Cognitive and affective theory of mind in dementia with Lewy bodies and Alzheimer’s disease
Identifieur interne : 000327 ( Main/Exploration ); précédent : 000326; suivant : 000328Cognitive and affective theory of mind in dementia with Lewy bodies and Alzheimer’s disease
Auteurs : Camille Heitz [France] ; Vincent Noblet [France] ; Clélie Phillipps [France] ; Benjamin Cretin [France] ; Natacha Vogt [France] ; Nathalie Philippi [France] ; Jennifer Kemp [France] ; Xavier De Petigny [France] ; Mathias Bilger [France] ; Catherine Demuynck [France] ; Catherine Martin-Hunyadi [France] ; Jean-Paul Armspach [France] ; Frédéric Blanc [France]Source :
- Alzheimer's Research & Therapy [ 1758-9193 ] ; 2016.
Abstract
Thirty-three patients with DLB (DLB group) and 15 patients with Alzheimer’s disease (AD group), all in the early stage of the disease, as well as 16 healthy elderly control subjects (HC group), were included in the study. After a global cognitive assessment, we used the Faux Pas Recognition (FPR) test, the Reading the Mind in the Eyes (RME) test and Ekman’s Facial Emotion Recognition test to assess cognitive and affective components of ToM. Patients underwent cerebral 3-T magnetic resonance imaging, and atrophy of grey matter was analysed using voxel-based morphometry. We performed a one-sample
The DLB group performed significantly worse than the HC group on the FPR test (
This study is the first one to show early impairments of ToM in DLB. The two cognitive and affective components both appear to be affected in this disease. Among patients with ToM difficulties, we found atrophy in brain regions classically involved in ToM, which reinforces the neuronal network of ToM. Further studies are now needed to better understand the neural basis of such impairment.
The online version of this article (doi:10.1186/s13195-016-0179-9) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s13195-016-0179-9
PubMed: 26979460
PubMed Central: 4793654
Affiliations:
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wicri:level="3"><nlm:aff id="Aff2">ICube Laboratory, IMIS Team, University of Strasbourg, CNRS, FMTS, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>ICube Laboratory, IMIS Team, University of Strasbourg, CNRS, FMTS, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff3">Day Hospital, Memory Resources and Research Centre (CMRR), Department of Geriatrics, University Hospital of Strasbourg, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Day Hospital, Memory Resources and Research Centre (CMRR), Department of Geriatrics, University Hospital of Strasbourg, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Noblet, Vincent" sort="Noblet, Vincent" uniqKey="Noblet V" first="Vincent" last="Noblet">Vincent Noblet</name><affiliation wicri:level="3"><nlm:aff id="Aff2">ICube Laboratory, IMIS Team, University of Strasbourg, CNRS, FMTS, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>ICube Laboratory, IMIS Team, University of Strasbourg, CNRS, FMTS, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Phillipps, Clelie" sort="Phillipps, Clelie" uniqKey="Phillipps C" first="Clélie" last="Phillipps">Clélie Phillipps</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Neuropsychology Unit, Memory Resource and Research Centre (CMRR), Department of Neurology, University Hospital of Strasbourg, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Neuropsychology Unit, Memory Resource and Research Centre (CMRR), Department of Neurology, University Hospital of Strasbourg, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Cretin, Benjamin" sort="Cretin, Benjamin" uniqKey="Cretin B" first="Benjamin" last="Cretin">Benjamin Cretin</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Neuropsychology Unit, Memory Resource and Research Centre (CMRR), Department of Neurology, University Hospital of Strasbourg, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Neuropsychology Unit, Memory Resource and Research Centre (CMRR), Department of Neurology, University Hospital of Strasbourg, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">ICube Laboratory, IMIS Team, University of Strasbourg, CNRS, FMTS, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>ICube Laboratory, IMIS Team, University of Strasbourg, CNRS, FMTS, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Vogt, Natacha" sort="Vogt, Natacha" uniqKey="Vogt N" first="Natacha" last="Vogt">Natacha Vogt</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Neuropsychology Unit, Memory Resource and Research Centre (CMRR), Department of