Executive function and theory of mind: Predictive relations from ages 2 to 4

Despite robust associations between children's theory of mind (ToM) and executive function (EF) skills, longitudinal studies examining this association remain scarce. In a socially diverse sample of 122 children (seen at ages 2, 3, and 4), this study examined (a) developmental stability of associations between ToM, EF, verbal ability, and social disadvantage; (b) continuity and change in ToM and EF; and (c) predictive relations between ToM and EF. Verbal ability and social disadvantage independently predicted changes in EF (but not ToM). Task scores improved with age and showed stable individual differences. The authors examined predictive relations between ToM and EF using partial correlations (controlling for age and verbal ability) and hierarchical regressions (that also controlled for social disadvantage and initial ToM and EF). The findings provide only partial support for the view that ToM is a prerequisite for EF but stronger support for the proposal that EF facilitates children's performance on ToM tasks.     

Theory of Mind and Executive Functions in Young Bilingual Children

Few studies have explored the relationship between theory of mind (ToM), executive function (EF), and bilingualism at the same time. In this study 14 young bilingual children were compared with monolingual children on a test battery composed of 5 ToM tests, 5 EF tests, and 1 test of general language ability. The result showed that despite significantly lower verbal ability, the bilingual children outperformed the monolingual ones on tests of EF. There were no differences in ToM performance. The authors argue that there is a strong relationship between bilingualism and EF, but, contrary to results from earlier studies, they could not find any relationship between bilingualism and ToM. EF did not predict ToM performance. Lack of a significant relationship could be due to the children's young age and consequently their low scores on the ToM tasks.     

Fonctions exécutives et théorie de l’esprit chez le jeune enfant : une relation réciproque ?

The aim of this study was to assess the specific relation between 18-month-olds’ performance on tasks measuring language skills, executive function (EF) and theory of mind (ToM). The ToM tasks included measures of intention and false-belief understanding whereas working memory and inhibitory control were assessed with three EF tasks. Expressive vocabulary was assessed with the MacArthur Communicative Development Inventory. The main findings showed that both aspects of ToM are strongly linked at this age to inhibitory control, but not to working memory abilities. Language skills were not associated with either ToM or EF abilities. With regard to inter-tasks coherence within EF and ToM, we replicated previous findings with no consistency across EF tasks but an association between false-belief and intention understanding. Overall, these findings provide evidence for a link between executive function and theory of mind at the youngest age ever tested. They also challenge the view that EF is not required to succeed on the false-belief task based on spontaneous responses.     

Executive Function and Theory of Mind in Children with ADHD: a Systematic Review

In developmental research, the relationship between Executive Function (EF) and Theory of Mind (ToM) has been extensively assessed, and EF has been considered a condition for ToM. However, few researchers have studied the relationship between EF and ToM in clinical populations, especially that of Attention Deficit Hyperactivity Disorder (ADHD), a neurodevelopmental disorder characterized by symptoms of inattention and motor hyperactivity/impulsivity, in which EF is largely impaired. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) model, 201 English and Spanish articles evaluating EF and ToM in ADHD were chosen. Fifteen papers met the inclusion criteria and were selected for further analysis. The first study dates from 2001. Most of the studies’ designs are cross-sectional, include mostly male children, have a small sample size, and were conducted in European countries. Unlike tasks assessing EF, tasks assessing ToM were heterogeneous across studies. The EFs most correlated with ToM were inhibitory control, working memory, cognitive flexibility, and attention. Interest in studying the relationship between EF and ToM in ADHD is recent,but increasing based on new findings and tuning of ToM instruments. However, while an association between EF and ToM is indicated in ADHD, the degree of prediction and predictability of one over the other cannot yet be established because of the studies’ heterogeneity.     

