Keywords
Mentalization
Factor analysis
Percentiles Teoría de la mente
Mentalización
Análisis factorial
Consistencia interna
Percentiles
How to Cite
Abstract
Background: The Movie for the Assessment of Social Cognition-Spanish (MASC-SP) assesses general mentalization performance and associated error patterns: over-mentalization, under-mentalization, and non-mentalization. This study aims to provide the first large-scale psychometric evaluation and normative framework for MASC-SP scores in Spanish-speaking adults. Method: 2,582 healthy adults completed the MASC-SP via a secure online platform. The psychometric evaluation included factor analysis, measurement invariance, internal consistency, and floor/ceiling effects. Normative data were stratified by demographic variables and are presented as empirical percentiles and z-scores. Results: MASC-SP scores showed a predominantly unifactorial structure, with internal consistency ranging from questionable to good. A floor effect was observed in the non-mentalization error score. Female participants and those with a university education scored higher and made fewer errors than men and those without a university education. Age-related results were heterogeneous. Conclusions: The results support interpreting the MASC-SP total score as a robust quantitative indicator of general mentalization performance and the error scores as secondary qualitative indicators of different error patterns. Normative data stratified by sex and educational level provide a useful reference for research and clinical settings. However, norms stratified by age groups should be applied with caution due to their questionable clinical and developmental relevance.
References
Aidelbaum, R., & Goghari, V. (2022). A visual task-based assessment of theory of mind and social perception within bipolar disorder. Journal of Nervous & Mental Disease, 210(1), 37–44. https://doi.org/10.1097/NMD.0000000000001408
American Educational Research Association, American Psychological Association, & National Council on Measurement in Education. (2014). Standards for educational and psychological testing. American Educational Research Association.
Andrade-González, N., Sarasa, M., García-López, A., Leonés, I., Halverson, T. F., & Lahera, G. (2021). Mentalizing errors in patients with schizophrenia who received psychosocial rehabilitation: A case-control study. Psychiatric Quarterly, 92(3), 947–959. https://doi.org/10.1007/s11126-020-09863-x
Andreou, C., Kelm, L., Bierbrodt, J., Braun, V., Lipp, M., Yassari, A. H., & Moritz, S. (2015). Factors contributing to social cognition impairment in borderline personality disorder and schizophrenia. Psychiatry Research, 229(3), 872–879. https://doi.org/10.1016/j.psychres.2015.07.057
Arioli, M., Crespi, C., & Canessa, N. (2018). Social cognition through the lens of cognitive and clinical neuroscience. BioMed Research International, 2018, Article 4283427. https://doi.org/10.1155/2018/4283427
Baron-Cohen, S., Wheelwright, S., Hill, J., Raste, Y., & Plumb, I. (2001). The “Reading the Mind in the Eyes” Test revised version: A study with normal adults, and adults with Asperger syndrome or high-functioning autism. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 42(2), 241–251.
Bernaards, C. A., Gilbert, P., & Jennrich, R. I. (2025). GPArotation: Gradient projection factor rotation (Version 2025.3-1) [R package]. R Foundation for Statistical Computing. https://CRAN.R-project.org/package=GPArotation
Catalan, A., Angosto, V., Díaz, A., Martínez, N., Guede, D., Pereda, M., Madrazo, A., Bustamante, S., Bilbao, A., Osa, L., Inchausti, L., & Gonzalez-Torres, M. A. (2018). The relationship between theory of mind deficits and neurocognition in first episode-psychosis. Psychiatry Research, 268, 361–367. https://doi.org/10.1016/j.psychres.2018.06.066
Cavieres, A., Acuña, V., Arancibia, M., & Escobar, C. (2025). Advances in the ecological validity of research on social cognition in schizophrenia: A systematic review of the literature. Schizophrenia Research: Cognition, 39, Article 100333. https://doi.org/10.1016/j.scog.2024.100333
Chang, Y., Yu, C., Huang, C., Wang, T., Dziobek, I., & Lane, H. (2024). Discrepancy of social cognition between bipolar disorders and major depressive disorders. Brain and Behavior, 14(1), Article e3365. https://doi.org/10.1002/brb3.3365
Chen, F. F. (2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal, 14(3), 464-504. https://doi.org/10.1080/10705510701301834
Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal, 9(2), 233-255. https://doi.org/10.1207/S15328007SEM0902_5
Christov-Moore, L., Simpson, E. A., Coudé, G., Grigaityte, K., Iacoboni, M., & Ferrari, P. F. (2014). Empathy: Gender effects in brain and behavior. Neuroscience & Biobehavioral Reviews, 46, 604–627. https://doi.org/10.1016/j.neubiorev.2014.09.001
Cotter, J., Granger, K., Backx, R., Hobbs, M., Looi, C. Y., & Barnett, J. H. (2018). Social cognitive dysfunction as a clinical marker: A systematic review of meta-analyses across 30 clinical conditions. Neuroscience & Biobehavioral Reviews, 84, 92–99. https://doi.org/10.1016/j.neubiorev.2017.11.014
Deary, I. J., & Johnson, W. (2010). Intelligence and education: Causal perceptions drive analytic processes and therefore conclusions. International Journal of Epidemiology, 39(5), 1362–1369. https://doi.org/10.1093/ije/dyq072
Dziobek, I., Fleck, S., Kalbe, E., Rogers, K., Hassenstab, J., Brand, M., Kessler, J., Woike, J. K., Wolf, O. T., & Convit, A. (2006). Introducing MASC: A Movie for the Assessment of Social Cognition. Journal of Autism and Developmental Disorders, 36(5), 623–636. https://doi.org/10.1007/s10803-006-0107-0
Ekman, P., & Friesen, W. C. (1976). Pictures of facial affect. Consulting Psychologists Press.
