Brain mechanisms underlying the impact of attachment-related stress on social cognition
Open accessAbstract
Mentalizing, in particular the successful attribution of complex mental states to others, is crucial for navigating social interactions. This ability is highly influenced by external factors within one's daily life, such as stress. We investigated the impact of stress on the brain basis of mentalization in adults. Using a novel modification of the Reading the Mind in the Eyes Test (RMET-R) we compared the differential effects of two personalized stress induction procedures: a general stress induction (GSI) and an attachment-related stress induction (ASI). Participants performed the RMET-R at baseline and after each of the two inductions. Baseline results replicated and extended previous findings regarding the neural correlates of the RMET-R. Additionally, we identified brain regions associated with making complex age judgments from the same stimuli. Results after stress exposure showed that the ASI condition resulted in reduced mentalization-related activation in the left posterior superior temporal sulcus (STS), left inferior frontal gyrus and left temporoparietal junction (TPJ). Moreover, the left middle frontal gyrus and left anterior insula showed greater functional connectivity to the left posterior STS after the ASI. Our findings indicate that attachment-related stress has a unique effect on the neural correlates of mentalization.
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Written from the paper’s full text.
TL;DR
This fMRI study compared attachment-related stress induction (ASI) with general stress induction (GSI) on mentalization using a revised Reading the Mind in the Eyes Test. ASI reduced mental-state accuracy and decreased activation in left posterior STS, left IFG, and left TPJ, with altered left posterior STS functional connectivity.
Key findings
- At baseline, mental state > age judgments activated bilateral IFG (right t = 6.75; left t = 10.04), right posterior STS (t = 5.43), left posterior STS (t = 8.56), and dorsoMPFC (t = 6.51), among other regions; age > mental state judgments activated bilateral inferior parietal lobules, PCC/precuneus, right DLPFC, right inferior temporal gyrus, and left cerebellum.
- Mental-state correct responses differed across conditions (F(2,24) = 3.59, p = 0.04), with lowest accuracy post-ASI (67.03%) vs baseline (74.70%) and post-GSI (74.98%); baseline vs post-ASI t(12) = 2.30, p < 0.05, and post-GSI vs post-ASI t(12) = 2.20, p < 0.05. Mental-state reaction times also differed (F(2,24) = 10.13, p = 0.01), with longest at baseline and shortest post-ASI. Age judgments showed no significant differences.
- Post-ASI vs post-GSI during mental-state judgments showed reduced activation in left IFG (t = −2.93, p = 0.011; did not survive cluster correction), left posterior STS (t = −5.02, p < 0.001), and left TPJ (t = −4.83, p < 0.001). During age judgments, only left TPJ differed (t = −5.08, p < 0.001).
- After ASI vs GSI, mental-state judgments showed greater functional connectivity to left posterior STS in left MFG (t = 4.90, p < 0.001) and left anterior insula (t = 5.24, p < 0.001). During age judgments, cuneus showed greater post-ASI connectivity, while bilateral anterior insula, right MTG/PHG/FFG, right dorsal ACC, and left FFG showed greater post-GSI connectivity.
Methods
- Eighteen healthy right-handed adults were recruited; 15 remained for fMRI analysis (8 male; mean age 20.73 years, SD = 1.20, range 18–23), and behavioral analyses included 13 participants. Participants completed three fMRI runs: baseline, post-GSI, and post-ASI, with order balanced across participants. Personalized stress imagery scripts were created from recalled events rated 8 or above on a 10-point perceived stress scale.
- The task was a revised RMET (RMET-R) with mental-state and age-judgment blocks; stimuli were shown for 3500 ms with 500 ms fixation, six trials per block, four blocks per task per condition. fMRI data were analyzed in Brain Voyager QX using random-effects GLMs; baseline mental state vs age contrast used FDR q < 0.05 with clusters ≥ 4 voxels. Stressor comparisons used a baseline-derived mask and paired t-tests (p < 0.05, cluster ≥ 4 voxels); PPI connectivity used a left posterior STS seed with cluster threshold 34 voxels.
Limitations
- The paper states: the sample was relatively small (15 fMRI, 13 behavioral, 12 overlapping), preventing direct behavior–fMRI correlations and gender-difference analyses; the age control task’s difficulty/cognitive load was not well quantified; the sample lacked ethnic and developmental diversity; no psychophysiological indices such as heart rate variability or cortisol were reported; and the design cannot rule out other induced emotions, general social-script effects, positive-script priming, or whether effects are due to social vs non-social stressor nature or individual attachment differences.
- The text also makes evident that the left IFG stress effect did not survive cluster correction, and behavioral data were lost for three participants due to software errors.
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- Findingown data
Scores for subjective stress experience obtained at debriefing showed no difference in mean scores when comparing both stress conditions in a paired samples t-test [t(14) = 1.07, p = 0.34].
“Scores for subjective stress experience (Wolpe, 1969) were obtained again at the beginning of the debriefing after scanning and showed no difference in mean scores when comparing both stress conditions in a paired samples t-test [t(14) = 1.07, p = 0.34].”
Quote in the paperNot a substantial claim - Findingown data
The ASI condition resulted in reduced mentalization-related activation in the left posterior superior temporal sulcus (STS), left inferior frontal gyrus and left temporoparietal junction (TPJ).
“Results after stress exposure showed that the ASI condition resulted in reduced mentalization-related activation in the left posterior superior temporal sulcus (STS), left inferior frontal gyrus and left temporoparietal junction (TPJ).”