Theory of mind and its relationship with executive functions and emotion recognition in borderline personality disorder

Impaired social cognition has been claimed to be a mechanism underlying the development and maintenance of borderline personality disorder (BPD). One important aspect of social cognition is the theory of mind (ToM), a complex skill that seems to be influenced by more basic processes, such as executive functions (EF) and emotion recognition. Previous ToM studies in BPD have yielded inconsistent results. This study assessed the performance of BPD adults on ToM, emotion recognition, and EF tasks. We also examined whether EF and emotion recognition could predict the performance on ToM tasks. We evaluated 15 adults with BPD and 15 matched healthy controls using different tasks of EF, emotion recognition, and ToM. The results showed that BPD adults exhibited deficits in the three domains, which seem to be task‐dependent. Furthermore, we found that EF and emotion recognition predicted the performance on ToM. Our results suggest that tasks that involve real‐life social scenarios and contextual cues are more sensitive to detect ToM and emotion recognition deficits in BPD individuals. Our findings also indicate that (a) ToM variability in BPD is partially explained by individual differences on EF and emotion recognition; and (b) ToM deficits of BPD patients are partially explained by the capacity to integrate cues from face, prosody, gesture, and social context to identify the emotions and others' beliefs.     

Do Theory of Mind and Executive Function Deficits Underlie the Adverse Outcomes Associated with Profound Early Deprivation?: Findings from the English and Romanian Adoptees Study

Theory of Mind (ToM) and Executive Function (EF) have been associated with autism and with attention-deficit hyperactivity disorder (ADHD), and hence might play a role in similar syndromes found following profound early institutional deprivation. In order to examine this possibility the current study included a group of 165 Romanian adoptees, of whom 144 were adopted into the UK from deprived institutional settings before 43months of age, and a group of 52 within-UK adoptees, all adopted before 6months of age. Both groups were assessed at 6 and 11years. The Strange Stories task was used to assess ToM and the Stroop task was used to assess EF, both at age 11. The Romanian adoptees displayed deficits in both ToM and EF compared with the within-UK adoptee group. The degree of deficit was greater for children who had experienced more than 6months of institutional deprivation. Deficits in both domains (ToM and EF) were associated with each of the three apparently deprivation-specific problems, namely quasi-autism, disinhibited attachment and inattention/overactivity. Statistical analyses indicated a mediating role for both ToM and EF with respect to quasi-autism; possibly a partial mediating role for EF with respect to inattention/overactivity; and probably no mediating role for either ToM or EF in the case of disinhibited attachment. In conclusion, there is evidence for a possible mediating role for ToM and EF in the development of some apparently deprivation-specific difficulties in institution-reared Romanian adoptees, but neither accounts for the overall pattern of deprivation-related difficulties.     

Mental playmates: Siblings,executive functioning and theory of mind

This study assessed the theory of mind (ToM) and executive functioning (EF) abilities of 124 typically developing preschool children aged 3 to 5 years in relation to whether or not they had a child‐aged sibling (i.e. a child aged 1 to 12 years) at home with whom to play and converse. On a ToM battery that included tests of false belief, appearance‐reality (AR) and pretend representation, children who had at least 1 child‐aged sibling scored significantly higher than both only children and those whose only siblings were infants or adults. The numbers of child‐aged siblings in preschoolers' families positively predicted their scores on both a ToM battery (4 tasks) and an EF battery (2 tasks), and these associations remained significant with language ability partialled out. Results of a hierarchical multiple regression analysis revealed that independent contributions to individual differences in ToM were made by language ability, EF skill and having a child‐aged sibling. However, even though some conditions for mediation were met, there was no statistically reliable evidence that EF skills mediated the advantage of presence of child‐aged siblings for ToM performance. While consistent with the theory that distinctively childish interaction among siblings accelerates the growth of both ToM and EF capacities, alternative evidence and alternative theoretical interpretations for the findings were also considered.     