Engelstad, K. N., Rund, B. R., Torgalsbøen, A.-K., Lau, B., Ueland, T., & Vaskinn, A. (2019). Large social cognitive impairments characterize homicide offenders with schizophrenia. Psychiatry Research, 272, 209–215. https://doi.org/10.1016/j.psychres.2018.12.087
Fittipaldi, S., Legaz, A., Maito, M., Hernandez, H., Altschuler, F., Canziani, V., Moguilner, S., Gillan, C. M., Castillo, J., Lillo, P., Custodio, N., Avila-Funes, J. A., Cardona, J. F., Slachevsky, A., Henriquez, F., Fraile-Vazquez, M., Cruz de Souza, L., Borroni, B., Hornberger, M., … Ibanez, A. (2024). Heterogeneous factors influence social cognition across diverse settings in brain health and age-related diseases. Nature Mental Health, 2(1), 63–75. https://doi.org/10.1038/s44220-023-00164-3
Fossati, A., Borroni, S., Dziobek, I., Fonagy, P., & Somma, A. (2018). Thinking about assessment: Further evidence of the validity of the Movie for the Assessment of Social Cognition as a measure of mentalistic abilities. Psychoanalytic Psychology, 35(1), 127–141. https://doi.org/10.1037/pap0000130
Fretland, R. A., Andersson, S., Sundet, K., Andreassen, O. A., Melle, I., & Vaskinn, A. (2015). Theory of mind in schizophrenia: Error types and associations with symptoms. Schizophrenia Research, 162(1–3), 42–46. https://doi.org/10.1016/j.schres.2015.01.024
Gur, R. C. (2002). Sex differences in temporo-limbic and frontal brain volumes of healthy adults. Cerebral Cortex, 12(9), 998–1003. https://doi.org/10.1093/cercor/12.9.998
Happé, F. G. (1994). An advanced test of theory of mind: Understanding of story characters’ thoughts and feelings by able autistic, mentally handicapped, and normal children and adults. Journal of Autism and Developmental Disorders, 24(2), 129–154. https://doi.org/10.1007/BF02172093
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55. https://doi.org/10.1080/10705519909540118
Huang, Y.-L., Chen, T.-T., Dziobek, I., & Tseng, H.-H. (2023). Mentalizing in a Movie for the Assessment of Social Cognition (MASC): The validation in a taiwanese sample. BMC Psychology, 11(1), Article 287. https://doi.org/10.1186/s40359-023-01321-0
Ingalhalikar, M., Smith, A., Parker, D., Satterthwaite, T. D., Elliott, M. A., Ruparel, K., Hakonarson, H., Gur, R. E., Gur, R. C., & Verma, R. (2014). Sex differences in the structural connectome of the human brain. Proceedings of the National Academy of Sciences, 111(2), 823–828. https://doi.org/10.1073/pnas.1316909110
Jorgensen, T. D., Pornprasertmanit, S., Schoemann, A. M., & Rosseel, Y. (2026). semTools: Useful tools for structural equation modeling (Versión 0.5-8). [R package]. R Foundation for Statistical Computing. https://CRAN.R-project.org/package=semTools
Lahera, G., Boada, L., Pousa, E., Mirapeix, I., Morón-Nozaleda, G., Marinas, L., Gisbert, L., Pamiàs, M., & Parellada, M. (2014). Movie for the Assessment of Social Cognition (MASC): Spanish validation. Journal of Autism and Developmental Disorders, 44(8), 1886–1896. https://doi.org/10.1007/s10803-014-2061-6
Martinez, G., Alexandre, C., Mam-Lam-Fook, C., Bendjemaa, N., Gaillard, R., Garel, P., Dziobek, I., Amado, I., & Krebs, M. O. (2017). Phenotypic continuum between autism and schizophrenia: Evidence from the Movie for the Assessment of Social Cognition (MASC). Schizophrenia Research, 185, 161–166. https://doi.org/10.1016/j.schres.2017.01.012
Mitchell, R. L. C., & Phillips, L. H. (2015). The overlapping relationship between emotion perception and theory of mind. Neuropsychologia, 70, 1–10. https://doi.org/10.1016/j.neuropsychologia.2015.02.018
Mitrushina, M., Boone, K. B., Razani, J., & D’Elia, L. F. (2005). Handbook of normative data for neuropsychological assessment. Oxford University Press.