Quote in the paperSubstantial claim - Findingown data
A random-effects whole-brain GLM analysis identified a left posterior STS region (136 functional voxels) with greater activation to mental state vs. age judgments during the baseline RMET-R.
“A random-effects whole-brain GLM analysis identified a left posterior STS region (136 functional voxels) with greater activation to mental state vs. age judgments during the baseline RMET-R.”
Quote in the paperSubstantial claim - Findingown data
The study identified a network of brain regions that responds differentially to age and mental state judgments during the RMET-R in the absence of any pre-task stress induction.
“We identified a network of brain regions that responds differentially to age and mental state judgments during the RMET-R in the absence of any pre-task stress induction (Figure 1).”
Quote in the paperNot a substantial claim - Findingnone given
Baseline results replicated and extended previous findings regarding the neural correlates of the RMET-R.
“Baseline results replicated and extended previous findings regarding the neural correlates of the RMET-R.”
Quote in the paperNot a substantial claim
- Findingown data
The left middle frontal gyrus and left anterior insula showed greater functional connectivity to the left posterior STS after the ASI.
“Moreover, the left middle frontal gyrus and left anterior insula showed greater functional connectivity to the left posterior STS after the ASI.”
Quote in the paperSubstantial claim - Findingown data
Age judgments showed more activation in bilateral inferior parietal lobules, right middle frontal gyrus, posterior cingulate cortex extending into precuneus, right dorsolateral prefrontal cortex, right inferior temporal gyrus, and left cerebellum.
“Regions that showed more activation to age judgments included bilateral inferior parietal lobules (right: t = −11.76, p < 0.0001; left: t = −7.73, p < 0.0001), right middle frontal gyrus (MFG; t = −5.92, p < 0.0001), PCC extending into precuneus (t = −10.14, p < 0.0001), right dorsolateral prefrontal cortex (t = −6.19, p < 0.0001), right inferior temporal gyrus (t = −9.72, p < 0.0001), and left c”
Quote in the paperNot a substantial claim - Findingown data
The left temporoparietal junction showed an effect of stressor type during both mental state and age judgments.
“In sum, using a novel modification of the RMET, we identified the left posterior STS and left IFG as brain regions that were modulated by attachment stressors during mental state judgments accompanying compromised behavioral performance, as well as the left TPJ, which showed an effect of stressor type during both mental state and age judgments.”
Quote in the paperSubstantial claim - Findingown data
No regions were more active during age judgments after attachment-related stress induction compared with general stress induction.
“Again, no regions were more active during age judgments after the ASI compared with the GSI.”
Quote in the paperNot a substantial claim - Findingown data
During mental state judgments, the left middle frontal gyrus and left anterior insula showed greater functional connectivity to the left posterior superior temporal sulcus after attachment-related stress induction compared with general stress induction.
“When we compared functional connectivity to the functionally-defined left posterior STS during mental state judgments after the two stress inductions, regions that showed greater functional connectivity to the left posterior STS after the ASI included the left MFG (t = 4.90, p < 0.001) and left anterior insula (AI; t = 5.24, p < 0.001).”
Quote in the paperSubstantial claim - Findingown data
During age judgments, bilateral anterior insula, right middle temporal gyrus extending into parahippocampal gyrus and fusiform gyrus, right dorsal anterior cingulate cortex, and left fusiform gyrus were more functionally connected to the left posterior superior temporal sulcus after general stress induction compared with attachment-related stress induction.
“Bilateral AI (right: t = −3.94, p < 0.01; left: t = −5.66, p < 0.001), right middle temporal gyrus extending into parahippocampal gyrus and fusiform gyrus (t = −5.37, p < 0.001), right dorsal anterior cingulate cortex (t = −6.28, p < 0.001), and left fusiform gyrus (t = −4.58, p < 0.001) were more functionally connected to the left posterior STS during age judgments post-GSI vs. post-ASI.”
Quote in the paperSubstantial claim - Findingown data
During mental state judgments, the left inferior frontal gyrus, left posterior superior temporal sulcus, and left temporoparietal junction were more active after general stress induction compared with attachment-related stress induction.
“When we compared activation during mental state judgments between the two types of stress inductions in the identified task-related areas, we localized regions that were more active during mental state judgments after the GSI compared with the ASI. These regions included the left IFG (t = −2.93, p < 0.05), left posterior STS (t = −5.02, p < 0.001), and left temporal parietal junction (t = −4.83, p”
- Also stated in: § fMRI · plain
“Thus, post-ASI, activation in these three regions decreased significantly in comparison to post-GSI.”
Quote in the paperSubstantial claim - Also stated in: § fMRI · plain
- Findingown data
No regions were more functionally connected to the left posterior superior temporal sulcus during mental state judgments after general stress induction.
“No regions were more functionally connected to the left posterior STS during mental state judgments post-GSI.”
Quote in the paperSubstantial claim - Findingown data
No regions were more active during mental state judgments after attachment-related stress induction compared with general stress induction.
“There were no regions that were more active during mental state judgments after the ASI compared with the GSI.”
Quote in the paperSubstantial claim - Findingown data
During age judgments, the cuneus showed increased functional connectivity to the left posterior superior temporal sulcus following attachment-related stress induction compared with general stress induction.
“The cuneus showed increased functional connectivity to the left posterior STS following the ASI compared with the GSI (t = 3.78, p < 0.01).”
Quote in the paperSubstantial claim - Findingown data
The left temporoparietal junction was more active during age judgments after general stress induction compared with attachment-related stress induction.
