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Posterior parietal cortex modulates perceptual decisions depending on psychotic phenotype
Francesco Scaramozzino1, Ryan McKay1, Nicholas Furl1
1Royal Holloway, University of London, UK.
Neuropsychologia
|December 26, 2025
Summary
Repetitive transcranial magnetic stimulation (TMS) over the posterior parietal cortex (PPC) altered decision-making in healthy individuals but not those with psychotic phenotypes, suggesting altered PPC excitability in psychosis.
Area of Science:
- Neuroscience
- Cognitive Psychology
Background:
- Psychotic phenotypes are linked to reduced data gathering and altered sensory precision, particularly in tasks involving the posterior parietal cortex (PPC).
- Posterior parietal cortex (PPC) excitability, modulated by 1 Hz repetitive transcranial magnetic stimulation (TMS), was investigated for its differential effects on these behavioral patterns in high versus low psychotic phenotypes.
Purpose of the Study:
- To investigate whether modulating posterior parietal cortex (PPC) excitability using repetitive transcranial magnetic stimulation (TMS) differentially affects sensory precision and data-gathering decisions in individuals with high versus low psychotic phenotypes.
- To test the hypothesis that delusional and hallucinatory traits moderate TMS effects on sensory precision (drift rates) and decision thresholds.
Main Methods:
- A total of 68 participants were divided into two groups, undergoing either TMS or sham-TMS over the right PPC.
- Performance was compared using the random dot motion (RDM) and beads tasks.
- Hierarchical drift-diffusion models were employed to estimate drift rates (sensory precision) and decision thresholds, examining interactions with delusional and hallucinatory phenotypes.
Main Results:
- In the random dot motion (RDM) task, TMS increased decision thresholds in the low psychotic phenotype group, an effect absent in higher psychotic phenotype groups.
- Drift rates were reduced in participants with higher delusional phenotypes.
- No significant effects were observed on the beads task.
Conclusions:
- The findings indicate a causal role for the posterior parietal cortex (PPC) in decisions to terminate data gathering during perceptual inference.
- The absence of TMS effects on decision thresholds in the psychotic phenotype group suggests novel hypotheses regarding PPC excitability's role in the neural mechanisms underlying decision-making in psychosis.
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