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Social cognition in mild cognitive impairment and dementia: A systematic review and meta-analysis

shi, puyu; Chapman, Hannah; Liu, Lisa; Rodgers, Fern; Shaw, Jasmine; Livingston, Gill; Rankin, Katherine; ... Sommerlad, Andrew; + view all (2025) Social cognition in mild cognitive impairment and dementia: A systematic review and meta-analysis. Alzheimer's and Dementia , 21 (3) , Article e70076. 10.1002/alz.70076. Green open access

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Abstract

Social cognition is impaired in people with dementia but the differences in social cognitive impairment between mild cognitive impairment (MCI) and dementia and its subtypes remain unclear. We therefore aimed to systematically review and meta-analyze differences in emotion recognition, theory of mind (ToM), and empathy between individuals with MCI and dementia. Across 28 cross-sectional studies (n = 2409), people with MCI had better emotion recognition (Cohen's d = 0.69) and ToM (d = 0.70) than individuals with Alzheimer's disease (AD) dementia, and larger effect sizes were observed for people with frontotemporal dementia (FTD) (emotion recognition (d = 2.09), ToM (d = 1.49), but emotional empathy was higher in AD than in MCI in included studies. Our findings suggest a progressive decline of aspects of social cognition across the MCI–dementia continuum. Longitudinal studies should investigate the diagnostic role of social cognition deficits in MCI progression to dementia, and interventions for social cognition in MCI should be developed and tested.

Type: Article
Title: Social cognition in mild cognitive impairment and dementia: A systematic review and meta-analysis
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/alz.70076
Publisher version: https://alz-journals.onlinelibrary.wiley.com/doi/1...
Language: English
Additional information: © 2025 The Author(s). Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: Alzheimer's disease, dementia, frontotemporal dementia, mild cognitive impairment, social cognition
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Mental Health of Older People
URI: https://discovery.ucl.ac.uk/id/eprint/10206654
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