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A cultural training for the improvement of cognitive and affective Theory of Mind in people with Multiple Sclerosis: a pilot randomized controlled study

Theory of Mind (ToM), the ability to understand and attribute mental states to ourselves and others, could be impaired in Multiple Sclerosis (MS), a neurodegenerative disease affecting young adults. Considering that ToM is strictly connected to Quality of Life (QoL) in MS and that could enhance the...

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Autores principales: d’Arma, Alessia, Valle, Annalisa, Massaro, Davide, Baglio, Gisella, Isernia, Sara, Di Tella, Sonia, Rovaris, Marco, Baglio, Francesca, Marchetti, Antonella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10482410/
https://www.ncbi.nlm.nih.gov/pubmed/37680245
http://dx.doi.org/10.3389/fpsyg.2023.1198018
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author d’Arma, Alessia
Valle, Annalisa
Massaro, Davide
Baglio, Gisella
Isernia, Sara
Di Tella, Sonia
Rovaris, Marco
Baglio, Francesca
Marchetti, Antonella
author_facet d’Arma, Alessia
Valle, Annalisa
Massaro, Davide
Baglio, Gisella
Isernia, Sara
Di Tella, Sonia
Rovaris, Marco
Baglio, Francesca
Marchetti, Antonella
author_sort d’Arma, Alessia
collection PubMed
description Theory of Mind (ToM), the ability to understand and attribute mental states to ourselves and others, could be impaired in Multiple Sclerosis (MS), a neurodegenerative disease affecting young adults. Considering that ToM is strictly connected to Quality of Life (QoL) in MS and that could enhance the social support network -which is particularly important for this population-, we aimed to design and implement a novel ToM rehabilitation training. To make the training as much ecological as possible, we have devised a protocol enhancing ToM through stimuli depicting real-world conditions (video-clips taken from cinema movies, literary fictions, and audio voices). We test training’s effect on both cognitive and affective components of ToM in a sample of 13 subjects, randomly assigned to the ToM training Group and to the Control Group. The following ToM tasks were administered: the Reading the Mind in the Eyes (RMET), the Strange Stories task, the Faux Pas Task and the False Belief First- and Second - Order Task (FB II and III order). We also administered a psycho-behavioral assessment through the Toronto Alexithymia Scale (TAS-20). Results show that our novel ToM training is useful in enhancing ToM abilities measured by the following tasks: the RMET (affective task, p = 0.015) and the FB II-order task (FB, cognitive task, p = 0.032). Our ToM training had also a significant effect on the total score of the TAS-20 Scale (p = 0.018) and on its “Difficulty Describing Feelings subscale” (p = 0.018), indicating a reduction of the alexithymia traits. Future works with larger samples could investigate the ToM training effectiveness in a more representative MS populations.
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spelling pubmed-104824102023-09-07 A cultural training for the improvement of cognitive and affective Theory of Mind in people with Multiple Sclerosis: a pilot randomized controlled study d’Arma, Alessia Valle, Annalisa Massaro, Davide Baglio, Gisella Isernia, Sara Di Tella, Sonia Rovaris, Marco Baglio, Francesca Marchetti, Antonella Front Psychol Psychology Theory of Mind (ToM), the ability to understand and attribute mental states to ourselves and others, could be impaired in Multiple Sclerosis (MS), a neurodegenerative disease affecting young adults. Considering that ToM is strictly connected to Quality of Life (QoL) in MS and that could enhance the social support network -which is particularly important for this population-, we aimed to design and implement a novel ToM rehabilitation training. To make the training as much ecological as possible, we have devised a protocol enhancing ToM through stimuli depicting real-world conditions (video-clips taken from cinema movies, literary fictions, and audio voices). We test training’s effect on both cognitive and affective components of ToM in a sample of 13 subjects, randomly assigned to the ToM training Group and to the Control Group. The following ToM tasks were administered: the Reading the Mind in the Eyes (RMET), the Strange Stories task, the Faux Pas Task and the False Belief First- and Second - Order Task (FB II and III order). We also administered a psycho-behavioral assessment through the Toronto Alexithymia Scale (TAS-20). Results show that our novel ToM training is useful in enhancing ToM abilities measured by the following tasks: the RMET (affective task, p = 0.015) and the FB II-order task (FB, cognitive task, p = 0.032). Our ToM training had also a significant effect on the total score of the TAS-20 Scale (p = 0.018) and on its “Difficulty Describing Feelings subscale” (p = 0.018), indicating a reduction of the alexithymia traits. Future works with larger samples could investigate the ToM training effectiveness in a more representative MS populations. Frontiers Media S.A. 2023-08-23 /pmc/articles/PMC10482410/ /pubmed/37680245 http://dx.doi.org/10.3389/fpsyg.2023.1198018 Text en Copyright © 2023 d’Arma, Valle, Massaro, Baglio, Isernia, Di Tella, Rovaris, Baglio and Marchetti. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
d’Arma, Alessia
Valle, Annalisa
Massaro, Davide
Baglio, Gisella
Isernia, Sara
Di Tella, Sonia
Rovaris, Marco
Baglio, Francesca
Marchetti, Antonella
A cultural training for the improvement of cognitive and affective Theory of Mind in people with Multiple Sclerosis: a pilot randomized controlled study
title A cultural training for the improvement of cognitive and affective Theory of Mind in people with Multiple Sclerosis: a pilot randomized controlled study
title_full A cultural training for the improvement of cognitive and affective Theory of Mind in people with Multiple Sclerosis: a pilot randomized controlled study
title_fullStr A cultural training for the improvement of cognitive and affective Theory of Mind in people with Multiple Sclerosis: a pilot randomized controlled study
title_full_unstemmed A cultural training for the improvement of cognitive and affective Theory of Mind in people with Multiple Sclerosis: a pilot randomized controlled study
title_short A cultural training for the improvement of cognitive and affective Theory of Mind in people with Multiple Sclerosis: a pilot randomized controlled study
title_sort cultural training for the improvement of cognitive and affective theory of mind in people with multiple sclerosis: a pilot randomized controlled study
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10482410/
https://www.ncbi.nlm.nih.gov/pubmed/37680245
http://dx.doi.org/10.3389/fpsyg.2023.1198018
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