Recommendation

Social cognition and white matter integrity: Systematic review and diffusion weighted imaging meta-analysis

ORCID_LOGO based on reviews by Sebastian Ocklenburg and Katie Lavigne
A recommendation of:
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Social cognition as a matter of structural brain connections? A systematic review and diffusion weighted imaging meta-analysis

Abstract

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Submission: posted 20 September 2024
Recommendation: posted 28 February 2025, validated 05 March 2025
Cite this recommendation as:
Papadatou-Pastou, M. (2025) Social cognition and white matter integrity: Systematic review and diffusion weighted imaging meta-analysis. Peer Community in Registered Reports, . https://rr.peercommunityin.org/PCIRegisteredReports/articles/rec?id=907

Recommendation

Social cognition involves complex processes including empathy, mentalizing, and compassion, which rely on structural connectivity and specifically white matter (WM) integrity. Prior research suggests that deficits in social cognition are linked to deficient structural connectivity, indicating that the latter might be an essential foundation for social cognitive abilities. In the current study, Hansl et al. (2025) explore the relationship between social cognition and white matter (WM) integrity in the brain across different populations, by means of a systematic review and meta-analyses. Using diffusion-weighted imaging data, the authors aim to identify specific WM tracts most associated with social cognition. Meta-analyses of region-of-interest (ROI)-based studies will provide further insights, while meta-regression and subgroup analyses will examine differences across social cognitive constructs, imaging metrics, clinical conditions, and age groups. The findings could clarify global and specific WM contributions to social cognition, guiding future research on brain structure-function relationships in social cognition across various populations.
 
The Stage 1 submission was evaluated by two expert reviewers. After two rounds of revision, the recommender judged that the manuscript met the Stage 1 criteria and awarded in-principle acceptance (IPA).
 
URL to the preregistered Stage 1 protocol: https://osf.io/6n3jy (under temporary private embargo)
 
Level of bias control achieved: Level 2. At least some data/evidence that will be used to answer the research question has been accessed and partially observed by the authors, but the authors certify that they have not yet observed the key variables within the data that will be used to answer the research question and they have taken additional steps to maximise bias control and rigour.
 
List of eligible PCI RR-friendly journals:
 
 
References
 
1. Hansl, R., Maliske, L. Z., Valk, S. L., & Kanske, P. (2025). Social cognition as a matter of structural brain connections? A systematic review and diffusion weighted imaging meta-analysis. In principle acceptance of Version 3 by Peer Community in Registered Reports. https://osf.io/6n3jy
Conflict of interest:
The recommender in charge of the evaluation of the article and the reviewers declared that they have no conflict of interest (as defined in the code of conduct of PCI) with the authors or with the content of the article.

Evaluation round #2

DOI or URL of the report: https://osf.io/3z4bf/?view_only=ca95cb2546604b6ab7da562fbee68d39

Version of the report: Stage 1 Review 1: clean document: https://osf.io/sjvf3?view_only=ca95cb2546604b6ab7da562fbee68d39

Author's Reply, 20 Feb 2025

Decision by ORCID_LOGO, posted 11 Feb 2025, validated 11 Feb 2025

The reviewers and I have now evaluated the revised manuscript. One reviewer and I found the revisions satisfactory. However, the second reviewer still requires a few changes. I think it is important to implement them before in-principle acceptance of Stage 1 because the authors will need to implement the suggestions in their meta-analysis. I am looking forward to the revised manuscript, which I expect will not take too long for the authors to prepare.

Reviewed by ORCID_LOGO, 09 Feb 2025

I have read the response to reviews letter and the marked revised mansucript and can confirm that the authors improved an already strong RR even further. I have no further suggestion and can recommend that the RR can be accepted by PCI.

Signed,

Sebastian Ocklenburg

Reviewed by , 10 Feb 2025

I would like to thank the authors for carefully integrating my comments and suggestions. I only have a few concerns remaining:

Point m (as per author reply): Thank you for clarifying the coding procedure. However, I would like to re-iterate my point about the "score" as being separate from the measure. It is possible that a measure provides multiple scores (e.g., subscales for questionnaires or both accuracy and reaction time for tasks) that may capture different socio-cognitive constructs or capture the same ones in a different way. This might require different decisions with regard to construct classification or analysis (e.g., reverse coding) that would be important to note during data extraction.

