在亚临床和临床错觉中更新信仰
Sophie Fromm1,2,3,4, Teresa Katthagen1, Lorenz Deserno5,6,7
1Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health CCM, Department of Psychiatry and Neuroscience | CCM, NeuroCure Clinical Research Center, Berlin, Germany.
Schizophrenia bulletin open
|August 15, 2024
概括
妄想与变化的预测错误信号联系在一起. 然而,精神分裂症与高估环境波动以及对这种波动的神经编码较弱有关.
科学领域:
- 神经科学是一个神经科学.
- 认知心理学 认知心理学
- 精神病学是一个精神病学.
背景情况:
- 当前的理论将妄想与异常的信念更新联系起来,涉及预测错误 (PE) 信号和环境波动率误估.
- 这项研究调查了信念更新行为和神经活动的签名是否与妄想特异或与精神分裂症广泛相关.
研究的目的:
- 区分神经和行为相关的信念更新在有和没有妄想的个体,在被诊断为精神分裂症患者和健康对照对象之间.
- 检查预测错误信号和波动性估计在妄想和精神分裂症病理生理学的作用.
主要方法:
- 一项涉及66名参与者的横截面研究分为四组:健康对照组具有最小/强度的妄想观念,以及精神分裂症患者具有最小/强度的妄想.
- 参与者在fMRI期间完成了一项逆转学习任务,在稳定和波动的环境突发事件下.
- 对于学习的计算分析,使用了层次的高斯过模型,专注于结果不确定性,波动性信念和精度加权的PE.
主要成果:
- 与对照组相比,精神分裂症患者的准确性较低,选择切换率增加;妄想没有显著改变这些指标.
- 患有妄想的个体表现出与精确加权PEs相关的前-上区域的神经活化升高.
- 精神分裂症患者高估了环境的波动性,并且在特定的大脑区域 (前侧胰岛,中侧额头,角圈) 显示了波动性的减弱的神经表现.
结论:
- 变化的条状PE信号与妄想信念有关.
- 明显的精神分裂症,不同于妄想,似乎与高估环境波动性和主观波动性的神经编码减少有关.
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