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Contribution title Neural Biomarker and Mentalization based treatment for Autistic Children and their families: Understanding the neural underpinnings in dyadic social learning. A Narrative Review.
Contribution code D2.186
Authors
  1. Ilenia Gori RamonLull University Blanquerna College. Couple and Family Research Group. FUNDACIÓ HOSPITAL SANT JOAN DE DÉU DE MARTORELL. Barcelona, Spain Presenter
  2. Denis G. Sukhodolsky Yale University School of Medicine
  3. Karim Ibrahim Child Study Center, Yale University School of Medicine, New Haven, CT, USA; Department of Psychology, Yale University, New Haven, CT, USA; Wu Tsai Institute, Yale University, New Haven, CT, USA
Form of presentation Poster
Topic
  • T23 - Mentalization based therapy
Abstract Aim
Mentalized-Based Treatment for Children with Autism and their Families (MBT-C A) is a novel developmental modality that works globally with an integrated approach that facilitates social dyadic learning. It works with a dimensional paradigm based on the "Neuro Dimensional Mentalized Domains and the Dyadic Network Model." The aim of the narrative review is to seek convergence between neural biomarkers and the MBT-C A treatment modality.

Method
A systematic literature search for fMRI studies was conducted for studies published between 2010-2024, using Scopus, Pubmed and Web of Science databases, with subjects aged 4-12 y.o. The research terms used were:“mentalizing”, “social cognition” and “dyadic social learning”.

Results: A discrepancy has been identified in the census with regard to the concept of mental State attribution in MBT-C treatment and neuroscience research, as well a gap is present in this age group. There is no census in the directionality of hypo- vs hyper-connectivity, which indicates potential neural heterogeneity in autism associated with ToM. More work is needed to understand neural function, during task-based fMRI and resting-state fMRI, and the synchrony or extrinsic process as parent-child interaction or environment with hyperscanning in ASD children related to ToM. Final Results will show how the MBT-CA can promote global processing in the brain, activating specific networks and functional connectivity in different anatomical areas.

Conclusion: This research advances our understanding of the complex nature and interplay of brain-behaviour associations within complex dyadic processes thought to scaffold mentalization. New insights into the neurobiology of social cognition in autism, e.g. by integrating different imaging modalities (such as fMRI and functional near-infrared spectroscopy, fNIRS), will lead to a better understanding of the neural complex profile in children with autism in order to improve treatment outcomes.
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