Point r: I would recommend the authors consider excluding findings that are not standard correlations, or conduct sensitivity analyses, as these effects will likely complicate the meta-analytic findings and increase heterogeneity. For example, with multivariate techniques, the effects will not be comparable to standard correlations as the values integrate the effects of many other variables. This is quite different from a standard correlation and is highly dependent on the model. Partial correlations raise a similar concern, but could be integrated if clear patterns are identified (e.g., age & sex being partialled out) as with potential sensitivity analyses.

Point t: Please add "any" to specify "failing to report relevant details on any of the defined moderators...".  

Addition: The addition of a measure of inter-rater reliability is welcomed, but I would like to caution the authors on the use of Cohen's Kappa, which can produce low values despite high agreement (the Kappa Paradox, https://doi.org/10.1016/j.jhsa.2024.01.006) with systematic reviews, due to the discrepant prevalences of include/exclude ratings. I would recommend Gwet's AC1 statistic or the Brennan-Prediger coefficient, as these performed well in our previous scoping review (https://doi.org/10.1038/s41537-022-00219-x, Supplementary Table 1). 

Signed,
Katie Lavigne, Ph.D.
Assistant Professor, Department of Psychiatry, McGill University, Montreal, Quebec, Canada
Researcher, Douglas Research Centre, Montreal, Quebec, Canada
Lead, Douglas Open Science Program


Evaluation round #1

DOI or URL of the report: https://osf.io/e4kdw?view_only=ca95cb2546604b6ab7da562fbee68d39

Version of the report: 1

Author's Reply, 13 Jan 2025

Decision by ORCID_LOGO, posted 05 Dec 2024, validated 06 Dec 2024

I have now received evaluations of your Stage 1 submission from two expert reviewers. Based on these comments, we cannot accept your manuscript in its present form but would like to invite you to revise your article, addressing the issues raised by the reviewers and myself below:
 
Additionally, I have a few concerns and suggestions of my own:
 
1. Please ensure that paragraphs are shorter than one page (when double-spaced, 12-point font), in accordance with APA style.
 
2. For clarity, I recommend rephrasing the following:
Page 8: "Given that neither co-varying activity implies a direct neural connection or interaction, researchers have highlighted the value of structural connectivity as a measure of functional brain organization (e.g., Forkel et al., 2022)."

Page 12: "MA1) To examine the overall relationship between metric measures of social cognition and structural connectivity (RA1), correlations in all identified studies are meta-analyzed across socio-cognitive constructs, DTI metrics, populations/diagnoses, and methodologies."
 
3. On Page 9, you mention "the benefit of novel, more fine-grained analysis techniques." Could you please specify which techniques these are?
 
4. The authors discuss "transdiagnostic integration." By grouping all diagnoses together, I wonder if some information is lost. Could diagnosis also be used as a moderator (if sufficient data points are available)? Comparisons between different diagnoses would be valuable.
 
5. Regarding Exclusion Criterion 10: "not having undergone peer review except for primary data," this phrasing is unclear. It seems contradictory to require only peer-reviewed data while including analyses of primary data that have not been peer-reviewed (unless I am misunderstanding something). Additionally, how will the primary data be collected? Will the authors contact the authors of published studies, reach out to researchers in the field, or identify any databases? If primary data is involved, will the authors perform the analyses themselves, and what analytical decisions will they make?
 
6. The list of excluded studies, along with reasons for exclusion, should also be provided as supplementary material, and this intention should be stated in the preregistration.
 
7. The search strategy could be enhanced by checking the citations of included studies, as well as forward-searching studies that cite the included studies. Moreover, consider searching the reference lists of important reviews in the area (e.g., Wang et al., 2018).
 
