Theory of mind depends on domain-general executive functions of working memory and cognitive inhibition in children with traumatic brain injury.

Relations among theory of mind (ToM), the executive functions of working memory and cognitive inhibition, and frontal lesions were studied using path analysis in 43 school-aged children with traumatic brain injury. The relation between cognitive inhibition and ToM involved a single mediated path, such that cognitive inhibition predicted ToM through working memory. Frontal injury had a direct impact on working memory, which then separately determined ToM performance, the direct single paths between frontal injury and ToM being nonsignificant. The expression of ToM in school-age children with traumatic brain injury is not domain specific, but instead depends on the domain-general functions of working memory and cognitive inhibition.