Evidence map›Paper›PMID 40410788›Full record

ArticleBMC psychiatry2025

Cognitive and affective theory-of-mind impairment in people with early-stage bipolar disorder.

Jacob Man Tik Chan, Heidi Ka Ying Lo, Anson Kai Chun Chau, Aerin Sum Yin Mok, Co Co Ho Yi Tong, Candice Tze Kwan Kam, Catherine Zhiqian Fang, Wing Chung Chang

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jacob Man Tik ChanDepartment of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong SAR, China.
Heidi Ka Ying LoDepartment of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong SAR, China.
Anson Kai Chun ChauDepartment of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong SAR, China.
Aerin Sum Yin MokDepartment of Psychology, College of Arts and Sciences, Cornell University, New York, USA.
Co Co Ho Yi TongDepartment of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong SAR, China.
Candice Tze Kwan KamDepartment of Psychiatry, Queen Mary Hospital, Hospital Authority, Pok Fu Lam, Hong Kong SAR, China.
Catherine Zhiqian FangDepartment of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong SAR, China.
Wing Chung ChangDepartment of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong SAR, China. changwc@hku.hk.

Funding

University of Hong Kong 201711159052
6 · The paper itself

Abstract

backgroundLiterature suggests impaired theory-of-mind (ToM) in people with bipolar-disorder (BD). However, prior research primarily examined patients at chronic stage (stage 3c-4) and was constrained by clinical heterogeneity. Deficits in ToM modalities remain to be clarified. We aimed to assess cognitive and affective ToM performance in euthymic people with early-stage BD.

methodsCognitive and affective ToM were examined in 41 euthymic early-stage (stage 2-3b) BD patients aged 16 - 40 years who were treated within three-years from first-episode mania and 40 demographically-matched healthy controls, using Faux-pas task (FPT) and Reading the Mind in the Eyes test (RMET). Relationships of ToM performance with symptom severity, cognitive functions, history of psychosis and depressive episode were assessed.

resultsParticipants displayed significantly lower scores than controls in both cognitive and affective ToM components in FPT. The two groups showed comparable performance in RMET. No significant correlations were observed between ToM measures and variables of symptom dimensions, cognitive functions and treatment variables in BD patients. Additional analyses revealed no significant differences in ToM performance in FPT and RMET between BD patients with versus without a history of psychosis, and between BD patients with versus without a history of depressive episode.

conclusionThis study extends previous findings of ToM deficits in later-stage BD to euthymic people with early-stage BD who exhibit cognitive and affect ToM impairment. Further research is needed to clarify potential differential trajectories of cognitive and affective ToM deficits and their relationships with psychosis, polarity of mood episodes, and functional outcomes in early-stage BD.

Indexed as

AffectBipolar DisorderCognitive DysfunctionTheory of MindAdolescentAdultCase-Control StudiesFemaleHumansMaleNeuropsychological TestsYoung AdultBipolar disorderFaux pas taskFirst-episode maniaPsychosisRMETTheory of mind

Identifiers

PMID40410788
PMCPMC12100976

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.