“The same analysis within age judgments identified only one region that was more active during age judgments after the GSI compared with the ASI: the left TPJ (t = −5.08, p < 0.001).”
Quote in the paperSubstantial claim - Premisecitation
Implicit mentalization engages the fusiform face area, STS, inferior frontal gyrus (IFG), and premotor areas.
“Indeed, implicit mentalization, defined as reflexive, automatic processing of mental states that does not require conscious, verbal efforts, engages the fusiform face area, STS, inferior frontal gyrus (IFG), and premotor areas (Allison et al., 2000; Pelphrey et al., 2003; Vuilleumier and Pourtois, 2007; Iacoboni, 2009; Vander Wyk et al., 2009).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Allison et al., 2000
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- cites Pelphrey et al., 2003
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- cites Vuilleumier and Pourtois, 2007
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- Premisecitation
The neural system underpinning mentalizing comprises the medial prefrontal cortex (MPFC), temporoparietal junction (TPJ), temporal poles, superior temporal sulcus (STS), and posterior cingulate cortex (PCC)/precuneus.
“The neural system that underpins mentalizing comprises the medial prefrontal cortex (MPFC), temporoparietal junction (TPJ), temporal poles, superior temporal sulcus (STS), and posterior cingulate cortex (PCC)/precuneus (Gallagher and Frith, 2003; Saxe and Kanwisher, 2003; Frith and Frith, 2006; Lieberman, 2007).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Gallagher and Frith, 2003
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- cites Saxe and Kanwisher, 2003
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- cites Frith and Frith, 2006
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- Premisecitation
Childhood parental maltreatment is associated with impaired mentalization.
“Previous research supports the latter hypothesis, as associations have been reported between childhood parental maltreatment and impaired mentalization (Cicchetti et al., 2003; Pears and Fisher, 2005).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Cicchetti et al., 2003
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- cites Pears and Fisher, 2005
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- Premisecitation
The RMET reliably engages key nodes of the mentalizing system, including the MPFC, posterior STS, and IFG.
“As expected, the RMET reliably engages key nodes of the mentalizing system, including the MPFC, posterior STS, and IFG (Baron-Cohen et al., 1999; Russell et al., 2000; Adams et al., 2009; Moor et al., 2012).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Baron-Cohen et al., 1999
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- cites Russell et al., 2000
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- cites Adams et al., 2009
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- Premisecitation
Increases in salivary cortisol and subjective ratings of experienced stress post-induction supported the validity of the procedure.
“Increases in salivary cortisol and subjective ratings of experienced stress post-induction also supported the validity of the procedure (Nolte et al., submitted).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Nolte et al., submitted
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- Premisecitation
Exposure to an attachment-related stressor affects participants' accuracy scores on the RMET-R, compared with performance under no stress.
“Using this technique, we previously provided evidence that exposure to an attachment-related stressor affects participants' accuracy scores on the RMET-R, compared with performance under no stress.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Nolte et al., submitted
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- Study design and conductown data
The calculated cluster threshold only eliminates the significance of the result in left IFG.
“This calculated cluster threshold only eliminates the significance of the result in left IFG.”
Quote in the paperNot a substantial claim - Premisecitation
When one experiences interpersonal stress that activates the attachment system, the capacity to understand someone else's mental state may be reduced, distorted, and less flexible.
“As an example, when one experiences interpersonal stress that activates this attachment system, the capacity to understand someone else's mental state may be reduced, distorted, and less flexible, potentially corresponding to reduced attention to social cues (Luyten et al., under review).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Luyten et al., under review
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- Premisereasoning
The TSST does not operationalize stress in a truly individualized induction paradigm based upon individually significant interpersonal life events.
“However, The TSST does not operationalize stress in a truly individualized induction paradigm based upon individually significant interpersonal life events.”
Quote in the paperSubstantial claim - Premisecitation
The TSST was not shown to affect performance on the RMET.
“Although behavioral studies employing the Trier Social Stress Test (TSST; Kirschbaum et al., 1993) have shown that stress affects subsequent performance on a variety of cognitive and physiological processes (Kudielka et al., 2004, 2007; Kuhlmann et al., 2005; Roelofs et al., 2005), the TSST was not shown to affect performance on the RMET (Smeets et al., 2009).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Smeets et al., 2009
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- Premisecitation
Emotional arousal and psychosocial stress, especially when related to attachment relationships, behaviorally impair both explicit and implicit mentalizing.
“In line with this theory, there is growing evidence confirming that emotional arousal and psychosocial stress, especially when related to attachment relationships (with parents, romantic partners, close family members in situations entailing loss, abandonment, abuse etc.), behaviorally impair both explicit and implicit mentalizing (Repacholi and Slaughter, 2003; Moriguchi et al., 2006; Lieberman,”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Repacholi and Slaughter, 2003
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- cites Moriguchi et al., 2006
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- cites Lieberman, 2007
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- Interpretationown data
Attachment-related stress has a unique effect on the neural correlates of mentalization.
“Our findings indicate that attachment-related stress has a unique effect on the neural correlates of mentalization.”
Quote in the paperSubstantial claim - Premisecitation
Perceived threats, fear and psychosocial stress behaviorally activate an individual's attachment system.
“Perceived threats, fear and psychosocial stress have been shown to behaviorally activate an individual's attachment system, prompting a series of brain-modulated processes that ultimately aim to regulate the stress response by drawing on one's mental representations of attachment figures (i.e., parents, romantic partners) for comfort (Mikulincer and Shaver, 2007).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Mikulincer and Shaver, 2007
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- Study design and conductown data
The results do not provide direct evidence regarding a link between neural and behavioral findings.