Neurology, University Hospital of Strasbourg, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Neuropsychology Unit, Memory Resource and Research Centre (CMRR), Department of Neurology, University Hospital of Strasbourg, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Philippi, Nathalie" sort="Philippi, Nathalie" uniqKey="Philippi N" first="Nathalie" last="Philippi">Nathalie Philippi</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Neuropsychology Unit, Memory Resource and Research Centre (CMRR), Department of Neurology, University Hospital of Strasbourg, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Neuropsychology Unit, Memory Resource and Research Centre (CMRR), Department of Neurology, University Hospital of Strasbourg, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">ICube Laboratory, IMIS Team, University of Strasbourg, CNRS, FMTS, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>ICube Laboratory, IMIS Team, University of Strasbourg, CNRS, FMTS, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Kemp, Jennifer" sort="Kemp, Jennifer" uniqKey="Kemp J" first="Jennifer" last="Kemp">Jennifer Kemp</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Neuropsychology Unit, Memory Resource and Research Centre (CMRR), Department of Neurology, University Hospital of Strasbourg, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Neuropsychology Unit, Memory Resource and Research Centre (CMRR), Department of Neurology, University Hospital of Strasbourg, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="De Petigny, Xavier" sort="De Petigny, Xavier" uniqKey="De Petigny X" first="Xavier" last="De Petigny">Xavier De Petigny</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Day Hospital, Memory Resources and Research Centre (CMRR), Department of Geriatrics, University Hospital of Strasbourg, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Day Hospital, Memory Resources and Research Centre (CMRR), Department of Geriatrics, University Hospital of Strasbourg, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Bilger, Mathias" sort="Bilger, Mathias" uniqKey="Bilger M" first="Mathias" last="Bilger">Mathias Bilger</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Neuropsychology Unit, Memory Resource and Research Centre (CMRR), Department of Neurology, University Hospital of Strasbourg, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Neuropsychology Unit, Memory Resource and Research Centre (CMRR), Department of Neurology, University Hospital of Strasbourg, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Demuynck, Catherine" sort="Demuynck, Catherine" uniqKey="Demuynck C" first="Catherine" last="Demuynck">Catherine Demuynck</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Day Hospital, Memory Resources and Research Centre (CMRR), Department of Geriatrics, University Hospital of Strasbourg, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Day Hospital, Memory Resources and Research Centre (CMRR), Department of Geriatrics, University Hospital of Strasbourg, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Martin Hunyadi, Catherine" sort="Martin Hunyadi, Catherine" uniqKey="Martin Hunyadi C" first="Catherine" last="Martin-Hunyadi">Catherine Martin-Hunyadi</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Day Hospital, Memory Resources and Research Centre (CMRR), Department of Geriatrics, University Hospital of Strasbourg, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Day Hospital, Memory Resources and Research Centre (CMRR), Department of Geriatrics, University Hospital of Strasbourg, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Armspach, Jean Paul" sort="Armspach, Jean Paul" uniqKey="Armspach J" first="Jean-Paul" last="Armspach">Jean-Paul Armspach</name><affiliation wicri:level="3"><nlm:aff id="Aff2">ICube Laboratory, IMIS Team, University of Strasbourg, CNRS, FMTS, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>ICube Laboratory, IMIS Team, University of Strasbourg, CNRS, FMTS, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Blanc, Frederic" sort="Blanc, Frederic" uniqKey="Blanc F" first="Frédéric" last="Blanc">Frédéric Blanc</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Neuropsychology Unit, Memory Resource and Research Centre (CMRR), Department of Neurology, University Hospital of Strasbourg, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Neuropsychology Unit, Memory Resource and Research Centre (CMRR), Department of Neurology, University Hospital of Strasbourg, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">ICube