Social cognition and idiopathic isolated cervical dystonia


For a long time, cervical dystonia (CD) has been characterised only by disturbances in motor functioning. Despite accumulating evidence for symptomatology in various non-motor domains, to date no study has investigated social cognition in CD. The aim of this study was to compare performance of CD patients and healthy controls in neurocognitive and socio-cognitive domain. Twenty-five non-depressed patients with CD and 26 healthy controls underwent neuropsychological testing. This involved assessment of cognitive status (general intellect, verbal memory, and executive function), and socio-cognitive functions using a Theory of mind task and self-report on empathy and emotion regulation. In comparison to controls, CD patients displayed significantly decreased cognitive abilities, particularly in executive function and verbal memory tasks. Difficulties in inferring mental states on both cognitive and affective levels were also observed. The largest discrepancies were detected in understanding intentionality in others. Poorer performance in cognitive and socio-cognitive tasks was unrelated to severity of the disease. This is the first evidence of compromised socio-cognitive functions in CD patients, highlighting this domain as another facet of non-motor symptoms of this disease. Future studies should advance our understanding of the extent, nature, and time course of these deficits in other aspects of social cognition in this patient population.

Publication DOI:
Divisions: College of Health & Life Sciences
Additional Information: The final publication is available at Springer via
Uncontrolled Keywords: cervical dystonia,cognition,empathy,social cognition,theory of mind,Neurology,Clinical Neurology,Psychiatry and Mental health,Biological Psychiatry
Publication ISSN: 1435-1463
Last Modified: 01 Mar 2024 08:13
Date Deposited: 06 Sep 2017 15:20
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Related URLs: http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2017-09-01
Published Online Date: 2017-04-25
Accepted Date: 2017-04-17
Authors: Czekóová, Kristína
Zemánková, Petra
Shaw, Daniel J. (ORCID Profile 0000-0003-1139-8301)
Bareš, Martin



Version: Accepted Version

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