La cognizione sociale

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1 15 Aprile Firenze La cognizione sociale Chiara Cerami Divisione di Neuroscienze, Istituto Scientifico San Raffaele e Università Vita-Salute San Raffaele, Milano, Italy

2 Theoretical Background

3 Social Intelligence/Cognition is a complex domain It is the sum of those processes needed to perceive, understand and infer other s emotion and mental states that allow individuals of the same species (conspecifics) to interact with one another Prerequisites: Observation of other s behavior Prediction of other s behavior Appropriate Response Main Subcomponents: Emotion recognition Theory of Mind Empathy Different facets of the same ability

4 Social Intelligence/Cognition is a dynamic cognitive skill

5

6 Empathy is a key component of human emotional experience and social interaction. It comprises the ability to share the affective states both of our closest ones and complete strangers and to predict and understand their feelings, motivations, and actions Shamay-Tsoory et al., 2011

7 Melloni et al., 2013

8 PAIN FOR SELF, LOVED-ONE AND STRANGER Melloni et al., 2013

9 Theory of Mind (ToM) refers to the abilities to attribute mental states to others and to predict, describe, and explain behaviour on the basis of such mental states Poletti et al., 2012

10 Social cognition disorders in neurodegenerative conditions

11 Articles on the topic ToM in neurodegenerative diseases between 2000 and 2013

12 AD bvftd Poletti et al., 2012

13

14 19 AD, 12 AD and 16 HC bvftd impaired in all ToM tasks (cognitive and affective ToM as well as control question) AD impaired in more complex tasks (second order false belief and control questions)

15

16 In preparation

17 amci vs. HC no significant difference AD and bvftd overall impairments In preparation 12 AD, 20 bvftd, 15 prodromal AD bvftd specific impairment in the balance between EA and CI conditions (α SET-EA )

18

19 Schoeter et al., 2014

20 Schoeter et al., 2014

21 Seeley WW, Neuroscientist 2011

22 From Research to Practice

23 Index: Memory Attention Executive Functions Language Perceptual and Visuo-Spatial Functions Neglect Praxic abilities Logics and Intelligence Numbers and Calculation Complex assessment batteries Reading the Mind in the Eye (Serafin, 2004) Social Cognition Assessment (Prior, 2009) Social cognition??

24 EMOTION RECOGNITION ToM and EMPATHY Elamin et al., JNNP 2012

25 Ekman-60 Faces Test 60 stimuli eliciting the 6 basic emotions (i.e., happy, fear, anger, disgust, sad, surprise) global (0-60) and single emotion (0-10) scores Preliminary trial Italian normative data (132 sbj; y age and 3-23 y education) Story-based Empathy Task 18 cartoon-strips depicting intention and emotion attribution plus a control condition of causal inferences global (0-18) and single emotion (0-6) scores Preliminary trial Italian normative data (136 sbj; y age and 3-23 y education) Dodich et al., submitted

26 C.M., 82-year-old female; behavioural changes (irritability, apathy, disinhibition, inappropriate, bizzarre and impulsive behaviours) and episodic memory impairments from 10 years; MMSE 21/30; CDR 1 FDG-PET SPM t-map FWE-corrected (P.F. vs. 112 HC)

27 FDG-PET metabolic and neuropsychological profiles of the autoimmune limbic encephalitis Dodich et al., in preparation Brain MR images FLAIR Raw Score Adjusted Score Cut-off Mini Mental State Examination Behavioral Changes Neuropsychiatric Inventory Frontal Behavioral Inventory Memory Digit Span Forward Digit Span Backward Corsi block-tapping Test FCSRT immediate free recall FCSRT immediate total recall FCSRT delayed free recall FCSRT delayed total recall 7-11 FCSRT index of sensitivity of cuing Rey-Osterrieth figure copy recall 0/ Executive Functions Raven s Progressive Matrices 25/ Attentive Matrices 40/ Social Cognition Abilities Ekman Global Score 41/ Ekman Surprise Score 10/10-6 Ekman Happiness Score 10/10-9 Ekman Sadness Score 8/10-4 Ekman Anger Score 7/10-5 Ekman Fear Score 1/10-2 Ekman Disgust Score 5/10-4 Reading the Mind in the Eye Task 22/ Story-based empathy (SET) Global Score 17/18 - SET Affective states attribution 6/6 - SET Cognitive states attribution 6/6 - SET Causal Inference 5/6 - FDG-PET SPM t-map

28

29 Emotion Recognition and attribution (ERA) index bvftd vs HC AUC : Cut-off: bvftd vs AD AUC : Cut-off: 79.07

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