“Although our results do not provide direct evidence regarding a link between neural and behavioral findings, previous work has established reliable relationships between the behavioral performance of the RMET and its neural correlates (Baron-Cohen et al., 1999; Russell et al., 2000; Adams et al., 2009; Moor et al., 2012).”
Quote in the paperNot a substantial claim - Interpretationown data
Differential functional connectivity to the left posterior superior temporal sulcus during both tasks after attachment-related stress induction compared with general stress induction corroborated the hypothesis that attachment-related stress uniquely alters the engagement of brain networks involved in mentalizing.
“Additionally, differential functional connectivity to the left posterior STS during both tasks post-ASI, compared with post-GSI, corroborated the hypothesis that attachment-related stress uniquely alters the engagement of brain networks involved in mentalizing.”
Quote in the paperSubstantial claim- Rests on an assumption: The attachment-related and general stress inductions induced comparable levels of general stress, so differences between them can be attributed to attachment-related content rather than stress intensity.
- Interpretationown data
Attachment-related stress caused a substantial reduction in activation during mental state judgments in several regions of the core neural system integrating controlled, effortful explicit and automatic, reflexive implicit mentalization, namely the temporoparietal junction, inferior frontal gyrus, and superior temporal sulcus.
“On a neural level, our findings are, furthermore, indicative of a substantial reduction in activation during mental state judgments, due to attachment-related stress. This reduction in activation occurred in several regions of the core neural system that integrates controlled, effortful (explicit) and automatic, reflexive (implicit) mentalization (the TPJ, IFG, and STS).”
Quote in the paperSubstantial claim- Rests on an assumption: The attachment-related and general stress inductions induced comparable levels of general stress, so differences between them can be attributed to attachment-related content rather than stress intensity.
- Interpretationown data
The findings provide support for Fonagy and Luyten's model that stress-induced affective states compromise social cognition in the context of intimate relationships.
“This provides support for Fonagy and Luyten's model (Fonagy and Luyten, 2009; Nolte et al., 2011; Luyten et al., under review), which proposes that stress-induced affective states compromise social cognition in the context of intimate relationships.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Fonagy and Luyten, 2009
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- cites Nolte et al., 2011
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- cites Luyten et al., under review
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- Rests on an assumption: The attachment-related and general stress inductions induced comparable levels of general stress, so differences between them can be attributed to attachment-related content rather than stress intensity.
- Study design and conductown data
The study does not have data on the simultaneous induction of other emotions and underpinning neural networks that may have occurred with more intensity during attachment-related stress induction.
“While we took efforts to match the inductions on the level of induced stress, we do not have data that speak to the simultaneous induction of other emotions and underpinning neural networks that may have occurred with more intensity during ASI (such as fear, anger, sadness, or a complex combination thereof).”
Quote in the paperNot a substantial claim - Interpretationreasoning
The findings suggest a neurobiological basis by which attachment-related stress effects on mentalizing likely occur.
“This finding follows behavioral work showing the specific effects of attachment-related stress on mentalizing, and thus suggests a neurobiological basis by which these effects likely occur.”
Quote in the paperSubstantial claim- Rests on an assumption: The attachment-related and general stress inductions induced comparable levels of general stress, so differences between them can be attributed to attachment-related content rather than stress intensity.
- Interpretationreasoning
Increased temporal coupling with the anterior insula and middle frontal gyrus after attachment-related stress induction is in line with decreased performance accuracy after experiencing attachment-related stress.
“While our aforementioned results showed that left posterior STS activation is compromised following the attachment-related stressor, increased temporal coupling with the AI and MFG post-ASI is in line with decreased performance accuracy after experiencing attachment-related stress.”
Quote in the paperSubstantial claim- Rests on an assumption: The attachment-related and general stress inductions induced comparable levels of general stress, so differences between them can be attributed to attachment-related content rather than stress intensity.
- Study design and conductown data
The left inferior frontal gyrus did not survive cluster correction to α < 0.05.
“Left IFG did not survive cluster correction to α < 0.05.”
Quote in the paperNot a substantial claim - Interpretationcitation
Reduced accuracy and the reduction in activation of areas underpinning mentalization might be related to the setting in motion of the behavioral attachment system.
“Indeed, reduced accuracy and the reduction in activation of areas underpinning mentalization might be related to the setting in motion of the behavioral attachment system (Mikulincer and Shaver, 2007).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Mikulincer and Shaver, 2007
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- Rests on an assumption: The attachment-related and general stress inductions induced comparable levels of general stress, so differences between them can be attributed to attachment-related content rather than stress intensity.
- Interpretationown data
When performing the extended revised RMET with a modified control task, the previously established mentalization neural network is engaged.
“Overall, these results suggest that when performing our extended version of the revised RMET with a modified control task, the previously established mentalization neural network is engaged.”
Quote in the paperSubstantial claim - Study design and conductown data
The small number of participants with fMRI and behavioral data, 12, occluded direct investigation of correlations between behavioral responses and fMRI data.
“the small number of participants with fMRI and behavioral data (12) occluded the possibility of performing direct investigations of correlations between behavioral responses and fMRI data.”
Quote in the paperNot a substantial claim - Interpretationown data
The study identified the left posterior superior temporal sulcus and left inferior frontal gyrus as brain regions modulated by attachment stressors during mental state judgments accompanying compromised behavioral performance.
“In sum, using a novel modification of the RMET, we identified the left posterior STS and left IFG as brain regions that were modulated by attachment stressors during mental state judgments accompanying compromised behavioral performance, as well as the left TPJ, which showed an effect of stressor type during both mental state and age judgments.”
