Computational psychiatry (Cambridge, Mass.)最新文献

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Multiple Dissociations Between Comorbid Depression and Anxiety on Reward and Punishment Processing: Evidence From Computationally Informed EEG. 共病性抑郁和焦虑在奖惩过程中的多重分离:来自计算知情脑电图的证据。
Computational psychiatry (Cambridge, Mass.) Pub Date : 2019-01-01 DOI: 10.1162/cpsy_a_00024
James F Cavanagh, Andrew W Bismark, Michael J Frank, John J B Allen
{"title":"Multiple Dissociations Between Comorbid Depression and Anxiety on Reward and Punishment Processing: Evidence From Computationally Informed EEG.","authors":"James F Cavanagh,&nbsp;Andrew W Bismark,&nbsp;Michael J Frank,&nbsp;John J B Allen","doi":"10.1162/cpsy_a_00024","DOIUrl":"10.1162/cpsy_a_00024","url":null,"abstract":"<p><p>In this report, we provide the first evidence that mood and anxiety dimensions are associated with unique aspects of EEG responses to reward and punishment, respectively. We reanalyzed data from our prior publication of a categorical depiction of depression to address more sophisticated dimensional hypotheses. Highly symptomatic depressed individuals (<i>N</i> = 46) completed a probabilistic learning task with concurrent EEG. Measures of anxiety and depression symptomatology were significantly correlated with each other; however, only anxiety predicted better avoidance learning due to a tighter coupling of negative prediction error signaling with punishment-specific EEG features. In contrast, depression predicted a smaller reward-related EEG feature, but this did not affect prediction error coupling or the ability to learn from reward. We suggest that this reward-related alteration reflects motivational or hedonic aspects of reward and not a diminishment in the ability to represent the information content of reinforcements. These findings compel further research into the domain-specific neural systems underlying dimensional aspects of psychiatric disease.</p>","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":"3 ","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1162/cpsy_a_00024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37295718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 55
A Neurorobotics Simulation of Autistic Behavior Induced by Unusual Sensory Precision. 异常感觉精度诱导自闭症行为的神经机器人模拟。
Computational psychiatry (Cambridge, Mass.) Pub Date : 2018-12-01 DOI: 10.1162/cpsy_a_00019
Hayato Idei, Shingo Murata, Yiwen Chen, Yuichi Yamashita, Jun Tani, Tetsuya Ogata
{"title":"A Neurorobotics Simulation of Autistic Behavior Induced by Unusual Sensory Precision.","authors":"Hayato Idei,&nbsp;Shingo Murata,&nbsp;Yiwen Chen,&nbsp;Yuichi Yamashita,&nbsp;Jun Tani,&nbsp;Tetsuya Ogata","doi":"10.1162/cpsy_a_00019","DOIUrl":"https://doi.org/10.1162/cpsy_a_00019","url":null,"abstract":"Recently, applying computational models developed in cognitive science to psychiatric disorders has been recognized as an essential approach for understanding cognitive mechanisms underlying psychiatric symptoms. Autism spectrum disorder is a neurodevelopmental disorder that is hypothesized to affect information processes in the brain involving the estimation of sensory precision (uncertainty), but the mechanism by which observed symptoms are generated from such abnormalities has not been thoroughly investigated. Using a humanoid robot controlled by a neural network using a precision-weighted prediction error minimization mechanism, it is suggested that both increased and decreased sensory precision could induce the behavioral rigidity characterized by resistance to change that is characteristic of autistic behavior. Specifically, decreased sensory precision caused any error signals to be disregarded, leading to invariability of the robot’s intention, while increased sensory precision caused an excessive response to error signals, leading to fluctuations and subsequent fixation of intention. The results may provide a system-level explanation of mechanisms underlying different types of behavioral rigidity in autism spectrum and other psychiatric disorders. In addition, our findings suggest that symptoms caused by decreased and increased sensory precision could be distinguishable by examining the internal experience of patients and neural activity coding prediction error signals in the biological brain.","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":"2 ","pages":"164-182"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1162/cpsy_a_00019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9166819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 24