幼儿执行功能的发展对心理理论发展的影响*

采用追踪研究设计,探讨儿童3至5岁成长过程中,执行功能与心理理论发展间的预测关系。以155名3岁、4岁儿童为被试,采用经典实验任务对儿童的执行功能和心理理论进行间隔1年的追踪测查,并运用分层回归分析检验了二者间的预测关系。结果发现：儿童执行功能、心理理论在3至5岁期间均有显著的发展,且在此期间执行功能、心理理论的个体差异相对稳定;儿童在3岁、4岁时执行功能与心理理论呈显著正相关,但在5岁时二者间相关不显著;儿童3岁时的执行功能能够显著预测3至4岁期间心理理论的发展,而4岁时的执行功能不能预测4至5岁期间心理理论的发展;3至5岁期间,心理理论对执行功能发展始终不具有预测作用。     

Executive function and theory of mind: stability and prediction from ages 2 to 3

Several studies have demonstrated a relation between executive functioning (EF) and theory of mind (ToM) in preschoolers, yet the developmental course of this relation remains unknown. Longitudinal stability and EF-ToM relations were examined in 81 children at 24 and 39 months. At Time 1, EF was unrelated to behavioral measures of ToM but was significantly related to parent report of children's internal-state language, independent of vocabulary size. At Time 2, behavioral batteries of EF and ToM were significantly related (r=.50, p<.01). Furthermore, EF (Time 1) significantly predicted ToM (Time 2), independent of several controls. A reciprocal relation (internal-state language --> EF at Time 2) was nonsignificant with the controls included. Individual differences in EF were relatively stable.     

The Development of Substitute Object Pretense: The Differential Importance of Form and Function

Substitute object pretense is one of the earliest-developing forms of pretense, and yet it changes considerably across the preschool years. By 3.5 years of age, children can pretend with substitutes that are highly dissimilar from their intended referents (Elder & Pederson, 1978), but even older children have difficulty understanding such pretense in others (Bigham & Bourchier-Sutton, 2007). The present studies had 3 aims: 1) to examine the relative influence of the form and function of substitute objects; 2) to replicate the age gap between pretense production and comprehension using a tightly controlled procedure; and 3) to investigate whether preschoolers’ comprehension of substitute object pretense is predicted by a) theory of mind (ToM), because it involves reading pretender intent, and (b) executive function (EF), because it involves inhibiting the substitute object’s identity. In Study 1, 3- to 5-year-old children performed at ceiling on a test of substitute object pretense production, whereas pretense comprehension improved considerably across this age range. Study 2 provided evidence that the function of a substitute object is more influential than its form in determining whether a child can comprehend pretense actions with the object. The results of Study 2 also provided support for the role of ToM in comprehending another’s pretense. Finally, Study 3 replicated the results regarding form, function, and ToM in a sample drawn from a different community. The effects of EF on pretense comprehension were inconsistent across conditions and studies, suggesting that EF may not play a major role in the comprehension of pretense with substitute objects.     

Does Executive Function Matter for Preschoolers’ Problem Behaviors?

Early problem behaviors are associated with a variety of cognitive deficits: in verbal ability, executive function (EF) and theory of mind (ToM). Previous studies with different age-groups yield contrasting results: for 2-year-olds, ToM skills appear particularly salient (Hughes & Ensor, 2006), but for 4-year-olds EF appears more important (Hughes, White, Sharpen, & Dunn, 2000). To examine this apparent developmental change in the relative salience of cognitive deficits we followed 122 children from Hughes and Ensor’s (2006) sample at ages 3 and 4. Tests of ToM, EF and verbal ability were included at each time-point and multi-informant, multi-measure, multi-setting ratings provided aggregate measures of problem behaviors. ToM and verbal ability showed non-specific associations with problem behaviors, but associations between EF and problem behaviors were strong and specific. In addition, age-3 EF mediated relations between age-2 verbal ability and age-4 problem behaviors.     

