White matter tract signatures of impaired social cognition in frontotemporal lobar degeneration
Open accessAbstract
Impairments of social cognition are often leading features in frontotemporal lobar degeneration (FTLD) and likely to reflect large-scale brain network disintegration. However, the neuroanatomical basis of impaired social cognition in FTLD and the role of white matter connections have not been defined. Here we assessed social cognition in a cohort of patients representing two core syndromes of FTLD, behavioural variant frontotemporal dementia (bvFTD; n = 29) and semantic variant primary progressive aphasia (svPPA; n = 15), relative to healthy older individuals (n = 37) using two components of the Awareness of Social Inference Test, canonical emotion identification and sarcasm identification. Diffusion tensor imaging (DTI) was used to derive white matter tract correlates of social cognition performance and compared with the distribution of grey matter atrophy on voxel-based morphometry. The bvFTD and svPPA groups showed comparably severe deficits for identification of canonical emotions and sarcasm, and these deficits were correlated with distributed and overlapping white matter tract alterations particularly affecting frontotemporal connections in the right cerebral hemisphere. The most robust DTI associations were identified in white matter tracts linking cognitive and evaluative processing with emotional responses: anterior thalamic radiation, fornix (emotion identification) and uncinate fasciculus (sarcasm identification). DTI associations of impaired social cognition were more consistent than corresponding grey matter associations. These findings delineate a brain network substrate for the social impairment that characterises FTLD syndromes. The findings further suggest that DTI can generate sensitive and functionally relevant indexes of white matter damage in FTLD, with potential to transcend conventional syndrome boundaries.
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Deficits in Theory of Mind in bvFTD have been reported when using dynamic stimuli, particularly for those using sarcasm.
“Deficits have also been reported when using dynamic stimuli (i.e. video vignettes, such as The Awareness of Social Inference Test, TASIT), particularly for those using sarcasm (Downey et al. , 2015).”
From Recommendations to distinguish behavioural variant frontotemporal dementia from psychiatric disorders (2020) · cites this paper as Downey et al. , 2015
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- Authors
- Downey, L. E., Mahoney, C. J., Buckley, A. H., Golden, H. L., Henley, S. M., Schmitz, N., Schott, J. M., Simpson, I. J., Ourselin, S., Fox, N. C., Crutch, S. J., & Warren, J. D.
- Affiliations
- UCL Queen Square Institute of Neurology (GB)
- Corresponding author
- Warren, Jason D.
- ORCID
- Venue
- NeuroImage: Clinical
- Publisher
- Elsevier BV
- Published
- 2015
- Volume
- 8
- Pages
- 640-651
- ISSN
- 2213-1582 (ISSN-L)
- PMC
- PMC4513187
- OpenAlex
- W835185512
- Cited by
- 94
- References
- 89
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 6 · 2023: 2 · 2022: 9 · 2021: 11 · 2020: 10 · 2019: 9 · 2018: 23 · 2017: 9 · 2016: 4 · 2015: 1
- FWCI
- 10.02
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- NeuroImage Clinical (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- UK Medical Research Council (G0801306)
- NIHR Queen Square Dementia Biomedical Research Unit (CBRC 161)
- Medical Research Council
- Alzheimer Research UK (ART-PhD2011-10)
- Wellcome Trust (091673/Z/10/Z)
- ESRC/NIHR (ES/K006711/1)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- frontotemporal lobar degeneration, social cognition, behavioral variant frontotemporal dementia, semantic dementia, white matter tracts, diffusion tensor imaging, emotion recognition, anterior thalamic radiation, fornix, uncinate fasciculus, gray matter atrophy, right hemisphere
- MeSH terms
- Aged, Atrophy, Female, Humans, Male, Middle Aged, Social Perception, Diffusion Tensor Imaging, Primary Progressive Nonfluent Aphasia, Frontotemporal Dementia, White Matter, Gray Matter
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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