Montag, C., Dziobek, I., Richter, I. S., Neuhaus, K., Lehmann, A., Sylla, R., Heekeren, H. R., Heinz, A., & Gallinat, J. (2011). Different aspects of theory of mind in paranoid schizophrenia: Evidence from a video-based assessment. Psychiatry Research, 186(2–3), 203–209. https://doi.org/10.1016/j.psychres.2010.09.006
Montag, C., Ehrlich, A., Neuhaus, K., Dziobek, I., Heekeren, H. R., Heinz, A., & Gallinat, J. (2010). Theory of mind impairments in euthymic bipolar patients. Journal of Affective Disorders, 123(1-3), 264–269. https://doi.org/10.1016/j.jad.2009.08.017
Msika, E.-F., Despres, M., Piolino, P., & Narme, P. (2024). Dynamic and/or multimodal assessments for social cognition in neuropsychology: Results from a systematic literature review. The Clinical Neuropsychologist, 38(4), 922–962. https://doi.org/10.1080/13854046.2023.2266172
Müller, N., Baumeister, S., Dziobek, I., Banaschewski, T., & Poustka, L. (2016). Validation of the Movie for the Assessment of Social Cognition in adolescents with ASD: Fixation duration and pupil dilation as predictors of performance. Journal of Autism and Developmental Disorders, 46(9), 2831–2844. https://doi.org/10.1007/s10803-016-2828-z
Muthén, B. (2013). Binary item measurement invariance testing with categorical factor analysis [Unpublished technical report]. Retrieved from https://www.statmodel.com/download/Binary%20item%20measurement%20invarince%20testing.pdf
Navarra-Ventura, G., Fernandez-Gonzalo, S., Turon, M., Pousa, E., Palao, D., Cardoner, N., & Jodar, M. (2018). Gender differences in social cognition: A cross-sectional pilot study of recently diagnosed patients with schizophrenia and healthy subjects. Canadian Journal of Psychiatry, 63(8), 538–546. https://doi.org/10.1177/0706743717746661
Navarra-Ventura, G., Vicent-Gil, M., Serra-Blasco, M., Cobo, J., Fernández-Gonzalo, S., Goldberg, X., Jodar, M., Crosas, J. M., Palao, D., Lahera, G., Vieta, E., & Cardoner, N. (2022). Higher order theory of mind in patients with bipolar disorder and schizophrenia/schizoaffective disorder. European Archives of Psychiatry and Clinical Neuroscience, 272(3), 497–507. https://doi.org/10.1007/s00406-021-01265-9
Navarra-Ventura, G., Vicent-Gil, M., Serra-Blasco, M., Massons, C., Crosas, J. M., Cobo, J., Jubert, A., Jodar, M., Fernández-Gonzalo, S., Goldberg, X., Palao, D., Lahera, G., Vieta, E., & Cardoner, N. (2021). Group and sex differences in social cognition in bipolar disorder, schizophrenia/schizoaffective disorder and healthy people. Comprehensive Psychiatry, 109, Article 152258. https://doi.org/10.1016/j.comppsych.2021.152258
Newbury-Helps, J., Feigenbaum, J., & Fonagy, P. (2017). Offenders with antisocial personality disorder display more impairments in mentalizing. Journal of Personality Disorders, 31(2), 232–255. https://doi.org/10.1521/pedi_2016_30_246
Pinkham, A. E., Harvey, P. D., & Penn, D. L. (2018). Social cognition psychometric evaluation: Results of the final validation study. Schizophrenia Bulletin, 44(4), 737–748. https://doi.org/10.1093/schbul/sbx117
Preißler, S., Dziobek, I., Ritter, K., Heekeren, H. R., & Roepke, S. (2010). Social cognition in borderline personality disorder: Evidence for disturbed recognition of the emotions, thoughts, and intentions of others. Frontiers in Behavioral Neuroscience, 4, Article 182. https://doi.org/10.3389/fnbeh.2010.00182
Quek, J., Bennett, C., Melvin, G. A., Saeedi, N., Gordon, M. S., & Newman, L. K. (2018). An investigation of the mentalization-based model of borderline pathology in adolescents. Comprehensive Psychiatry, 84, 87–94. https://doi.org/10.1016/j.comppsych.2018.04.005
Revelle, W. (2025). psych: Procedures for psychological, psychometric, and personality research (Version 2.5.3) [R package]. Northwestern University. https://CRAN.R-project.org/package=psych
