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Delusion Proneness is Linked to a Reduced Usage of Prior Beliefs in Perceptual Decisions.

ABSTRACT: Predictive coding theories state an aberrant weighting of prior beliefs and present sensory information as a core computational pathology in psychosis. Specifically, it has been proposed that the influence of prior beliefs which attenuate improbable sensory information is weakened, resulting in an overweighing of this potentially misleading information. However, it is currently unclear whether this alteration is specific to perceptual processes or whether it represents a more pervasive deficit that extends to cognitive processes. Here, we carried out 2 behavioral experiments that probed the usage of priors during perceptual and cognitive processes, respectively, in 123 healthy individuals with varying degrees of delusion proneness. In an audio-visual perceptual discrimination task, participants had to judge the global motion direction of random dot kinematograms. Prior beliefs were induced by auditory cues that probabilistically predicted the global motion direction of the dot kinematograms, allowing us to measure the impact of prior beliefs on perceptual decision making. A control experiment paralleled the design of the perceptual decision making task in the domain of cognitive decision making. By fitting the participants' responses with a probabilistic decision model, we quantified the impact of prior beliefs on participants' decisions in both tasks. With growing delusion proneness, we found a decreased impact of prior beliefs on perceptual but not on cognitive decision making. Our results show that delusion proneness is linked to a specifically reduced usage of prior beliefs in perceptual decisions, thereby empirically substantiating predictive coding theories of psychosis.

SUBMITTER: Stuke H

PROVIDER: S-EPMC6293222 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature

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Delusion Proneness is Linked to a Reduced Usage of Prior Beliefs in Perceptual Decisions.

Stuke Heiner H Weilnhammer Veith Andreas VA Sterzer Philipp P Schmack Katharina K

Schizophrenia bulletin 20190101 1

Predictive coding theories state an aberrant weighting of prior beliefs and present sensory information as a core computational pathology in psychosis. Specifically, it has been proposed that the influence of prior beliefs which attenuate improbable sensory information is weakened, resulting in an overweighing of this potentially misleading information. However, it is currently unclear whether this alteration is specific to perceptual processes or whether it represents a more pervasive deficit t ...[more]

PMID: 29365194

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Project description:Psychosis is associated with distorted perceptions and deficient bottom-up learning such as classical fear conditioning. This has been interpreted as reflecting imprecise priors in low-level predictive coding systems. Paradoxically, overly strong beliefs, such as overvalued beliefs and delusions, are also present in psychosis-associated states. In line with this, research has suggested that patients with psychosis and associated phenotypes rely more on high-order priors to interpret perceptual input. In this behavioural and fMRI study we studied two types of fear learning, i.e., instructed fear learning mediated by verbal suggestions about fear contingencies and classical fear conditioning mediated by low level associative learning, in delusion proneness-a trait in healthy individuals linked to psychotic disorders. Subjects were shown four faces out of which two were coupled with an aversive stimulation (CS+) while two were not (CS-) in a fear conditioning procedure. Before the conditioning, subjects were informed about the contingencies for two of the faces of each type, while no information was given for the two other faces. We could thereby study the effect of both classical fear conditioning and instructed fear learning. Our main outcome variable was evaluative rating of the faces. Simultaneously, fMRI-measurements were performed to study underlying mechanisms. We postulated that instructed fear learning, measured with evaluative ratings, is stronger in psychosis-related phenotypes, in contrast to classical fear conditioning that has repeatedly been shown to be weaker in these groups. In line with our hypothesis, we observed significantly larger instructed fear learning on a behavioural level in delusion-prone individuals (n = 20) compared to non-delusion-prone subjects (n = 23; n = 20 in fMRI study). Instructed fear learning was associated with a bilateral activation of lateral orbitofrontal cortex that did not differ significantly between groups. However, delusion-prone subjects showed a stronger functional connectivity between right lateral orbitofrontal cortex and regions processing fear and pain. Our results suggest that psychosis-related states are associated with a strong instructed fear learning in addition to previously reported weak classical fear conditioning. Given the similarity between nocebo paradigms and instructed fear learning, our results also have an impact on understanding why nocebo effects differ between individuals.

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Delusion Proneness is Linked to a Reduced Usage of Prior Beliefs in Perceptual Decisions.

Publications

Delusion Proneness is Linked to a Reduced Usage of Prior Beliefs in Perceptual Decisions.

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