Laboratory, IMIS Team, University of Strasbourg, CNRS, FMTS, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>ICube Laboratory, IMIS Team, University of Strasbourg, CNRS, FMTS, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff3">Day Hospital, Memory Resources and Research Centre (CMRR), Department of Geriatrics, University Hospital of Strasbourg, Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Day Hospital, Memory Resources and Research Centre (CMRR), Department of Geriatrics, University Hospital of Strasbourg, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author></analytic><series><title level="j">Alzheimer's Research & Therapy</title><idno type="eISSN">1758-9193</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p><italic>Theory of mind</italic> (ToM) refers to the ability to attribute mental states, thoughts (cognitive component) or feelings (affective component) to others. This function has been studied in many neurodegenerative diseases; however, to our knowledge, no studies investigating ToM in dementia with Lewy bodies (DLB) have been published. The aim of our study was to assess ToM in patients with DLB and to search for neural correlates of potential deficits.</p></sec><sec><title>Methods</title><p>Thirty-three patients with DLB (DLB group) and 15 patients with Alzheimer’s disease (AD group), all in the early stage of the disease, as well as 16 healthy elderly control subjects (HC group), were included in the study. After a global cognitive assessment, we used the Faux Pas Recognition (FPR) test, the Reading the Mind in the Eyes (RME) test and Ekman’s Facial Emotion Recognition test to assess cognitive and affective components of ToM. Patients underwent cerebral 3-T magnetic resonance imaging, and atrophy of grey matter was analysed using voxel-based morphometry. We performed a one-sample <italic>t</italic> test to investigate the correlation between each ToM score and grey matter volume and a two-sample <italic>t</italic> test to compare patients with DLB impaired with those non-impaired for each test.</p></sec><sec><title>Results</title><p>The DLB group performed significantly worse than the HC group on the FPR test (<italic>P</italic> = 0.033) and the RME test (<italic>P</italic> = 0.015). There was no significant difference between the AD group and the HC group or between the DLB group and the AD group. Some brain regions were associated with ToM impairments. The prefrontal cortex, with the inferior frontal cortex and the orbitofrontal cortex, was the main region, but we also found correlations with the temporoparietal junction, the precuneus, the fusiform gyrus and the insula.</p></sec><sec><title>Conclusions</title><p>This study is the first one to show early impairments of ToM in DLB. The two cognitive and affective components both appear to be affected in this disease. Among patients with ToM difficulties, we found atrophy in brain regions classically involved in ToM, which reinforces the neuronal network of ToM. Further studies are now needed to better understand the neural basis of such impairment.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s13195-016-0179-9) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Shamay Tsoory, Sg" uniqKey="Shamay Tsoory S">SG Shamay-Tsoory</name></author><author><name sortKey="Aharon Peretz, J" uniqKey="Aharon Peretz J">J Aharon-Peretz</name></author><author><name sortKey="Perry, D" uniqKey="Perry D">D Perry</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kemp, J" uniqKey="Kemp J">J Kemp</name></author><author><name sortKey="Despres, O" uniqKey="Despres O">O Despres</name></author><author><name sortKey="Sellal, F" uniqKey="Sellal F">F Sellal</name></author><author><name sortKey="Dufour, A" uniqKey="Dufour A">A 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uniqKey="Griffanti L">L Griffanti</name></author><author><name sortKey="Falini, A" uniqKey="Falini A">A Falini</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hynes, Ca" uniqKey="Hynes C">CA Hynes</name></author><author><name sortKey="Baird, Aa" uniqKey="Baird A">AA Baird</name></author><author><name sortKey="Grafton, St" uniqKey="Grafton S">ST Grafton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shamay Tsoory, Sg" uniqKey="Shamay Tsoory S">SG Shamay-Tsoory</name></author><author><name sortKey="Harari, H" uniqKey="Harari H">H Harari</name></author><author><name sortKey="Aharon Peretz, J" uniqKey="Aharon Peretz J">J Aharon-Peretz</name></author><author><name sortKey="Levkovitz, Y" uniqKey="Levkovitz Y">Y