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Updated: Jul 5, 2025

Measurements of Motor Function and Other Clinical Outcome Parameters in Ambulant Children with Duchenne Muscular Dystrophy
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Difficulties in social cognitive functioning among pediatric patients with muscular dystrophies

Irune García1, Oscar Martínez1, Juan Francisco López-Paz1

  • 1Neuro-e-Motion Research Team, Department of Psychology, Faculty of Health Sciences, University of Deusto, Bilbao, Spain.

Frontiers in Psychology
|January 19, 2024
PubMed

Insights

Pediatric muscular dystrophies (MDs) impair social cognition, affecting emotion recognition and theory of mind (ToM). Early screening is vital for improving quality of life in children with MDs.

Area of Science:

  • Neurology
  • Psychology
  • Pediatrics

Background:

  • Pediatric muscular dystrophies (MDs) are rare neuromuscular diseases causing progressive muscle degeneration.
  • A neuropsychosocial approach is essential for managing MDs due to associated comorbidities.
  • The social cognitive domain in pediatric MDs remains under-addressed.

Purpose of the Study:

  • To analyze social cognition performance in pediatric patients with MD.
  • To compare social cognition in children with MDs versus healthy controls.
  • To investigate the impact of general intelligence and behavioral symptoms on social cognition in MDs.

Main Methods:

  • Cross-sectional study with 32 pediatric MD patients and 32 matched healthy controls.
  • Utilized NEPSY-II Social Perception Domain, Reading the Mind in the Eyes Test-Child, and Happé's Strange Stories Test.
  • Controlled for general intelligence and behavioral/emotional symptoms; assessments were remote.

Main Results:

  • Children with MDs showed significantly poorer performance on most social cognition tasks.
  • Impairments in theory of mind (ToM) were partially explained by general intelligence levels.
  • Emotion recognition deficits were independent of general intelligence and behavioral/emotional symptoms.

Conclusions:

  • Social cognition, including emotion recognition and ToM, is impaired in pediatric MD patients.
  • Screening for social cognition deficits is recommended for early intervention.
  • Improving social cognition can enhance the quality of life for children with MDs.
Abstract

Keywords:
behavioral and emotional symptomsemotion recognitiongeneral intelligencepediatric MDsocial cognitiontheory of mind

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