Quote in the paperSubstantial claim- Rests on an assumption: The attachment-related and general stress inductions induced comparable levels of general stress, so differences between them can be attributed to attachment-related content rather than stress intensity.
- Interpretationown data
The baseline RMET-R results replicated previous fMRI findings on the neural processes underpinning mental state decoding operationalized with the RMET.
“The results obtained from the RMET-R at baseline replicated findings from previous studies on the neural processes underpinning mental state decoding operationalized with the RMET (Baron-Cohen et al., 1999; Russell et al., 2000; Adams et al., 2009).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Baron-Cohen et al., 1999
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- cites Russell et al., 2000
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- cites Adams et al., 2009
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- Interpretationreasoning
Decreased temporal coupling of the left posterior superior temporal sulcus and anterior insula during age judgments after attachment-related stress induction supports the specificity of this hypothesis to mentalization processes.
“In contrast, decreased temporal coupling of the left posterior STS and AI during age judgments post-ASI supports the specificity of this hypothesis to mentalization processes.”
Quote in the paperSubstantial claim- Rests on an assumption: The age judgment task and the mental state judgment task are comparable in difficulty or cognitive load, so differential activation can be interpreted as task-specific.
- Study design and conductown data
The study does not provide evidence for alterations of psychophysiological indices such as heart rate variability or cortisol levels associated with the different stress conditions.
“Finally, even though we were specifically interested in the subjective experience of distress, we do not provide evidence for alterations of psychophysiological indices such as heart rate variability or cortisol levels associated with the different stress conditions.”
Quote in the paperNot a substantial claim - Interpretationown data
Factors including the nature of the stressor and the type of social reasoning interact in meaningful ways to shape neural correlates of social cognition.
“In addition, these results provide a more detailed understanding of the effects of stress on social cognition, suggesting that factors including the nature of the stressor and the type of social reasoning interact in meaningful ways to shape neural correlates of social cognition.”
Quote in the paperSubstantial claim- Rests on an assumption: The attachment-related and general stress inductions induced comparable levels of general stress, so differences between them can be attributed to attachment-related content rather than stress intensity.
- Classified as probably not a substantial claim. 18
- May combine two claims. 18
- The quote only partly states this claim. 1
Probably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe study identified brain regions associated with making complex age judgments from the same stimuli.
“Additionally, we identified brain regions associated with making complex age judgments from the same stimuli.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataPost-hoc comparisons for correct responses in mental state judgments showed significant differences between baseline and post-ASI [t(12) = 2.30, p < 0.05] and between post-GSI and post-ASI [t(12) = 2.20, p < 0.05], with highest accuracy at baseline and lowest post-ASI.
“Post-hoc paired samples comparisons for correct responses in mental state judgments indicated that there were significant differences in the percentage of correct responses between baseline and post-ASI [t(12) = 2.30, p < 0.05] and between post-GSI and post-ASI [t(12) = 2.20, p < 0.05] with highest accuracy at baseline and lowest post-ASI.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataMean percentages of correct responses and reaction times comparing mental state and age judgments at baseline did not differ significantly.
“Mean percentages of correct responses [t(12) = 0.21, p = 0.84] and reaction times [t(12) = 1.89, p = 0.08] comparing mental state and age judgments at baseline did not differ significantly.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataFor age judgments, repeated measures ANOVA did not yield significant differences for either correct responses or reaction times across the three task conditions.
“For age judgments, this analysis did not yield significant differences for either correct responses or reaction times.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataFor mental state judgments, there were significant differences between task conditions for correct responses (F = 3.59, p = 0.04) and reaction times [F(2, 24) = 10.13, p = 0.01].
“Results of the ANOVA for mental state judgments indicated significant differences between task conditions for correct responses (F = 3.59, p = 0.04) and reaction times [F(2, 24) = 10.13, p = 0.01].”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataPost-hoc t-tests for reaction times during mental state judgments revealed significant differences between baseline and post-GSI [t(12) = 4.12, p < 0.01] and between baseline and post-ASI [t(12) = 3.65, p < 0.01], with longest reaction times at baseline and shortest reaction times post-ASI.
“Post-hoc t-tests for reaction times during mental state judgments revealed significant differences between baseline and post-GSI [t(12) = 4.12, p < 0.01] and between baseline and post-ASI [t(12) = 3.65, p < 0.01] with longest reaction times at baseline and shortest reaction times post-ASI.”
Quote in the paperSubstantial claimMay combine two claims. The quote only partly states this claim.
Findingown dataAt baseline, mental state judgments (vs age judgments) showed increased activation in bilateral IFG, right posterior STS, left posterior insula, right middle temporal gyrus, left superior temporal gyrus, left middle and posterior STS, left parahippocampal gyrus, and dorsoMPFC.
“Additional regions that were more active during mental state judgments included the left parahippocampal gyrus (t = 5.85, p < 0.0001) and dorsoMPFC (t = 6.51, p < 0.0001).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAttachment-related stress also significantly modulated activation during age judgments, but only in one region of the mentalizing network identified, the temporoparietal junction, and without significant behavioral changes.
“Attachment-related stress also significantly modulated activation during age judgments, but only in one region of the mentalizing network we identified (TPJ), and without significant behavioral changes.”
Quote in the paperSubstantial claim- Rests on an assumption: The age judgment task and the mental state judgment task are comparable in difficulty or cognitive load, so differential activation can be interpreted as task-specific.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationExplicit mentalization involves the MPFC and TPJ.
