[Theory of mind in bipolar disorder: a review]. 2021

Pier Francesco Laurenzi, and Filippo Turchi, and Stefania Righini, and Eugenia Mellina, and Serena Piccione, and Andrea Fagiolini, and Ettore Favaretto
Dipartimento di Medicina Molecolare e dello Sviluppo, Università di Siena.

OBJECTIVE Bipolar disorder (DB) is associated with an impairment in socio-cognitive functioning in both the acute and, to a lesser extent, the euthymic phase. Several neuroimaging and behavioral studies have evaluated social cognition, especially theory of mind (ToM), in people with bipolar disorder, in attempt to identify clinical features, its role and severity. METHODS A bibliographical research of controlled studies from January 1999 to April 2018 was completed in PubMed and PsycINFO using the keywords "Bipolar Disorder" and "Theory of mind", "Mirror neuron system". RESULTS During the euthymic phase patients with bipolar disorder show a different pattern in different ToM tasks, compared to healthy controls. Some studies show how these anomalies also involve the mirror neuron system, a network closely connected to the neural structures underlying the ToM. CONCLUSIONS The studies evaluate only one component of social cognition and not all studies include a control group. CONCLUSIONS Research supports the role of ToM deficits in DB as a relevant clinical element in the complex model of this disorder, especially in interpersonal functioning, offering possibilities for further research and treatment integration.

UI MeSH Term Description Entries
D003071 Cognition Intellectual or mental process whereby an organism obtains knowledge. Cognitive Function,Cognitions,Cognitive Functions,Function, Cognitive,Functions, Cognitive
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001714 Bipolar Disorder A major affective disorder marked by severe mood swings (manic or major depressive episodes) and a tendency to remission and recurrence. Affective Psychosis, Bipolar,Bipolar Disorder Type 1,Bipolar Disorder Type 2,Bipolar Mood Disorder,Depression, Bipolar,Manic Depression,Manic Disorder,Manic-Depressive Psychosis,Psychosis, Manic-Depressive,Type 1 Bipolar Disorder,Type 2 Bipolar Disorder,Psychoses, Manic-Depressive,Bipolar Affective Psychosis,Bipolar Depression,Bipolar Disorders,Bipolar Mood Disorders,Depression, Manic,Depressions, Manic,Disorder, Bipolar,Disorder, Bipolar Mood,Disorder, Manic,Manic Depressive Psychosis,Manic Disorders,Mood Disorder, Bipolar,Psychoses, Bipolar Affective,Psychoses, Manic Depressive,Psychosis, Bipolar Affective,Psychosis, Manic Depressive
D056345 Theory of Mind The ability to attribute mental states (e.g., beliefs, desires, feelings, intentions, thoughts, etc.) to self and to others, allowing an individual to understand and infer behavior on the basis of the mental states. Difference or deficit in theory of mind is associated with ASPERGER SYNDROME; AUTISTIC DISORDER; and SCHIZOPHRENIA, etc.

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