Reliability and validity of a short version of the Norwegian Awareness of Social Inference Test: a test of social cognition after traumatic brain injury

Authors

  • Martin Matre Centre for Research and Education, Sunnaas Rehabilitation Hospital, Nesodden, Norway; Department of Psychology, Faculty of Social Sciences, University of Oslo, Oslo, Norway
  • Truls Johansen Centre for Research and Education, Sunnaas Rehabilitation Hospital, Nesodden, Norway; Department of Occupational Therapy, Institute of rehabilitation science and health technology, Faculty of Health Sciences Oslo Metropolitan University, Oslo, Norway
  • Anne Catrine T. Martinsen Centre for Research and Education, Sunnaas Rehabilitation Hospital, Nesodden, Norway; Institute of rehabilitation science and health technology, Oslo Metropolitan University, Oslo, Norway
  • Alexander Olsen Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway; Clinic of Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway; NorHead, Norwegian Centre for Headache Research, Trondheim, Norway
  • Sveinung Tornås The Norwegian Directorate of Health, Oslo, Norway
  • Cecilie Røe Institute of Clinical Medicine, University of Oslo, Oslo, Norway; of Physical Rehabilitation and Medicine, Oslo University Hospital, Oslo, Norway
  • Anne Lund Department of Occupational Therapy, Institute of rehabilitation science and health technology, Faculty of Health Sciences Oslo Metropolitan University, Oslo, Norway
  • Frank Becker Centre for Research and Education, Sunnaas Rehabilitation Hospital, Nesodden, Norway; Institute of Clinical Medicine, University of Oslo, Oslo, Norway
  • Cathrine Brunborg Oslo Centre for Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway
  • Daniel Løke Centre for Research and Education, Sunnaas Rehabilitation Hospital, Nesodden, Norway
  • Jacoba M. Spikman Department of Neurology, Subdep. of Neuropsychology, University of Groningen, University Medical Center, Groningen, The Netherlands
  • Jennie Ponsford Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Australia; School of Psychological Sciences, Epworth Healthcare, Richmond, Australia
  • Dawn Neumann Department of Physical Medicine and Rehabilitation, JFK Johnson Rehabilitation Institute, Edison, New Jersey, USA
  • Skye McDonald School of Psychology, University of New South Wales, Kensington, Australia
  • Marianne Løvstad Centre for Research and Education, Sunnaas Rehabilitation Hospital, Nesodden, Norway; Department of Psychology, Faculty of Social Sciences, University of Oslo, Oslo, Norway

DOI:

https://doi.org/10.2340/jrm.v58.46403

Keywords:

social cognition, traumatic brain injury, rehabilitation, validation study

Abstract

Objective: This study aimed to develop and test reliability and validity of a short version of the Norwegian Awareness of Social Inference Test to ease assessment of social cognition after traumatic brain injury.

Design: The least suitable items were identified statistically and from quality ratings made by clinical experts and persons with lived experience. Psychometric properties of the resulting short version were then estimated.

Subjects: Adults with (n = 101) and without (n = 50) traumatic brain injury.

Methods: Predetermined fit criteria from Rasch and confirmatory factor analysis identified least-fitting items. Further item reduction was based on expert ratings. The reliability of the short version was estimated with Cronbach’s alpha for internal consistency and intraclass correlations for test–retest reliability. Construct validity was estimated based on differences in performance between individuals with and without traumatic brain injury (known groups validity), correlations with measures of social cognition (convergent validity) and with measures of cognitive ability (discriminant validity).

Results: The number of items was reduced from 59 to 28. Statistical analyses supported the short version’s structure, and reliability and validity were similar to the full version.

Conclusion: The short version has acceptable psychometric properties and is more feasible than the full version; its implementation is recommended.

Downloads

Download data is not yet available.

References

Eikeboom WS, van den Berg E, Beauchamp MH. Providing a taxonomy for social cognition: how to bridge the gap between expert opinion, empirical data, and theoretical models. J Psychiatry Neurosci 2025; 50: E157–E161. DOI: https://doi.org/10.1503/jpn.240156

Westerhof-Evers HJ, Fasotti L, van der Naalt J, Spikman JM. Participation after traumatic brain injury: the surplus value of social cognition tests beyond measures for executive functioning and dysexecutive behavior in a statistical prediction model. Brain Inj 2019; 33: 78–86. DOI: https://doi.org/10.1080/02699052.2018.1531303

van den Broek B, Muskens J, van Heugten C, Bus B, Rijnen S. “Together is no longer completely together”: exploring the influence of social cognition problems on partner relationships following acquired brain injury. Clin Rehabil 2025; 39: 339–352. DOI: https://doi.org/10.1177/02692155241312134