A Dynamical Bifurcation Model of Bipolar Disorder Based on Learned Expectation and Asymmetry in Mood Sensitivity. 基于习得期望和情绪敏感性不对称的双相情感障碍动态分岔模型。
Computational psychiatry (Cambridge, Mass.) Pub Date : 2018-12-01 DOI: 10.1162/cpsy_a_00021
Shyr-Shea Chang, Tom Chou
{"title":"A Dynamical Bifurcation Model of Bipolar Disorder Based on Learned Expectation and Asymmetry in Mood Sensitivity.","authors":"Shyr-Shea Chang,&nbsp;Tom Chou","doi":"10.1162/cpsy_a_00021","DOIUrl":"https://doi.org/10.1162/cpsy_a_00021","url":null,"abstract":"<p><p>Bipolar disorder is a common psychiatric dysfunction characterized by recurring episodes of mania and depression. Despite its prevalence, the causes and mechanisms of bipolar disorder remain largely unknown. Recently, theories focusing on the interaction between emotion and behavior, including those based on dysregulation of the so-called behavioral approach system (BAS), have gained popularity. Mathematical models built on this principle predict bistability in mood and do not invoke intrinsic biological rhythms that may arise from interactions between mood and expectation. Here we develop and analyze a model with clinically meaningful and modifiable parameters that incorporates the interaction between mood and expectation. Our nonlinear model exhibits a transition to limit cycle behavior when a mood-sensitivity parameter exceeds a threshold value, signaling a transition to a bipolar state. The model also predicts that asymmetry in response to positive and negative events can induce unipolar depression/mania, consistent with clinical observations. We analyze the model with asymmetric mood sensitivities and show that large unidirectional mood sensitivity can lead to bipolar disorder. Finally, we show how observed effects of lithium- and antidepressant-induced mania can be explained within the framework of our proposed model.</p>","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":" ","pages":"205-222"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1162/cpsy_a_00021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36851641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Active Inference and Auditory Hallucinations. 主动推理与听觉幻觉。
Computational psychiatry (Cambridge, Mass.) Pub Date : 2018-12-01 DOI: 10.1162/cpsy_a_00022
David Benrimoh, Thomas Parr, Peter Vincent, Rick A Adams, Karl Friston
{"title":"Active Inference and Auditory Hallucinations.","authors":"David Benrimoh,&nbsp;Thomas Parr,&nbsp;Peter Vincent,&nbsp;Rick A Adams,&nbsp;Karl Friston","doi":"10.1162/cpsy_a_00022","DOIUrl":"https://doi.org/10.1162/cpsy_a_00022","url":null,"abstract":"<p><p>Auditory verbal hallucinations (AVH) are often distressing symptoms of several neuropsychiatric conditions, including schizophrenia. Using a Markov decision process formulation of active inference, we develop a novel model of AVH as false (positive) inference. Active inference treats perception as a process of hypothesis testing, in which sensory data are used to disambiguate between alternative hypotheses about the world. Crucially, this depends upon a delicate balance between prior beliefs about unobserved (hidden) variables and the sensations they cause. A false inference that a voice is present, even in the absence of auditory sensations, suggests that prior beliefs dominate perceptual inference. Here we consider the computational mechanisms that could cause this imbalance in perception. Through simulation, we show that the content of (and confidence in) prior beliefs depends on beliefs about policies (here sequences of listening and talking) and on beliefs about the reliability of sensory data. We demonstrate several ways in which hallucinatory percepts could occur when an agent expects to hear a voice in the presence of imprecise sensory data. This model expresses, in formal terms, alternative computational mechanisms that underwrite AVH and, speculatively, can be mapped onto neurobiological changes associated with schizophrenia. The interaction of action and perception is important in modeling AVH, given that speech is a fundamentally enactive and interactive process-and that hallucinators often actively engage with their voices.</p>","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":"2 ","pages":"183-204"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1162/cpsy_a_00022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9166817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 47