“In contrast, explicit mentalization, defined as controlled, conscious, verbal efforts to decode one's mental states, involves the MPFC and TPJ (Amodio and Frith, 2006; Saxe, 2006).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Amodio and Frith, 2006
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- cites Saxe, 2006
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Study design and conductreasoningThe presentation order of induction type was balanced between participants to control for carry-over effects.
“The presentation order of induction type was balanced between participants in order to control for carry-over effects so that half of them re-experienced a GSI first and the other half re-experienced an ASI first.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataTwo additional participants were excluded for failing to respond during the task for more than six consecutive trials (one full condition block).
“Two additional participants were excluded for failing to respond during the task for more than six consecutive trials (one full condition block).”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationAfter an attachment-related stressor, accuracy increased in the gender-detection control task and decreased in the mentalization task.
“After the stressor, accuracy increased in the gender-detection control task and decreased in the mentalization task.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Nolte et al., submitted
Not checked in the free run.
Probably not a substantial claim: may not pass S1 (asserted).
PremisecitationStrong triggering of the attachment system may be associated with a relative deactivation of the BOLD response in brain regions underpinning the mentalizing system.
“Based on this and related evidence, it has been hypothesized that strong triggering of the attachment system may be associated with a relative deactivation of the blood oxygenation level-dependent (BOLD) response in brain regions underpinning the mentalizing system (Bartels and Zeki, 2000, 2004; Mayes, 2006; Satpute and Lieberman, 2006; Lieberman, 2007).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Bartels and Zeki, 2000
Not checked in the free run.
- cites Mayes, 2006
Not checked in the free run.
- cites Satpute and Lieberman, 2006
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenThe two-volume discrepancy was due to a scanner operator inconsistency, and did not overlap with data acquisition during the presentation of task stimuli.
“This two-volume discrepancy was due to a scanner operator inconsistency, and did not overlap with data acquisition during the presentation of task stimuli.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataAfter exclusions, 15 participants remained for analysis (eight male) with a mean age of 20.73 years (SD = 1.20), range 18-23 years.
“After these exclusions, 15 participants remained for analysis (eight male) with a mean age of 20.73 years (SD = 1.20), range 18–23 years.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisereasoningThe RMET assesses aspects of both explicit and implicit mentalization.
“The RMET assesses aspects of both explicit and implicit mentalization, as it entails effortful and conscious decoding of intentional mental states as well as automatic processing of facial and emotionally salient stimulus components.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenOne participant was excluded for having head motion drift greater than 3 mm or degrees from position at the first volume acquisition during the functional scan.
“One participant was excluded for having head motion drift greater than 3 mm or degrees from position at the first volume acquisition during the functional scan.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataFor one participant, the first block of the ASI condition was cut out due to an isolated period of motion.
“For one participant, the first block of the ASI condition was cut out due to an isolated period of motion.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe anterior insula has been associated with subjective awareness and emotion processing, and has been suggested to hold a key role in empathy.
“The AI has been associated with subjective awareness (Craig, 2009) and emotion processing (Critchley et al., 2005; Hennenlotter et al., 2005; Jabbi et al., 2007), and has been suggested to hold a key role in empathy (for review, see Singer et al., 2009).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Craig, 2009
Not checked in the free run.
- cites Critchley et al., 2005
Not checked in the free run.
- cites Hennenlotter et al., 2005
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe current design cannot decide whether the behavioral effects of faster and less accurate responses are specifically related to negative social scripts or whether positive social scripts might have yielded similar priming responses.
“With the current design it is also undecided whether the behavioral effects (faster and less accurate) are specifically related to the negative social scripts or whether positive social scripts might have yielded similar priming responses.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown dataThe study had a relatively small sample size: 15 participants for a non-clinical sample, with behavioral analyses limited to 13 participants, 12 of whom overlapped with the fMRI group.
“First, for a non-clinical sample, 15 participants may be considered a relatively small sample size. Further, behavioral analyses were limited to only 13 participants, 12 of which overlapped with the fMRI group.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe anterior insula has been shown to be preferentially active in difficult versus easy moral judgments.
“Further, along with the MFG (which was also found in the present study to show increased functional connectivity with the left posterior STS during mental state judgments post-ASI), AI has been shown to be preferentially active in difficult vs. easy moral judgments (Greene et al., 2004).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Greene et al., 2004
Not checked in the free run.
May combine two claims.
Study design and conductnone givenThe sample lacked ethnic and developmental diversity, limiting generalizability.
“Second, there are limitations due to the lack of diversity in the specific sample investigated. Future research should assess the neural processes at the focus of the current study in populations more ethnically and developmentally diverse to allow for generalizability.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
PremisecitationThe specific situations used for ASI are not only social in nature but are additionally characterized by the involved other being relevant and salient to set the individual's attachment system in motion.
“These specific situations, according to attachment theory (e.g., Bowlby, 1982; George and West, 2001) are not only social in nature but are additionally characterized by the fact that the involved other is relevant and salient to set the individual's attachment system in motion.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Bowlby, 1982
Not checked in the free run.
- cites George and West, 2001
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductreasoningThe current design cannot disentangle whether the differential stress effects reported are more generally due to the difference between their social versus non-social nature and whether individual differences in attachment may moderate the impairment in mentalizing.
“Furthermore, future studies will have to disentangle whether the differential stress effects reported are more generally due to the difference between their social vs. non-social nature and whether individual differences in attachment may moderate the impairment in mentalizing (e.g., Vrtička and Vuilleumier, 2012).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Vrtička and Vuilleumier, 2012
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenBehavioral data from three participants were lost to software errors.