Romero-Ferreiro, V., García-Fernández, L., Aparicio, A. I., Martínez-Gras, I., Dompablo, M., Sánchez-Pastor, L., Rentero, D., Alvarez-Mon, M. Á., Espejo-Saavedra, J. M., Lahera, G., Marí-Beffa, P., Santos, J. L., & Rodriguez-Jimenez, R. (2022). Emotional processing profile in patients with first episode schizophrenia: The influence of neurocognition. Journal of Clinical Medicine, 11(7), Article 2044. https://doi.org/10.3390/jcm11072044
Rosseel, Y. (2012). lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48(2), 1-36. https://doi.org/10.18637/jss.v048.i02
Sahl, A. C., Rognlien, H. F., Andreassen, O. A., Melle, I., Ueland, T., & Vaskinn, A. (2023). Theory of mind in schizophrenia: A comparison of subgroups with low and high IQ. Nordic Journal of Psychiatry, 77(4), 329–335. https://doi.org/10.1080/08039488.2022.2106512
Santos, J. M., Pousa, E., Soto, E., Comes, A., Roura, P., Arrufat, F. X., & Obiols, J. E. (2017). Theory of mind in euthymic bipolar patients and dirst-degree relatives. The Journal of Nervous and Mental Disease, 205(3), 207–212. https://doi.org/10.1097/NMD.0000000000000595
Sarig-Shmueli, Y., Kurman, J., Talmon, S., Yoeli, N., Gur, E., Stein, D., & Rothschild-Yakar, L. (2023). Mentalizing ability, mentalizing impairments, and anorexia nervosa: Validation of the hebrew version of the Movie for the Assessment of Social Cognition (MASC). Clinical Psychology & Psychotherapy, 30(4), 873–881. https://doi.org/10.1002/cpp.2848
Schurz, M., Radua, J., Tholen, M. G., Maliske, L., Margulies, D. S., Mars, R. B., Sallet, J., & Kanske, P. (2021). Toward a hierarchical model of social cognition: A neuroimaging meta-analysis and integrative review of empathy and theory of mind. Psychological Bulletin, 147(3), 293–327. https://doi.org/10.1037/bul0000303
Seitz, K. I., Ehler, N., Schmitz, M., Schmitz, S. E., Dziobek, I., Herpertz, S. C., & Bertsch, K. (2022). Affective and cognitive theory of mind in posttraumatic stress, major depressive, and somatic symptom disorders: Association with childhood trauma. British Journal of Clinical Psychology, 61(3), 680–700. https://doi.org/10.1111/bjc.12357
Sireci, S. G., & Benítez, I. (2023). Evidence for test validation: A guide for practitioners. Psicothema, 35(3), 217–226. https://doi.org/10.7334/psicothema2022.477
Somma, A., Ferrara, M., Terrinoni, A., Frau, C., Ardizzone, I., Sharp, C., & Fossati, A. (2019). Hypermentalizing as a marker of borderline personality disorder in italian adolescents: A cross-cultural replication of Sharp and colleagues’ (2011) findings. Borderline Personality Disorder and Emotion Dysregulation, 6(1), Article 5. https://doi.org/10.1186/s40479-019-0104-5
Vaskinn, A., Andersson, S., Østefjells, T., Andreassen, O. A., & Sundet, K. (2018). Emotion perception, non-social cognition and symptoms as predictors of theory of mind in schizophrenia. Comprehensive Psychiatry, 85, 1–7. https://doi.org/10.1016/j.comppsych.2018.05.002
Vaskinn, A., Ueland, T., Melle, I., & Sundet, K. (2024). Sex differences in social cognition among individuals with schizophrenia and in healthy control participants: A secondary analysis of published data. Archives of Women’s Mental Health, 27(5), 661–667. https://doi.org/10.1007/s00737-024-01422-8
Wolkenstein, L., Schönenberg, M., Schirm, E., & Hautzinger, M. (2011). I can see what you feel, but I can’t deal with it: Impaired theory of mind in depression. Journal of Affective Disorders, 132(1-2), 104–111. https://doi.org/10.1016/j.jad.2011.02.010
Wu, H., & Estabrook, R. (2016). Identification of confirmatory factor analysis models of different levels of invariance for ordered categorical outcomes. Psychometrika, 81(4), 1014-1045. https://doi.org/10.1007/s11336-016-9506-0
Zwick, J. C., & Wolkenstein, L. (2017). Facial emotion recognition, theory of mind and the role of facial mimicry in depression. Journal of Affective Disorders, 210, 90–99. https://doi.org/10.1016/j.jad.2016.12.022