Visual Attention Deficits in Schizophrenia Can Arise From Inhibitory Dysfunction in Thalamus or Cortex. 精神分裂症的视觉注意缺陷可由丘脑或皮层的抑制性功能障碍引起。
Computational psychiatry (Cambridge, Mass.) Pub Date : 2018-12-01 DOI: 10.1162/cpsy_a_00023
Yohan J John, Basilis Zikopoulos, Daniel Bullock, Helen Barbas
{"title":"Visual Attention Deficits in Schizophrenia Can Arise From Inhibitory Dysfunction in Thalamus or Cortex.","authors":"Yohan J John,&nbsp;Basilis Zikopoulos,&nbsp;Daniel Bullock,&nbsp;Helen Barbas","doi":"10.1162/cpsy_a_00023","DOIUrl":"10.1162/cpsy_a_00023","url":null,"abstract":"<p><p>Schizophrenia is associated with diverse cognitive deficits, including disorders of attention-related oculomotor behavior. At the structural level, schizophrenia is associated with abnormal inhibitory control in the circuit linking cortex and thalamus. We developed a spiking neural network model that demonstrates how dysfunctional inhibition can degrade attentive gaze control. Our model revealed that perturbations of two functionally distinct classes of cortical inhibitory neurons, or of the inhibitory thalamic reticular nucleus, disrupted processing vital for sustained attention to a stimulus, leading to distractibility. Because perturbation at each circuit node led to comparable but qualitatively distinct disruptions in attentive tracking or fixation, our findings support the search for new eye movement metrics that may index distinct underlying neural defects. Moreover, because the cortico-thalamic circuit is a common motif across sensory, association, and motor systems, the model and extensions can be broadly applied to study normal function and the neural bases of other cognitive deficits in schizophrenia.</p>","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":" ","pages":"223-257"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1162/cpsy_a_00023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36851642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
A Low-Level Perceptual Correlate of Behavioral and Clinical Deficits in ADHD. ADHD患者行为和临床缺陷的低水平感知相关性。
Computational psychiatry (Cambridge, Mass.) Pub Date : 2018-10-01 DOI: 10.1162/cpsy_a_00018
Andra Mihali, Allison G Young, Lenard A Adler, Michael M Halassa, Wei Ji Ma
{"title":"A Low-Level Perceptual Correlate of Behavioral and Clinical Deficits in ADHD.","authors":"Andra Mihali, Allison G Young, Lenard A Adler, Michael M Halassa, Wei Ji Ma","doi":"10.1162/cpsy_a_00018","DOIUrl":"10.1162/cpsy_a_00018","url":null,"abstract":"<p><p>In many studies of attention-deficit hyperactivity disorder (ADHD), stimulus encoding and processing (perceptual function) and response selection (executive function) have been intertwined. To dissociate deficits in these functions, we introduced a task that parametrically varied low-level stimulus features (orientation and color) for fine-grained analysis of perceptual function. It also required participants to switch their attention between feature dimensions on a trial-by-trial basis, thus taxing executive processes. Furthermore, we used a response paradigm that captured task-irrelevant motor output (TIMO), reflecting failures to use the correct stimulus-response rule. ADHD participants had substantially higher perceptual variability than controls, especially for orientation, as well as higher TIMO. In both ADHD and controls, TIMO was strongly affected by the switch manipulation. Across participants, the perceptual variability parameter was correlated with TIMO, suggesting that perceptual deficits are associated with executive function deficits. Based on perceptual variability alone, we were able to classify participants into ADHD and controls with a mean accuracy of about 77%. Participants' self-reported General Executive Composite score correlated not only with TIMO but also with the perceptual variability parameter. Our results highlight the role of perceptual deficits in ADHD and the usefulness of computational modeling of behavior in dissociating perceptual from executive processes.</p>","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":" ","pages":"141-163"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36624229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Bayesian Account of Psychopathy: A Model of Lacks Remorse and Self-Aggrandizing. 精神病的贝叶斯解释:缺乏悔恨和自我强化的模型。
Computational psychiatry (Cambridge, Mass.) Pub Date : 2018-10-01 DOI: 10.1162/cpsy_a_00016
