Theory of Mind and conduct problems in children: Deficits in reading the “emotions of the eyes”

Abstract

A significant clinical feature of disorders of antisocial behaviour involves difficulties in social functioning. It has been suggested that deficits in “theory of mind” (ToM) reasoning—the ability to decode others’ emotions and thoughts—may underlie social difficulties in these populations. Success in demonstrating ToM impairment associated with antisocial behaviour and psychopathy in adults and children have been limited. In the current study, parent-reported conduct problems were concurrently measured with performance on an advanced test of ToM developed for children, the Child Eyes Test (Journal of Developmental and Learning Disorders, 5, 47–78). Preadolescent and young adolescent children (n=79) drawn from a community sample were required to identify emotions from photographic stimuli depicting the eye region of the face only. Findings suggested a generalised impairment in ToM in children with conduct problems, as indicated by a significant relationship between poor Eyes Test performance and conduct problems, even when IQ, sex and age were controlled for. The findings are discussed in the context of the amygdala theory of psychopathy, and the neural systems suggested to mediate performance on the Eyes Test.

Acknowledgements

CS was supported by an NHS Post-Doctoral Fellowship awarded to the University of Cambridge. This work was conducted within the MRC Centre for Brain, Behaviour and Neuropsychiatry Research.

The author is grateful to all the families who participated.