness, B. & O’Neil-Pirozzi, T.M. (2019) Social communication following traumatic brain injury part I: State-of-the-art review of assessment tools. International Journal of Speech and Language Pathology, 21, 115–127.CrossRefGoogle ScholarPubMed
Spreng, R.N., McKinnon, M.C., Mar, R.A., & Levine, B. (2009). The Toronto empathy questionnaire: scale development and initial validation of a factor-analytic solution to multiple empathy measures. Journal of Personality Assessment, 91, 62–71.CrossRefGoogle ScholarPubMed
Stone, V.E., Baron-Cohen, S., & Knight, R.T. (1998). Frontal lobe contributions to theory of mind. Journal of Cognitive Neuroscience, 10, 640–656.CrossRefGoogle ScholarPubMed
Vellante, M., Baron-Cohen, S., Melis, M., Marrone, M., Petretto, D. R., Masala, C., & Preti, A. (2013). The ‘Reading the Mind in the Eyes Test’: systematic review of psychometric properties and a validation study in Italy. Cognitive Neuropsychiatry, 18, 326–354.CrossRefGoogle Scholar
Wechsler, D. (2008). Wechsler Adult Intelligence Scale (4th ed.). San Antonio, TX: The Psychological Corporation.Google Scholar
Wechsler, D. (2011). The Test of Premorbid Functioning (TOPF). San Antonio TX: The Psychological Corporation.Google Scholar
Williams, C. & Wood, R. (2010). Impairment in the recognition of emotion across different media following traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 32, 113–122.CrossRefGoogle ScholarPubMed
Young, A., Perrett, D., Calder, A., Sprengelmeyer, R., & Ekman, P. (2002). Facial Expressions of Emotion: Stimuli and Tests (FEEST). Bury St. Edmunds, England: Thames Valley Test Company.Google Scholar
Zigmond, A.S. & Snaith, R.P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.CrossRefGoogle ScholarPubMed