Aaron Prosser, Karl J Friston, Nathan Bakker, Thomas Parr
{"title":"A Bayesian Account of Psychopathy: A Model of Lacks Remorse and Self-Aggrandizing.","authors":"Aaron Prosser, Karl J Friston, Nathan Bakker, Thomas Parr","doi":"10.1162/cpsy_a_00016","DOIUrl":"10.1162/cpsy_a_00016","url":null,"abstract":"<p><p>This article proposes a formal model that integrates cognitive and psychodynamic psychotherapeutic models of psychopathy to show how two major psychopathic traits called <i>lacks remorse</i> and <i>self-aggrandizing</i> can be understood as a form of abnormal Bayesian inference about the self. This model draws on the predictive coding (i.e., active inference) framework, a neurobiologically plausible explanatory framework for message passing in the brain that is formalized in terms of hierarchical Bayesian inference. In summary, this model proposes that these two cardinal psychopathic traits reflect entrenched maladaptive Bayesian inferences about the self, which defend against the experience of deep-seated, self-related negative emotions, specifically shame and worthlessness. Support for the model in extant research on the neurobiology of psychopathy and quantitative simulations are provided. Finally, we offer a preliminary overview of a novel treatment for psychopathy that rests on our Bayesian formulation.</p>","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":" ","pages":"92-140"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36624230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Bayesian Approach to Modeling Risk of Hospital Admissions Associated With Schizophrenia Accounting for Underdiagnosis of the Disorder in Administrative Records. 贝叶斯方法建模与精神分裂症住院风险相关的行政记录中诊断不足的疾病。
Computational psychiatry (Cambridge, Mass.) Pub Date : 2018-02-01 DOI: 10.1162/CPSY_a_00010
Eileen M Stock, James D Stamey, John E Zeber, Alexander W Thompson, Laurel A Copeland
{"title":"A Bayesian Approach to Modeling Risk of Hospital Admissions Associated With Schizophrenia Accounting for Underdiagnosis of the Disorder in Administrative Records.","authors":"Eileen M Stock,&nbsp;James D Stamey,&nbsp;John E Zeber,&nbsp;Alexander W Thompson,&nbsp;Laurel A Copeland","doi":"10.1162/CPSY_a_00010","DOIUrl":"https://doi.org/10.1162/CPSY_a_00010","url":null,"abstract":"<p><p>Schizophrenia is a debilitating serious mental illness characterized by a complex array of symptoms with varying severity and duration. Patients may seek treatment only intermittently, contributing to challenges diagnosing the disorder. A misdiagnosis may potentially bias and reduce study validity. Thus we developed a statistical model to assess the risk of 1-year hospitalization for patients diagnosed with schizophrenia, accounting for when schizophrenia is underreported in administrative databases. A retrospective study design identified patients seeking care during 2010 within an integrated health care system from the Health Maintenance Organization Research Network located in the southwestern United States. Bayesian analysis addressed the problem of underdiagnosed schizophrenia with a statistical measurement error model assuming varying rates of underreporting. Results were then compared to classical multivariable logistic regression. Assuming no underreporting, there was an 87% greater relative odds of hospitalization associated with schizophrenia, OR = 1.87, CI [1.08, 3.23]. Effect sizes and interval estimates representing the association between hospitalization and schizophrenia were reduced with the Bayesian approach accounting for underdiagnosis, suggesting that less severe patients may be underrepresented in studies of schizophrenia. The analytical approach has useful applications in other contexts where the identification of patients with a given condition may be underreported in administrative records.</p>","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":" ","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2018-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1162/CPSY_a_00010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36379766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Perturbing the Hypothalamic-Pituitary-Adrenal Axis: A Mathematical Model for Interpreting PTSD Assessment Tests. 下丘脑-垂体-肾上腺轴的扰动:解释PTSD评估测试的数学模型。
Computational psychiatry (Cambridge, Mass.) Pub Date : 2018-02-01 DOI: 10.1162/CPSY_a_00013
Lae Un Kim, Maria R D'Orsogna, Tom Chou