Knowing minds, controlling actions: the developmental relations between theory of mind and executive function from 2 to 4 years of age

This longitudinal study examined the concurrent and predictive relations between executive function (EF) and theory of mind (ToM) in 82 preschoolers who were assessed when they were 2, 3, and 4 years old. The results showed that the concurrent relation between EF and ToM, after controlling for age, verbal ability, and sex, was significant at 3 and 4 years of age but not at 2 years of age. Hierarchical regression analyses showed that EF at age 2 significantly predicted ToM at age 3 and that EF at age 3 significantly predicted ToM at age 4, over and above the effects of age, verbal ability, and prior performance on ToM tasks. However, ToM at ages 2 and 3 did not explain a significant amount of variance in EF at age 4. Bootstrap procedures revealed that verbal ability at age 3 fully mediated the relation between ToM at age 2 and EF at age 4.     

Links between theory of mind and executive function in young children with autism: clues to developmental primacy

There has been much theoretical discussion of a functional link between theory of mind (ToM) and executive function (EF) in autism. This study sought to establish the relationship between ToM and EF in young children with autism (M = 5 years, 6 months) and to examine issues of developmental primacy. Thirty children with autism and 40 typically developing children, matched on age and ability, were assessed on a battery of tasks measuring ToM (1st- and 2nd-order false belief) and components of EF (planning, set shifting, inhibition). A significant correlation emerged between ToM and EF variables in the autism group, independent of age and ability, while ToM and higher order planning ability remained significantly related in the comparison group. Examination of the pattern of ToM-EF impairments in the autism group revealed dissociations in 1 direction only: impaired ToM with intact EF. These findings support the view that EF may be 1 important factor in the advancement of ToM understanding in autism. The theoretical implications of these findings are discussed.     

Hot and Cool Executive Function and its Relation to Theory of Mind in Children with and without Autism Spectrum Disorder

Previous research has clearly demonstrated that autism spectrum disorder (ASD) involves deficits in multiple neuropsychological functions, such as executive function (EF) and theory of mind (ToM). A conceptual distinction is commonly made between cool and hot EF. In ASD, continued attention has been paid to the cool areas of executive dysfunction. Cool EF has been strongly related to ToM, but research has not taken into account the association between hot EF and ToM in ASD. The present study investigated the associations between hot and cool EF and ToM in 56 school-aged children with ASD and 69 controls on tasks tapping cool EF (i.e., working memory, inhibition, planning), hot EF (i.e., affective decision making, delay discounting), and ToM (i.e., mental state/emotion recognition and false belief). Significant group differences in each EF measure support an executive dysfunction in both domains in ASD. Strong associations between delay discounting and ToM mental state/emotion recognition were found, suggesting that hot EF makes a unique contribution to ToM above and beyond cool EF in typical development and ASD. This study improves understanding of the profile of higher-order cognitive deficits in children with ASD, which may inform diagnosis and intervention.     

儿童阅读与心理理论间的关系

阅读与心理理论(theory of mind, ToM)在儿童发展过程中都发挥着重要的作用, 梳理文献发现两者可能存在双向促进作用。儿童通过与家长或老师的共享阅读, 启动联合注意, 使用心理状态术语进行对话, 进一步根据社会想象力, 模拟社会互动, 从而促进儿童心理理论发展。另一方面, 在阅读过程中, 心理理论能够助力儿童从宏观的阅读观的建立、元认知阅读策略的使用、故事情境模型的构建, 到微观具体的短语、句子、语篇和多文本的理解等能力的提高, 这些证据揭示了心理理论可以从多方面促进儿童阅读能力的发展。进一步的神经生理证据发现, 阅读和心理理论这两个过程的神经活动是有一定重叠的。由此推测, 两者可能具备潜在的双向促进关系。未来需要更深入和长期的纵向追踪研究为两者的关系提供丰富的实证证据。此外, 还应进行更多中国的低龄儿童的研究。随着科技的发展和线上课程的盛行, 也应更多关注多媒体内容阅读对儿童心理理论的影响。     

The link between preschoolers' executive function and theory of mind and the role of epistemic states