8. In Figure 1, one reason for removing records before screening is "records marked as ineligible by automation tools." This is not described in the text, and I am unsure what it means. Will the authors not check the eligibility of those records as well? Additionally, in the same cell, "Records removed for other reasons"—what reasons other than duplicates might there be before the actual screening phase? Please clarify.
 
9. Why is sex ratio used as a moderator instead of comparing data from the two sexes? Perhaps the authors should first determine if enough studies have broken down data by sex; if not, then using the sex ratio as a moderator would be appropriate.
 
10. On Page 17, you state, "For MA2 and MA3, additional meta-analyses are calculated for socio-cognitive constructs and DTI metrics analyzed by a minimum of 5 studies to gain more thorough insights into interactions and moderation." Will these be separate meta-analyses for each level of the moderator, or will a typical moderating analysis be conducted? The latter should be preferred, as it allows for statistical comparisons between levels. If analyses are separate, they should not be termed "moderating analyses," and the variables should not be referred to as "moderators." Section 2.7.2.1 refers to these as sub-group analyses, but "separate analyses" are mentioned elsewhere. This distinction should be clarified.
 
11. Since a Bayesian framework is used, it would be advisable to perform some robustness checks. In addition to the chosen prior, a range of other priors should also be considered to see if the results differ. The aim is to determine how stable the inferences drawn from the model are under various scenarios or settings. This is crucial, as Bayesian analysis often involves subjective choices in its priors, which can significantly influence outcomes.

12. In Table 1, last cell, rows 1 & 3: "Strong evidence against H1 would indicate a lack of the hypothesized correlation between structural connectivity and socio-cognitive abilities." This should be rephrased using Bayesian terminology, for example, "strong evidence in favor of the null hypothesis."
In Table 1, Hypothesis 2: "Prior evidence can be integrated into brain maps identifying the areas where diffusion metrics most strongly correlate with socio-cognitive functions." This statement does not seem to be phrased as a hypothesis.

Thank you for considering my feedback. I look forward to your thoughts!
 
Best regards,
Marietta Papadatou-Pastou

Reviewed by ORCID_LOGO, 27 Nov 2024

Review of Stage 1 RR “Meta-analysis: Social cognition and structural connectivity”

 

Predefined criteria:

 

1A. The scientific validity of the research question(s).

The three research aims stated in section 1.4 all have high scientific validity and the introduction makes it clear why it makes sense to investigate these aims.

 

1B. The logic, rationale, and plausibility of the proposed hypotheses, as applicable.

While section 1.4 is named “Research aims and hypotheses” it actually does not contain any hypotheses. I would like to encourage the authors to provide clear, directional and testable hypotheses derived from the literature and the research aims. This is, however, not necessarily required according to the guidelines. If this a fully data-driven project, I would suggest to include a sentence stating so and give the rationale, why no hypotheses were given.

 

1C. The soundness and feasibility of the methodology and analysis pipeline (including statistical power analysis or alternative sampling plans where applicable)

This generally is well written and follows the standards in the field (PRISMA, etc.).

Just a few suggestions:

Screening: I would include some statistical measure of inter-rater coherences like Cohen’s Kappa.

One thing the authors may wish to consider, but is no must:

It becomes more and more standard to include formal risk of bias analyses in meta-analyses, e.g. following NOS:

https://www.ohri.ca/programs/clinical_epidemiology/oxford.asp

 

1D. Whether the clarity and degree of methodological detail is sufficient to closely replicate the proposed study procedures and analysis pipeline and to prevent undisclosed flexibility in the procedures and analyses

Yes, I think so.

 

1E. Whether the authors have considered sufficient outcome-neutral conditions (e.g. absence of floor or ceiling effects; positive controls; other quality checks) for ensuring that the obtained results are able to test the stated hypotheses or answer the stated research question(s).

I think this is not likely to be an issue in this project.

 

Evaluation:

All together this is a very well-written Stage 1 RR that follows the standards for meta-analyses very well. I think it deserves IPA. 

 

Signed,

Sebastian Ocklenburg

Reviewed by , 25 Nov 2024

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