Assessment of Social Cognition and Theory of Mind: Initial Validation of the Geneva Social Cognition Scale

Eur Neurol. 2015;74(5-6):288-95. doi: 10.1159/000442412. Epub 2015 Dec 12.

Abstract

Background: Social cognition is widely studied in neurology. At present, such evaluations are designed for research or for specific diseases and simple general clinical tools are lacking. We propose a clinical evaluation tool for social cognition, the Geneva Social Cognition Scale (GeSoCS).

Methods: The GeSoCS is a 100-point scale composed of 6 subtests (theory of mind stories, recognition of social emotions, false beliefs, inferences, absurdity judgement and planning abilities) chosen from different validated tests of social and cognitive evaluation. Eighty-four patients with neurological disorders and 52 controls participated in the study. Evaluation duration lasted 20-60 min.

Results: Mean scores were 92.6 ± 4.5 for controls and 76.5 ± 15.3 for patients and differentiate patients and controls in all subtests. With a cut-off score of 84, the scale had a sensitivity of 62% and a specificity of 94%. In our stroke subgroup, right CVAs failed in cartoons, inferences, 'mind in the eyes', and in the temporal rule task while left CVAs were impaired in verbal/discourse tasks (social cognition, inferences, absurd stories, and cartoons.

Conclusions: The GeSoCS is a medium duration assessment tool that appears to detect and characterize significant social impairment in neurological patients.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Aged
  • Brain Damage, Chronic / diagnosis*
  • Brain Damage, Chronic / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests / statistics & numerical data*
  • Psychometrics / statistics & numerical data*
  • Reproducibility of Results
  • Social Adjustment*
  • Social Behavior*
  • Social Skills*
  • Theory of Mind*