McDonald S, Flanagan S, Rollins J, Kinch J. TASIT: a new clinical tool for assessing social perception after traumatic brain injury. J Head Trauma Rehabil 2003; 18: 219–238. DOI: https://doi.org/10.1097/00001199-200305000-00001

McDonald S, Bornhofen C, Shum D, Long E, Saunders C, Neulinger K. Reliability and validity of The Awareness of Social Inference Test (TASIT): a clinical test of social perception. Disabil Rehabil 2006; 28: 1529–1542. DOI: https://doi.org/10.1080/09638280600646185

Kelly M, McDonald S, Frith M. Assessment and rehabilitation of social cognition impairment after brain injury: surveying practices of clinicians. Brain Impair 2017; 18: 11–35. DOI: https://doi.org/10.1017/BrImp.2016.34

Honan CA, McDonald S, Sufani C, Hine DW, Kumfor F. The awareness of social inference test: development of a shortened version for use in adults with acquired brain injury. Clin Neuropsychol 2016; 30: 243–264. DOI: https://doi.org/10.1080/13854046.2015.1136691

Bliksted V, Fagerlund B, Weed E, Frith C, Videbech P. Social cognition and neurocognitive deficits in first-episode schizophrenia. Schizophr Res 2014; 153: 9–17. DOI: https://doi.org/10.1016/j.schres.2014.01.010

Westerhof-Evers HJ, Visser-Keizer AC, McDonald S, Spikman JM. Performance of healthy subjects on an ecologically valid test for social cognition: the short, Dutch Version of The Awareness of Social Inference Test (TASIT). J Clin Exp Neuropsychol 2014; 36:1031–1041. DOI: https://doi.org/10.1080/13803395.2014.966661

Jarsch M, Bartsch K, Berres M, Ryf I, Jurisic K, Sluka C, et al. The Basel Version of the Awareness of Social Inference Test-Emotion Recognition (BASIT-ER): preliminary validation analyses in healthy adults. Neuropsychology 2022; 36: 175–184. DOI: https://doi.org/10.1037/neu0000786

Jarsch M, Piguet O, Berres M, Sluka C, Semenkova A, Kressig RW, et al. Development of the Basel Version of the Awareness of Social Inference Test – Theory of Mind (BASIT-ToM) in healthy adults. J Neuropsychol 2023; 17: 125–145. DOI: https://doi.org/10.1111/jnp.12290

García-Fernández L, Cabot-Ivorra N, Romero-Ferreiro V, Álvarez-Mon MA, López EJ, Lahera G, et al. Spanish validation of “The Awareness of Social Inference Test” (TASIT). Eur J Psychiatry 2025; 39: 100324. DOI: https://doi.org/10.1016/j.ejpsy.2025.100324

Matre M, Johansen T, Olsen A, Tornås S, Martinsen A, Lund A, et al. A protocol for the development and validation of a virtual reality-based clinical test of social cognition. BMC Digit Health 2023; 1:34. DOI: https://doi.org/10.1186/s44247-023-00036-x

Matre M, Johansen T, Tornås S, Trægde Martinsen AC, Olsen A, Lund A, et al. Reliability and validity of a Norwegian version of the awareness of social inference test. Neuropsychol Rehabil 2026; 36: 978–1006. DOI: https://doi.org/10.1080/09602011.2025.2558872

Matre M, Johansen T, Olsen A, Tornås S, Trægde Martinsen AC, Lund A, et al. Ecological validity of a Norwegian version of the Awareness of Social Inference Test. Appl Neuropsychol Adult 2026; 0:1–10. DOI: https://doi.org/10.1080/23279095.2026.2631123

Gagnier JJ et al. COSMIN reporting guideline for studies on measurement properties of patient-reported outcome measures: version 2.0. Qual Life Res 2025; 34: 1901–1911. DOI: https://doi.org/10.1007/s11136-025-03950-x

Teasdale G, Jennett B. Assessment of coma and impaired consciousness: a practical scale. Lancet 1974; 2: 81–84. DOI: https://doi.org/10.1016/S0140-6736(74)91639-0

Iverson GL, Lange RT. Moderate and severe traumatic brain injury. In: The little black book of neuropsychology. Boston, MA: Springer; 2011. DOI: https://doi.org/10.1007/978-0-387-76978-3_21

Silverberg ND, Iverson GL, Cogan A, Delmonico R, Iaccarino MA, Kamins J. The American Congress of Rehabilitation Medicine Diagnostic Criteria for Mild Traumatic Brain Injury. Arch Phys Med Rehabil 2023; 104: 1343–1355. DOI: https://doi.org/10.1016/j.apmr.2023.03.036

