Examining Specific Theory-of-Mind Aspects in Amnestic and Non-Amnestic Mild Cognitive Impairment: Their Relationships with Sleep Duration and Cognitive Planning

<b>Background/Objectives:</b> The study examined the relationships between specific Theory-of-Mind (ToM) dimensions, cognitive planning, and sleep duration in aging adults. <b>Methods:</b> The sample included 179 participants, comprising 46 cognitively healthy individuals, 75...

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Main Authors: Areti Batzikosta, Despina Moraitou, Paschalis Steiropoulos, Georgia Papantoniou, Georgios A. Kougioumtzis, Ioanna-Giannoula Katsouri, Maria Sofologi, Magda Tsolaki
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Language:English
Published: MDPI AG 2025-01-01
Series:Brain Sciences
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Online Access:https://www.mdpi.com/2076-3425/15/1/57
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author Areti Batzikosta
Despina Moraitou
Paschalis Steiropoulos
Georgia Papantoniou
Georgios A. Kougioumtzis
Ioanna-Giannoula Katsouri
Maria Sofologi
Magda Tsolaki
author_facet Areti Batzikosta
Despina Moraitou
Paschalis Steiropoulos
Georgia Papantoniou
Georgios A. Kougioumtzis
Ioanna-Giannoula Katsouri
Maria Sofologi
Magda Tsolaki
author_sort Areti Batzikosta
collection DOAJ
description <b>Background/Objectives:</b> The study examined the relationships between specific Theory-of-Mind (ToM) dimensions, cognitive planning, and sleep duration in aging adults. <b>Methods:</b> The sample included 179 participants, comprising 46 cognitively healthy individuals, 75 diagnosed with amnestic Mild Cognitive Impairment (aMCI), and 58 with non-amnestic (naMCI). The mean age of the participants was 70.23 years (SD = 4.74), with a mean educational attainment of 12.35 years (SD = 3.22) and gender distribution of 53 men and 126 women. ToM assessment included tasks measuring the understanding and interpretation of non-literal speech, proverbs and metaphors, as well as an emotion-recognition test. For cognitive planning, a Tower Test was utilized. Sleep duration was measured using actigraphy. <b>Results:</b> We identified significant differences in various ToM tasks’ performance between the groups, particularly in non-literal speech tasks and third-order ToM stories. The HC group consistently outperformed both MCI groups in these tasks, with aMCI showing higher performance than naMCI. Mediation analysis applied to examine potential direct and indirect effects of sleep duration on ToM tasks indicated that total sleep time had significant indirect effects through cognitive planning—mainly as rule violation total score—on specific ToM aspects. Hence, besides the effects of MCI pathologies and especially of naMCI, sleep duration seems also to be associated with ToM performance in aging via specific executive functioning decrements. <b>Conclusions:</b> The findings underscore the social implications of ToM deficits due to MCI and/or sleep duration decrease, particularly in naMCI older adults, as they can seriously impair their social interactions. Targeted interventions could improve emotional understanding, communication, and overall quality of life.
