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Lesions in the Ventromedial Prefrontal Cortex and their Impact on Social Cognition
Lesiones en la Corteza Prefrontal Ventromedial y su Impacto en la Cognición Social
DOI:
https://doi.org/10.15446/rcp.v31n2.88206Palabras clave:
Ventromedial, stroke, social cognition, Theory of mind, empathy. (en)Ventromedial, ACV, cognición social, Teoría de la mente, empatía. (es)
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Aims: To identify the impact of ventromedial prefrontal cortex injury (vmPFC) on social cognition (SC) processes in a stroke patient in relation to a control group matched by age, gender and schooling. Possible associations between post-injury behavior and impacted neuropsychological attributes of emotion recognition, Theory of Mind (ToM), and empathy are discussed. Method: A patient with stroke in right vmPFC and 10 healthy participants completed different screening, neuropsychological assessment and SC tests. Results: Correlations were found between damage in vmPFC and alterations in affective ToM, working and retrograde memory, mood and relational alterations in the patient. Discrepancies were found with respect to other studies in relation to the laterality of the injury and the impact of cognitive and affective empathy which seems to be relatively intact. Conclusions: There is a need to clarify the role of affective ToM after acquired brain injury (ABI) in vmPFC. A protocol is needed to assess and intervene in aspects of ToM that would involve documenting strengths and deficits of ToM: inter and intrapersonal after an ABI. Similarly, there is a need to address the lateralization of different domains of function in vmPFC and their relationship to affective ToM.
How to cite: Sánchez Tombe, J. R. (2022). Lesions In The Ventromedial Prefrontal Cortex And Their Impact On Social Cognition. Revista Colombiana de Psicología,31(2), 11-26. https://doi.org/10.15446/rcp.
v31n2.88206
Objetivo: Identificar el impacto de la lesión en la corteza prefrontal ventromedial (vmPFC por sus siglas en inglés) en los procesos de cognición social (SC por sus siglas en inglés) a un paciente con accidente cerebrovascular (ACV) en relación a un grupo control pareado por edad, género y escolaridad. Se discuten las posibles asociaciones entre el comportamiento posterior a la lesión y los atributos neuropsicológicos impactados de reconocimiento de emociones, Teoría de la Mente (ToM por sus siglas en inglés) y empatía. Método: Un paciente con ACV en el vmPFC derecho y 10 participantes sanos completaron diferentes pruebas de screening, evaluación neuropsicológica y SC. Resultados: Se encontraron correlaciones entre el daño en vmPFC y alteraciones en la ToM afectiva, memoria de trabajo y retrógrada, alteraciones anímicas y relacionales en el paciente. Se hallaron discrepancias frente a otros estudios en relación con la lateralidad de la lesión y al impacto de la empatía cognitiva y afectiva la cual parece estar relativamente intacta. Conclusiones: Se requiere aclarar el panorama frente al deterioro de la ToM afectiva después de una lesión cerebral adquirida (ABI por sus siglas en inglés) en vmPFC. Se necesita un protocolo para evaluar e intervenir en aspectos de la ToM que involucraría documentar fortalezas y déficits de ToM: inter e intrapersonal después de un ABI. De igual manera, se requiere abordar la lateralización de diferentes dominios de la función en vmPFC y su relación con la ToM afectiva.
Cómo citar este artículo: Sánchez Tombe, J. R. (2022). Lesions In The Ventromedial Prefrontal Cortex And Their Impact On Social Cognition. Revista Colombiana de Psicología,31(2), 11-26. https://doi.org/10.15446/rcp.
v31n2.88206
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Derechos de autor 2022 Revista Colombiana de PsicologíaTodo el contenido de esta revista cuenta con una licencia Creative Commons “Reconocimiento, No comercial y Sin obras derivadas” Internacional 4.0. Sin embargo, si el autor desea obtener el permiso de reproducción, se evaluará cualquier solicitud de su parte.