“In addition, behavioral data from three participants were lost to software errors.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe findings lend preliminary support to the biobehavioral switch model, as participants make post-attachment-related-stress judgments faster but at the cost of more errors, in line with reflexive 'jumping to conclusion' responses.
“Our findings lend preliminary support to the biobehavioral switch model Fonagy et al. (2011) as participants make post-ASI judgments that are faster but at the cost of more errors which is in line with reflexive, “jumping to conclusion” responses.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Fonagy et al., 2011
Not checked in the free run.
- Rests on an assumption: The attachment-related and general stress inductions induced comparable levels of general stress, so differences between them can be attributed to attachment-related content rather than stress intensity.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPrevious findings on numerical processing highlight the role of the intraparietal sulcus for both non-symbolic numerical abilities and symbolic numerical processing.
“Previous findings on numerical processing (Dehaene et al., 2003; Cantlon et al., 2006; Cohen Kadosh et al., 2007; Santens et al., 2009) have highlighted the role of the intraparietal sulcus for both non-symbolic numerical abilities and symbolic numerical processing.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Dehaene et al., 2003
Not checked in the free run.
- cites Cantlon et al., 2006
Not checked in the free run.
- cites Cohen Kadosh et al., 2007
Not checked in the free run.
May combine two claims.
Interpretationown dataRe-experiencing attachment-related stress specifically interferes with both behavioral performance and the functioning of brain regions associated with mentalizing in healthy young adults.
“The results confirmed that re-experiencing attachment-related stress specifically interferes with both behavioral performance and with the functioning of brain regions associated with mentalizing in a sample of healthy young adults.”
Quote in the paperSubstantial claim- Rests on an assumption: The attachment-related and general stress inductions induced comparable levels of general stress, so differences between them can be attributed to attachment-related content rather than stress intensity.
May combine two claims.
Interpretationown dataThe pattern of functional connectivity to the left posterior superior temporal sulcus during age judgments after attachment-related stress induction implies a dissociation of the left posterior superior temporal sulcus from brain regions subserving lower level face processing and higher level empathic processes, potentially reflecting a shift toward non-mentalization.
“Taken together with the decrease in functional connectivity between the left posterior STS and bilateral fusiform gyrus during age judgments post-ASI, the identified pattern of functional connectivity to the left posterior STS during age judgments post-ASI (compared with post-GSI) implies a dissociation of the left posterior STS from brain regions subserving both lower level face processing (fusif”
Quote in the paperSubstantial claim- Rests on an assumption: The age judgment task and the mental state judgment task are comparable in difficulty or cognitive load, so differential activation can be interpreted as task-specific.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataFor 13 of the 18 participants, behavioral data including percentage of correct mental state and age judgment responses and reaction times were recorded during the scan.
“For 13 of the 18 participants (including those removed from fMRI analyses), behavioral data including percentage of correct mental state and age judgment responses and mental state and age judgment reaction times were recorded during the scan.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
The personalized ASI and GSI scripts successfully induced the intended attachment-related and general stress states, respectively.
“In this way, two types of inductions were created: attachment-related stress inductions (ASI) and general stress inductions (GSI).”
The paper relies on this without support.
The modified age-judgment task is a valid control for mental state judgments, isolating mentalization-related processes.
“This modification was implemented in order to increase the difficulty of the control task, rendering it more comparable to the experimental task.”
The paper relies on this without support.
The attachment-related and general stress inductions induced comparable levels of general stress, so differences between them can be attributed to attachment-related content rather than stress intensity.
“While we took efforts to match the inductions on the level of induced stress, we do not have data that speak to the simultaneous induction of other emotions and underpinning neural networks that may have occurred with more intensity during ASI (such as fear, anger, sadness, or a complex combination thereof).”
The paper relies on this without support.
The age judgment task and the mental state judgment task are comparable in difficulty or cognitive load, so differential activation can be interpreted as task-specific.
“limitations related to the age task should be addressed in future studies by using a task for which the difficulty or cognitive load between task and control task can be quantified better.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
A recent neuroimaging study found that the nature of the stressor (interpersonal vs. non-interpersonal) significantly impacted the recruitment of brain regions involved in mentalizing.
“A recent neuroimaging study converges with this notion in finding that the nature of the stressor (interpersonal vs. non-interpersonal) significantly impacted the recruitment of brain regions involved in mentalizing (Nolte et al., 2013).”
From Investigating the association between parental reflective functioning and distress tolerance in motherhood. (2015) · cites this paper as Nolte et al., 2013
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Consistentt(14) = 1.07reported p = .34 · recomputed p = .303
“t(14) = 1.07, p = .34”
The paper states a false-discovery-rate adjustment
- Consistentt(12) = 0.21reported p = .84 · recomputed p = .837
“t(12) = 0.21, p = .84”
- Consistentt(12) = 1.89reported p = .08 · recomputed p = .083
“t(12) = 1.89, p = .08”
- Consistentt(12) = 2.3reported p < .05 · recomputed p = .040
“t(12) = 2.30, p < .05”
- Consistentt(12) = 2.2reported p < .05 · recomputed p = .048
“t(12) = 2.20, p < .05”
- Consistentt(12) = 4.12reported p < .01 · recomputed p = .001
“t(12) = 4.12, p < .01”
- Consistentt(12) = 3.65reported p < .01 · recomputed p = .003
“t(12) = 3.65, p < .01”
- ConsistentF(2, 24) = 10.13reported p = .01 · recomputed p < .001
“F(2, 24) = 10.13, p = .01”
The paper prints p at a floor (such as p < .001)
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Baseline is not the highest mental-state accuracy condition
MinorThe text says mental-state accuracy was highest at baseline, but Table 1 reports 74.70% at baseline and a higher 74.98% after the general stress induction.