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spelling doaj-art-15373e8f2c6342469d8ec32adafec7fd2025-01-24T13:25:50ZengMDPI AGBrain Sciences2076-34252025-01-011515710.3390/brainsci15010057Examining Specific Theory-of-Mind Aspects in Amnestic and Non-Amnestic Mild Cognitive Impairment: Their Relationships with Sleep Duration and Cognitive PlanningAreti Batzikosta0Despina Moraitou1Paschalis Steiropoulos2Georgia Papantoniou3Georgios A. Kougioumtzis4Ioanna-Giannoula Katsouri5Maria Sofologi6Magda Tsolaki7Laboratory of Psychology, Department of Cognition, Brain and Behavior, School of Psychology, Faculty of Philosophy, Aristotle University of Thessaloniki (AUTh), 54124 Thessaloniki, GreeceLaboratory of Psychology, Department of Cognition, Brain and Behavior, School of Psychology, Faculty of Philosophy, Aristotle University of Thessaloniki (AUTh), 54124 Thessaloniki, GreeceDepartment of Respiratory Medicine, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, GreeceLaboratory of Neurodegenerative Diseases, Center of Interdisciplinary Research and Innovation (CIRI-AUTH), Balcan Center, Buildings A & B, 57001 Thessaloniki, GreeceDepartment of Turkish Studies and Modern Asian Studies, Faculty of Economic and Political Sciences, National and Kapodistrian University of Athens, 15772 Athens, GreeceDepartment of Occupational Therapy, Faculty of Health and Caring Sciences, University of West Attica, 12243 Athens, GreeceLaboratory of Psychology, Department of Early Childhood Education, School of Education, University of Ioannina, 45110 Ioannina, GreeceLaboratory of Neurodegenerative Diseases, Center of Interdisciplinary Research and Innovation (CIRI-AUTH), Balcan Center, Buildings A & B, 57001 Thessaloniki, Greece<b>Background/Objectives:</b> The study examined the relationships between specific Theory-of-Mind (ToM) dimensions, cognitive planning, and sleep duration in aging adults. <b>Methods:</b> The sample included 179 participants, comprising 46 cognitively healthy individuals, 75 diagnosed with amnestic Mild Cognitive Impairment (aMCI), and 58 with non-amnestic (naMCI). The mean age of the participants was 70.23 years (SD = 4.74), with a mean educational attainment of 12.35 years (SD = 3.22) and gender distribution of 53 men and 126 women. ToM assessment included tasks measuring the understanding and interpretation of non-literal speech, proverbs and metaphors, as well as an emotion-recognition test. For cognitive planning, a Tower Test was utilized. Sleep duration was measured using actigraphy. <b>Results:</b> We identified significant differences in various ToM tasks’ performance between the groups, particularly in non-literal speech tasks and third-order ToM stories. The HC group consistently outperformed both MCI groups in these tasks, with aMCI showing higher performance than naMCI. Mediation analysis applied to examine potential direct and indirect effects of sleep duration on ToM tasks indicated that total sleep time had significant indirect effects through cognitive planning—mainly as rule violation total score—on specific ToM aspects. Hence, besides the effects of MCI pathologies and especially of naMCI, sleep duration seems also to be associated with ToM performance in aging via specific executive functioning decrements. <b>Conclusions:</b> The findings underscore the social implications of ToM deficits due to MCI and/or sleep duration decrease, particularly in naMCI older adults, as they can seriously impair their social interactions. Targeted interventions could improve emotional understanding, communication, and overall quality of life.https://www.mdpi.com/2076-3425/15/1/57executive functionsnon-literal speech comprehensionsleepsocial cognitionrules’ violationthird-order ToM
spellingShingle Areti Batzikosta
Despina Moraitou
Paschalis Steiropoulos
Georgia Papantoniou
Georgios A. Kougioumtzis
Ioanna-Giannoula Katsouri
Maria Sofologi
Magda Tsolaki
Examining Specific Theory-of-Mind Aspects in Amnestic and Non-Amnestic Mild Cognitive Impairment: Their Relationships with Sleep Duration and Cognitive Planning
Brain Sciences
executive functions
non-literal speech comprehension
sleep
social cognition
rules’ violation
third-order ToM
title Examining Specific Theory-of-Mind Aspects in Amnestic and Non-Amnestic Mild Cognitive Impairment: Their Relationships with Sleep Duration and Cognitive Planning
title_full Examining Specific Theory-of-Mind Aspects in Amnestic and Non-Amnestic Mild Cognitive Impairment: Their Relationships with Sleep Duration and Cognitive Planning
title_fullStr Examining Specific Theory-of-Mind Aspects in Amnestic and Non-Amnestic Mild Cognitive Impairment: Their Relationships with Sleep Duration and Cognitive Planning
title_full_unstemmed Examining Specific Theory-of-Mind Aspects in Amnestic and Non-Amnestic Mild Cognitive Impairment: Their Relationships with Sleep Duration and Cognitive Planning
title_short Examining Specific Theory-of-Mind Aspects in Amnestic and Non-Amnestic Mild Cognitive Impairment: Their Relationships with Sleep Duration and Cognitive Planning
title_sort examining specific theory of mind aspects in amnestic and non amnestic mild cognitive impairment their relationships with sleep duration and cognitive planning
topic executive functions
non-literal speech comprehension
sleep
social cognition
rules’ violation
third-order ToM
url https://www.mdpi.com/2076-3425/15/1/57
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