Clinical assessment of social cognitive function in neurological disorders
Open accessAbstract
Social cognition broadly refers to the processing of social information in the brain that underlies abilities such as the detection of others' emotions and responding appropriately to these emotions. Social cognitive skills are critical for successful communication and, consequently, mental health and wellbeing. Disturbances of social cognition are early and salient features of many neuropsychiatric, neurodevelopmental and neurodegenerative disorders, and often occur after acute brain injury. Its assessment in the clinic is, therefore, of paramount importance. Indeed, the most recent edition of the American Psychiatric Association's Diagnostic and Statistical Manual for Mental Disorders (DSM-5) introduced social cognition as one of six core components of neurocognitive function, alongside memory and executive control. Failures of social cognition most often present as poor theory of mind, reduced affective empathy, impaired social perception or abnormal social behaviour. Standard neuropsychological assessments lack the precision and sensitivity needed to adequately inform treatment of these failures. In this Review, we present appropriate methods of assessment for each of the four domains, using an example disorder to illustrate the value of these approaches. We discuss the clinical applications of testing for social cognitive function, and finally suggest a five-step algorithm for the evaluation and treatment of impairments, providing quantitative evidence to guide the selection of social cognitive measures in clinical practice.
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A decline in social-cognitive abilities could affect an individual's evaluation of their relationships as well as the quality of their social interactions.
“A decline in social-cognitive abilities, which include detecting and responding to social cues and other people’s emotions (Henry, Von Hippel, Molenberghs, Lee, & Sachdev, 2016), could affect an individual’s evaluation of their relationships as well as the quality of their social interactions.”
From Longitudinal Associations Between Loneliness and Cognitive Ability in the Lothian Birth Cohort 1936 (2019) · cites this paper as Henry, Von Hippel, Molenberghs, Lee, & Sachdev, 2016
The paradigm might approximate some features of human emotion recognition tasks.
“Altogether, this indicates that our paradigm might approximate some features of human emotion recognition tasks [3,43].”
From Oxytocin Signaling in the Central Amygdala Modulates Emotion Discrimination in Mice (2019) · cites this paper as [3]
Human emotion recognition paradigms include the presentation of positively and negatively valenced emotions.
“Human emotion recognition paradigms include the presentation of positively and negatively valenced emotions [3].”
From Oxytocin Signaling in the Central Amygdala Modulates Emotion Discrimination in Mice (2019) · cites this paper as [3]
Emotion recognition tasks rely on the ability to discriminate basic expression of emotions in others and are the most extensively used paradigms to assess human social cognition, with direct relevance for a number of pathologies, including autism and schizophrenia.
“Emotion recognition tasks rely on the ability to discriminate basic expression of emotions in others and are the most extensively used paradigms to assess human social cognition [3,43], with direct relevance for a number of pathologies, including autism and schizophrenia [5,6].”
From Oxytocin Signaling in the Central Amygdala Modulates Emotion Discrimination in Mice (2019) · cites this paper as [3]
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- Authors
- Henry, J. D., von Hippel, W., Molenberghs, P., Lee, T., & Sachdev, P. S.
- Affiliations
- The University of Queensland (AU)
- Monash University (AU)
- UNSW Sydney (AU)
- Corresponding author
- Henry, Julie D.
- Venue
- Nature Reviews Neurology
- Published
- 2015-12-16
- Volume
- 12
- Issue
- 1
- Pages
- 28-39
- ISSN
- 1759-4758 (ISSN-L)
- 1759-4766
- OpenAlex
- W2220546658
- Semantic Scholar
- 4876295f45b42da2791202c473ef1f4720a49867
- Cited by
- 488
- References
- 119
- Citations by year
- 2026: 39 · 2025: 52 · 2024: 61 · 2023: 58 · 2022: 59 · 2021: 57 · 2020: 59 · 2019: 34 · 2018: 27 · 2017: 29 · 2016: 12
- FWCI
- 3.12
- Type
- journal article
- Language
- en
- Open access
- green
- handle.unsw.edu.au
- Licence
- cc-by-nc-nd
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Neurology (publishedVersion)
- PubMed (publishedVersion)
- UNSWorks (UNSW Sydney) (submittedVersion, cc-by-nc-nd)
- UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Keywords
- social cognition, theory of mind, affective empathy, social perception, social behavior, traumatic brain injury, Alzheimer's disease, neuropsychological assessment, neurodegenerative diseases, neurodevelopmental disorders, neuropsychiatric disorders, DSM-5, evaluation algorithm
- MeSH terms
- Social Communication Disorder, Algorithms, Alzheimer Disease, Brain, Brain Injuries, Brain Mapping, Emotions, Empathy, Humans, Interpersonal Relations, Neuropsychological Tests, Mental Recall, Schizophrenia, Schizophrenic Psychology, Social Behavior Disorders, Neurotransmitter Agents, Neurodegenerative Diseases, Neurocognitive Disorders, Diagnostic and Statistical Manual of Mental Disorders, Executive Function, Theory of Mind, Emotional Intelligence
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