Levkovitz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bodden, Me" uniqKey="Bodden M">ME Bodden</name></author><author><name sortKey="Kubler, D" uniqKey="Kubler D">D 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Trimble</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fusar Poli, P" uniqKey="Fusar Poli P">P Fusar-Poli</name></author><author><name sortKey="Placentino, A" uniqKey="Placentino A">A Placentino</name></author><author><name sortKey="Carletti, F" uniqKey="Carletti F">F Carletti</name></author><author><name sortKey="Landi, P" uniqKey="Landi P">P Landi</name></author><author><name sortKey="Allen, P" uniqKey="Allen P">P Allen</name></author><author><name sortKey="Surguladze, S" uniqKey="Surguladze S">S Surguladze</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gallagher, Hl" uniqKey="Gallagher H">HL Gallagher</name></author><author><name sortKey="Happe, F" uniqKey="Happe F">F Happe</name></author><author><name sortKey="Brunswick, N" uniqKey="Brunswick N">N Brunswick</name></author><author><name sortKey="Fletcher, Pc" uniqKey="Fletcher P">PC Fletcher</name></author><author><name sortKey="Frith, U" uniqKey="Frith U">U Frith</name></author><author><name sortKey="Frith, Cd" uniqKey="Frith C">CD Frith</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nelson, Pt" uniqKey="Nelson P">PT Nelson</name></author><author><name sortKey="Jicha, Ga" uniqKey="Jicha G">GA Jicha</name></author><author><name sortKey="Kryscio, Rj" uniqKey="Kryscio R">RJ Kryscio</name></author><author><name sortKey="Abner, El" uniqKey="Abner E">EL Abner</name></author><author><name sortKey="Schmitt, Fa" uniqKey="Schmitt F">FA Schmitt</name></author><author><name sortKey="Cooper, G" uniqKey="Cooper G">G Cooper</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li></country><region><li>Alsace (région administrative)</li><li>Grand Est</li></region><settlement><li>Strasbourg</li></settlement></list><tree><country name="France"><region name="Grand Est"><name sortKey="Heitz, Camille" sort="Heitz, Camille" uniqKey="Heitz C" first="Camille" last="Heitz">Camille Heitz</name></region><name sortKey="Armspach, Jean Paul" sort="Armspach, Jean Paul" uniqKey="Armspach J" first="Jean-Paul" last="Armspach">Jean-Paul Armspach</name><name sortKey="Bilger, Mathias" sort="Bilger, Mathias" uniqKey="Bilger M" first="Mathias" last="Bilger">Mathias Bilger</name><name sortKey="Blanc, Frederic" sort="Blanc, Frederic" uniqKey="Blanc F" first="Frédéric" last="Blanc">Frédéric Blanc</name><name sortKey="Blanc, Frederic" sort="Blanc, Frederic" uniqKey="Blanc F" first="Frédéric" last="Blanc">Frédéric Blanc</name><name sortKey="Blanc, Frederic" sort="Blanc, Frederic" uniqKey="Blanc F" first="Frédéric" last="Blanc">Frédéric Blanc</name><name sortKey="Cretin, Benjamin" sort="Cretin, Benjamin" uniqKey="Cretin B" first="Benjamin" last="Cretin">Benjamin Cretin</name><name sortKey="Cretin, Benjamin" sort="Cretin, Benjamin" uniqKey="Cretin B" first="Benjamin" last="Cretin">Benjamin Cretin</name><name sortKey="De Petigny, Xavier" sort="De Petigny, Xavier" uniqKey="De Petigny X" first="Xavier" last="De Petigny">Xavier De Petigny</name><name sortKey="Demuynck, Catherine" sort="Demuynck, Catherine" uniqKey="Demuynck C" first="Catherine" last="Demuynck">Catherine Demuynck</name><name sortKey="Heitz, Camille" sort="Heitz, Camille" uniqKey="Heitz C" first="Camille" last="Heitz">Camille Heitz</name><name sortKey="Heitz, Camille" sort="Heitz, Camille" uniqKey="Heitz C" first="Camille" last="Heitz">Camille Heitz</name><name sortKey="Kemp, Jennifer" sort="Kemp, Jennifer" uniqKey="Kemp J" first="Jennifer" last="Kemp">Jennifer Kemp</name><name sortKey="Martin Hunyadi, Catherine" sort="Martin Hunyadi, Catherine" uniqKey="Martin Hunyadi C" first="Catherine" last="Martin-Hunyadi">Catherine Martin-Hunyadi</name><name sortKey="Noblet, Vincent" sort="Noblet, Vincent" uniqKey="Noblet V" first="Vincent" last="Noblet">Vincent Noblet</name><name sortKey="Philippi, Nathalie" sort="Philippi, Nathalie" uniqKey="Philippi N" first="Nathalie" last="Philippi">Nathalie Philippi</name><name sortKey="Philippi, Nathalie" sort="Philippi, Nathalie" uniqKey="Philippi N" first="Nathalie" last="Philippi">Nathalie Philippi</name><name sortKey="Phillipps, Clelie" sort="Phillipps, Clelie" uniqKey="Phillipps C" first="Clélie" last="Phillipps">Clélie Phillipps</name><name sortKey="Vogt, Natacha" sort="Vogt, Natacha" uniqKey="Vogt N" first="Natacha" last="Vogt">Natacha Vogt</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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