Corcoran R, Mercer G, Frith CD. Schizophrenia, symptomatology and social inference: investigating “theory of mind” in people with schizophrenia. Schizophr Res 1995; 17: 5–13. https://doi.org/doi.org/10.1016/0920-9964(95)00024-G DOI: https://doi.org/10.1016/0920-9964(95)00024-G

Frøyhaug M, Andersson S, Andreassen OA, Ueland T, Vaskinn A. Theory of mind in schizophrenia and bipolar disorder: psychometric properties of the Norwegian version of the Hinting Task. Cognit Neuropsychiatry 2019; 24: 454–469. DOI: https://doi.org/10.1080/13546805.2019.1674645

May M, Milders M, Downey B, Whyte M, Higgins V, Wojcik Z, et al. Social behavior and impairments in social cognition following traumatic brain injury. J Int Neuropsychol Soc 2017; 23: 400–411. DOI: https://doi.org/10.1017/S1355617717000182

Kessels RP, Montagne B, Hendriks AW, Perrett DI, de Haan EH. Assessment of perception of morphed facial expressions using the Emotion Recognition Task: normative data from healthy participants aged 8–75. J Neuropsychol 2014; 8 75–93. DOI: https://doi.org/10.1111/jnp.12009

Davis MH. A multidimensional approach to individual differences in empathy. J Pers Soc Psychol 1980; 44: 113–126. DOI: https://doi.org/10.1037/0022-3514.44.1.113

Wechsler D. Wechsler Adult Intelligence Scale–Fourth Edition (WAIS–IV). San Antonio, TX: NCS Pearson; 2008. DOI: https://doi.org/10.1037/t15169-000

Delis DC, Kaplan E, Kramer JH. Delis-Kaplan executive function system. San Antonio, TX: Psychological Corporation; 2001. DOI: https://doi.org/10.1037/t15082-000

Roth RM, Gioia GA, Isquith PK. BRIEF-A: Behavior Rating Inventory of Executive Function–Adult version. Lutz, FL: Psychological Assessment Resources; 2005. DOI: https://doi.org/10.1037/t86244-000

Lerdal A, Wahl A, Rustøen T, Hanestad BR, Moum T. Fatigue in the general population: a translation and test of the psychometric properties of the Norwegian version of the fatigue severity scale. Scand J Public Health 2005; 33: 123–130. DOI: https://doi.org/10.1080/14034940410028406

Kroenke K, Spitzer RL, Williams JBW. The PHQ-9. J Gen Intern Med 2001; 16: 606–613. DOI: https://doi.org/10.1046/j.1525-1497.2001.016009606.x

Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006; 166: 1092–1097. DOI: https://doi.org/10.1001/archinte.166.10.1092

Wright BD, Lincare JM, Martin-Lof P. Reasonable mean-square fit values. Rasch Meas Trans 1994; 8: 370.

Müller M. Item fit statistics for Rasch analysis: can we trust them? J Stat Distrib Appl 2020; 7: 5. DOI: https://doi.org/10.1186/s40488-020-00108-7

Kleine R. Principles and practice of structural equation modeling. New York: Guildford Press; 2011

Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 2016; 15: 155–163. DOI: https://doi.org/10.1016/j.jcm.2016.02.012

Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ 2011; 2: 53–55. DOI: https://doi.org/10.5116/ijme.4dfb.8dfd

Fritz CO, Morris PE, Richler JJ. Effect size estimates: current use, calculations, and interpretation. J Exp Psychol Gen 2012; 141: 2–18. DOI: https://doi.org/10.1037/a0024338

Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hoboken, NJ: Taylor & Francis; 1988.

Boone WJ, Staver JR, Yale MS. Rasch analysis in the human sciences. Dordrecht: Springer Netherlands; 2014. DOI: https://doi.org/10.1007/978-94-007-6857-4

Weiner IB, Craighead WE. The Corsini encyclopedia of psychology, Volume 2. Hoboken, NJ: Wiley; 2010. DOI: https://doi.org/10.1002/9780470479216

Chen WH, Lenderking W, Jin Y, Wyrwich KW, Gelhorn H, Revicki DA. Is Rasch model analysis applicable in small sample size pilot studies for assessing item characteristics? An example using PROMIS pain behavior item bank data. Qual Life Res 2014; 23: 485–493. DOI: https://doi.org/10.1007/s11136-013-0487-5

Additional Files

Published

2026-10-06

How to Cite

Matre, M., Johansen, T., Martinsen, A. C. T., Olsen, A., Tornås, S., Røe, C., … Løvstad, M. (2026). Reliability and validity of a short version of the Norwegian Awareness of Social Inference Test: a test of social cognition after traumatic brain injury. Journal of Rehabilitation Medicine, 58, jrm46403. https://doi.org/10.2340/jrm.v58.46403

Issue

Section

Original Report

Categories