{"title":"Perturbing the Hypothalamic-Pituitary-Adrenal Axis: A Mathematical Model for Interpreting PTSD Assessment Tests.","authors":"Lae Un Kim,&nbsp;Maria R D'Orsogna,&nbsp;Tom Chou","doi":"10.1162/CPSY_a_00013","DOIUrl":"10.1162/CPSY_a_00013","url":null,"abstract":"<p><p>We use a dynamical systems model of the hypothalamic-pituitary-adrenal (HPA) axis to understand the mechanisms underlying clinical protocols used to probe patient stress response. Specifically, we address dexamethasone (DEX) and ACTH challenge tests, which probe pituitary and adrenal gland responses, respectively. We show that some previously observed features and experimental responses can arise from a bistable mathematical model containing two steady-states, rather than relying on specific and permanent parameter changes due to physiological disruption. Moreover, we show that the timing of a perturbation relative to the intrinsic oscillation of the HPA axis can affect challenge test responses. Conventional mechanistic hypotheses supported and refuted by the challenge tests are reexamined by varying parameters in our mathematical model associated with these hypotheses. We show that (a) adrenal hyposensitivity <i>can</i> give rise to the responses seen in ACTH challenge tests and (b) enhanced cortisol-mediated suppression of the pituitary in subjects with PTSD is not necessary to explain the responses observed in DEX stress tests. We propose a new two-stage DEX/external stressor protocol to more clearly distinguish between the conventional hypothesis of enhanced suppression of the pituitary and bistable dynamics hypothesized in our model.</p>","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":" ","pages":"28-49"},"PeriodicalIF":0.0,"publicationDate":"2018-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1162/CPSY_a_00013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36382800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Computation in Psychotherapy, or How Computational Psychiatry Can Aid Learning-Based Psychological Therapies. 心理治疗中的计算,或计算精神病学如何帮助基于学习的心理治疗。
Computational psychiatry (Cambridge, Mass.) Pub Date : 2018-02-01 DOI: 10.1162/CPSY_a_00014
Michael Moutoussis, Nitzan Shahar, Tobias U Hauser, Raymond J Dolan
{"title":"Computation in Psychotherapy, or How Computational Psychiatry Can Aid Learning-Based Psychological Therapies.","authors":"Michael Moutoussis, Nitzan Shahar, Tobias U Hauser, Raymond J Dolan","doi":"10.1162/CPSY_a_00014","DOIUrl":"10.1162/CPSY_a_00014","url":null,"abstract":"<p><p>Learning-based therapies, such as cognitive-behavioral therapy, are used worldwide, and their efficacy is endorsed by health and research funding agencies. However, the mechanisms behind both their strengths and their weaknesses are inadequately understood. Here we describe how advances in computational modeling may help formalize and test hypotheses regarding how patients make inferences, which are core postulates of these therapies. Specifically, we highlight the relevance of computations with regard to the development, maintenance, and therapeutic change in psychiatric disorders. A Bayesian approach helps delineate which apparent inferential biases and aberrant beliefs are in fact near-normative, given patients' current concerns, and which are not. As examples, we formalize three hypotheses. First, high-level dysfunctional beliefs should be treated as beliefs over models of the world. There is a need to test how, and whether, people apply these high-level beliefs to guide the formation of lower level beliefs important for real-life decision making, conditional on their experiences. Second, during the genesis of a disorder, maladaptive beliefs grow because more benign alternative schemas are discounted during belief updating. Third, we propose that when patients learn within therapy but fail to benefit in real life, this can be accounted for by a mechanism that we term overaccommodation, similar to that used to explain fear reinstatement. Beyond these specifics, an ambitious collaborative research program between computational psychiatry researchers, therapists, and experts-by-experience needs to form testable predictions out of factors claimed to be important for therapy.</p>","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":" ","pages":"50-73"},"PeriodicalIF":0.0,"publicationDate":"2018-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6067826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36382801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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