The aim of this study was to assess the specific relation between 3- to 6-year-olds’ performance on a task measuring executive function (EF), the Dimensional Change Card Sort task (DCCS), and different developmental attainments in their theory of mind (ToM) by employing a battery of scaled ToM tasks that were comparable in task format and task demands. In addition, individual differences on the temperamental dimensions emotionality, activity, sociability, and shyness were assessed by parental rating. The main findings show that children’s (N = 195) performance on the DCCS related to their overall performance on the ToM scale but that this relation was specific to those ToM tasks that tap children’s understanding of epistemic states such as knowledge access, diverse beliefs, and false beliefs regarding content and location. The relation between children’s EF and overall ToM performance remained significant after controlling for age, sentence comprehension, child temperament, and parental education. Individual differences in child activity showed consistent negative relation to EF and ToM abilities. The findings point to a differential involvement of the various EF components in reasoning about different mental concepts.     

Executive Functions and Theory-of-Mind Among Deaf Children: Different Routes to Understanding Other Minds?

The aim of the present study was to investigate the role of executive functions (EF) in theory-of-mind (ToM) performance in deaf children and adolescents. Four groups of deaf children aged 7–16 years, with different language backgrounds at home and at school, that is, bilingually instructed native signers, oralist-instructed native signers, and two groups of bilingually instructed late signers from Sweden and Estonia, respectively, were given eight ToM and four EF measures. The bilingually instructed native signers performed at a significantly higher level on the ToM measures than the other groups of deaf children. On the EF measures, there were no significant differences found between any of the groups, with one exception—the Swedish bilingual late signers had a significantly shorter average reaction time on the go-no-go inhibition task than the oralist native signers and the Estonian bilingual late signers. However, the Swedish children's better EF performance was not mirrored in better performance on ToM tasks. Our results indicate that despite all deaf children's good general cognitive abilities, there were still differences in their performance on ToM tasks that need to be explained in other terms. Thus, whatever the cause of late signers' difficulties with ToM, poor EF-skills seem to be of minor importance.     

Wittgenstein running: neural mechanisms of collective intentionality and we-mode

In this paper we discuss the problem of the neural conditions of shared attitudes and intentions: which neural mechanisms underlie "we-mode" processes or serve as precursors to such processes? Neurophysiological and neuropsychological evidence suggests that in different areas of the brain neural representations are shared by several individuals. This situation, on the one hand, creates a potential problem for correct attribution. On the other hand, it may provide the conditions for shared attitudes and intentions.     

Television Exposure,Sleep Time,and Neuropsychological Function Among Preschoolers

We explored whether sleep time mediates the relation between preschoolers' television exposure and two indicators of neuropsychological function: executive function (EF) and theory of mind (ToM). With a sample of 107 preschoolers and their parents, we found that heavier background television exposure and nighttime television viewing were related to fewer hours of sleep, which, in turn, was related to weaker ToM. However, sleep time did not mediate the relation between intentional television viewing and EF. In this article, we discuss the importance of understanding the mechanisms by which television exposure can affect children's neuropsychological function and offer several alternative explanations.     

The Role of Executive Function and Theory of Mind in Pragmatic Computations

In sentences such as “Some dogs are mammals,” the literal semantic meaning (“Some and possibly all dogs are mammals”) conflicts with the pragmatic meaning (“Not all dogs are mammals,” known as a scalar implicature). Prior work has shown that adults vary widely in the extent to which they adopt the semantic or pragmatic meaning of such utterances, yet the underlying reason for this variation is unknown. Drawing on theoretical models of scalar implicature derivation, we explore the hypothesis that the cognitive abilities of executive function (EF) and theory of mind (ToM) contribute to this observed variation. In Experiment 1, we show that individuals with better ToM are more likely to compute a scalar implicature and adopt the pragmatic meaning of an utterance; however, EF makes no unique contribution to scalar implicature comprehension after accounting for ToM. In Experiment 2, we replicate this finding and assess whether it generalizes to the comprehension of other pragmatic phenomena such as indirect requests (e.g., “It's hot in here” uttered to ask for something to be done) and metaphor (e.g., “to harvest courage”). This is the first evidence that differences in ToM are associated with pragmatic competence in neurotypical adults across distinct pragmatic phenomena.