“with highest accuracy at baseline and lowest post-ASI.”
“| MS CR | 74.70 (6.05) | 74.98 (8.60) | 67.03 (10.00) | 3.59 | 0.04 | |”
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The Neurobiology of Human Attachments
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Self-citationOffenders With Antisocial Personality Disorder Display More Impairments in Mentalizing
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Self-citationMentalization‐based treatment and its evidence‐base status: A systematic literature review
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Self-citationPosterior Superior Temporal Sulcus Responses Predict Perceived Pleasantness of Skin Stroking
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Self-citationThe relationship between global distress, mentalizing and well-being in a German teacher sample
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Self-citationAdolescence in lockdown: The protective role of mentalizing and epistemic trust
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Self-citationThe Resilience Program: preliminary evaluation of a mentalization-based education program
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Parental Emotion Regulation and Mentalization in Families of Children With ADHD
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Kernmodell der Mentalisierungsbasierten Therapie
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Self-citationA social inference model of idealization and devaluation.
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Self-citationNeural correlates of three types of negative life events during angry face processing in adolescents
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Self-citationMental state identification, borderline pathology, and the neglected role of childhood trauma.
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Epistemisches Vertrauen und Lernen
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Relationship between Mentalizing and Working Conditions in Health Care
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Mentalisierung in der Teamsupervision
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Self-citationThe Self–Other Distinction in Psychopathology: Recent Developments from a Mentalizing Perspective
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Violence exposure and neural systems underlying working memory for emotional stimuli in youth
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Imagery of negative interpersonal experiences influence the neural mechanisms of social interaction
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Self-citationIntroduction to Mentalization-Based Approaches for Parents, Children, Youths, and Families
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Traces cérébrales des traumatismes infantiles et devenir psychopathologique
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Functional connectivity changes following interpersonal reactivity
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Vínculo afectivo en pares y cognición social en la infancia intermedia
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A computational signature of self-other mergence in Borderline Personality Disorder
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Measurement of mentalizing: A systematic review and development of a construct validity framework
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Self-citationMentalisierungs-basierte Eltern-Säuglings- und -Kleinkind-Therapie
Bark, C., Taubner, S., & Georg, A. K. (2016) · Familiendynamik · doi:10.21706/fd-41-4-312 · Cited by 10 · see citing works
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Wendelboe, K. I., Reijman, S., Madsen, E. B., Støve, L. L., Stuart, A. C., Smith‐Nielsen, J., & Væver, M. S. (2024) · Developmental Review · doi:10.1016/j.dr.2024.101136 · Cited by 9 · see citing works
Mentalization and Its Use in Schools
Nišponská, M. (2023) · Pedagogika · doi:10.14712/23362189.2023.2641 · Cited by 8 · see citing works
Wendelboe, K. I., Stuart, A. C., Smith‐Nielsen, J., Linkhorst, T. B., & Væver, M. S. (2024) · Infant Mental Health Journal · doi:10.1002/imhj.22109 · Cited by 8 · see citing works
Social cognition and cortisol in the general population: A systematic review and meta‐analysis
Ji, D., Flouri, E., & Papachristou, E. (2020) · Stress and Health · doi:10.1002/smi.3013 · Cited by 8 · see citing works
Law, A. R. M., Thackeray, L. A., Morris, E., & Sleed, M. (2021) · Journal of Infant Child and Adolescent Psychotherapy · doi:10.1080/15289168.2021.1918044 · Cited by 8 · see citing works
- Authors
- Nolte, T., Bolling, D. Z., Hudac, C. M., Fonagy, P., Mayes, L., & Pelphrey, K. A.
- Affiliations
- Wellcome Centre for Human Neuroimaging (GB)
- Yale University (US)
- University of Nebraska–Lincoln (US)
- Corresponding author
- Nolte, Tobias
- Venue
- Frontiers in Human Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2013
- Volume
- 7
- Pages
- 816-816
- ISSN
- 1662-5161 (ISSN-L)
- PMC
- PMC3841757
- OpenAlex
- W2104967339
- Cited by
- 176
- References
- 81
- Citations by year
- 2026: 8 · 2025: 18 · 2024: 18 · 2023: 20 · 2022: 10 · 2021: 20 · 2020: 16 · 2019: 12 · 2018: 9 · 2017: 9 · 2016: 22 · 2015: 9 · 2014: 2 · 2013: 1 · 2012: 1
- FWCI
- 16.96
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Human Neuroscience (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Lincoln (University of Nebraska) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- International Psychoanalytical Association
- National Institute for Health and Care Research (NF-SI-0510-10228)
- National Institute of Mental Health (R01MH084080)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD057173)
- Topics
- Social Sciences › Psychology › Social Psychology › Action Observation and Synchronization
- Life Sciences › Neuroscience › Cognitive Neuroscience › Face Recognition and Perception
- Social Sciences › Psychology › Developmental and Educational Psychology › Child and Animal Learning Development
- Keywords
- mentalization, social cognition, theory of mind, stress induction, Reading the Mind in the Eyes Test, posterior superior temporal sulcus, temporoparietal junction, inferior frontal gyrus, anterior insula, middle frontal gyrus, functional connectivity
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.
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