BRIEF RESEARCH REPORT article

Front. Psychiatry

Sec. Neuroimaging

Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1606988

This article is part of the Research TopicCognitive impairments in schizophrenia, bipolar disorder, and major depression: Dissecting common and divergent featuresView all 4 articles

Irony comprehension in first-degree relatives of patients with bipolar affective disorder -a preliminary fMRI study

Provisionally accepted
  • 1Department of Psychiatry and Psychotherapy, University of Pécs, Pécs, Hungary
  • 2Department of Pediatrics, University of Pécs, Pécs, Hungary

The final, formatted version of the article will be published soon.

Introduction Mentalization or Theory of Mind (ToM) is crucial for interpreting social situations and understanding others’ beliefs and intentions. Irony comprehension, which involves constructing a coherent narrative from contradictory information, is linked to ToM. This study examines first-degree relatives of individuals diagnosed with bipolar I disorder to determine if irony comprehension and its neural correlates can serve as endophenotypic markers for bipolar disorder. Methods The study recruited 16 biological first-degree relatives of individuals diagnosed with bipolar I disorder (Relative Group, RG) and 16 healthy controls (Control Group, CG). Participants underwent an irony comprehension task under three conditions: irony (I), irony with linguistic assistance (IH), and control (C). Functional magnetic resonance imaging (fMRI) was employed to elucidate brain activation patterns during task execution. Results Behavioural analysis revealed no significant differences in task performance between RG and CG across all conditions. However, fMRI results demonstrated distinct neural activation patterns between groups during the statement phase of the tasks. The RG exhibited reduced activation in the temporoparietal junction, posterior cingulate cortex, thalamus, and cerebellum compared to CG in the I>IH contrast. Conversely, RG individuals exhibited enhanced activation in these regions during the IH>I and IH>C contrasts. Discussion First-degree relatives of bipolar patients showed altered brain activity patterns during irony comprehension tasks, despite comparable behavioural performance. The observed neural patterns could indicate alternative cognitive strategies or latent vulnerability markers, underscoring the need for further multimodal investigation. Altered neural activation during irony processing may serve as an endophenotypic marker for bipolar disorder.

Keywords: Bipolar Disorder, first-degree relatives, imaging, fMRI, endophenotype, Theory of Mind, Mentalizing

Received: 06 Apr 2025; Accepted: 03 Jun 2025.

Copyright: © 2025 Hajnal, Varga, Tényi, Pethő, Albert, Herold, Kovács, Csulak, Hebling and Herold. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: András Sándor Hajnal, Department of Psychiatry and Psychotherapy, University of Pécs, Pécs, Hungary

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