A systematic review of the current measures of theory of mind in adults with Schizophrenia

Ya Chin Yeh, Chung Ying Lin, Ping Chia Li, Chi Fa Hung, Chun Hua Cheng, Ming Hui Kuo, Kuan Lin Chen

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)


Adults with schizophrenia usually have impairments in theory of mind (ToM), which subsequently cause them problems in social interaction. Therefore, it is important for healthcare providers to assess their ToM using adequate measures. This systematic review evaluated current ToM measures (or ToM tasks) for adults with schizophrenia and summarized their specific charac-teristics, including the concept and construct, administration, and psychometric properties. From a review of 117 articles, 13 types of ToM tasks were identified, and the findings from these articles were qualitatively synthesized. The results showed that ToM tasks are diverse in their presentation modalities, answer modes, strategies of controlling cognitive confounders, and scoring. Most tasks employ cognitive and affective dimensions and target a specific, single ToM concept. The present systematic review found that psychometric evidence supporting the ToM tasks, such as internal consistency, test–retest reliability, unidimensionality, and convergent, criterion, and ecological va-lidities, is insufficient. Based on the results, we propose several principles for selecting appropriate ToM tasks in practice, e.g., selecting a task with multiple ToM concepts, or an exclusive ToM construct containing the cognitive and affective dimensions. Moreover, future studies are needed to provide more psychometric evidence on each type of ToM task applied in people with schizophrenia.

Original languageEnglish
Article number7172
JournalInternational journal of environmental research and public health
Issue number13
Publication statusPublished - 2021 Jul 1

All Science Journal Classification (ASJC) codes

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


Dive into the research topics of 'A systematic review of the current measures of theory of mind in adults with Schizophrenia'. Together they form a unique fingerprint.

Cite this