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A computational analysis of abnormal belief-updating processes and their association with psychotic experiences and childhood trauma in a UK birth cohort

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Croft, Jazz, Teufel, Christoph, Heron, Jon, Fletcher, Paul C., David, Anthony S., Lewis, Glyn, Moutoussis, Michael, FitzGerald, Thomas H. B., Linden, David E. J., Thompson, Andrew D., Jones, Peter B., Cannon, Mary, Holmans, Peter, Adams, Rick A. and Zammit, Stan (2021) A computational analysis of abnormal belief-updating processes and their association with psychotic experiences and childhood trauma in a UK birth cohort. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging . doi:10.1016/j.bpsc.2021.12.007 (In Press)

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Official URL: https://doi.org/10.1016/j.bpsc.2021.12.007

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Abstract

Background:
Psychotic experiences emerge from abnormalities in perception and belief formation and occur more commonly in those experiencing childhood trauma. However, which precise aspects of belief formation are atypical in psychosis is not well understood. We used a computational modeling approach to characterize belief updating in young adults in the general population, examine their relationship with psychotic outcomes and trauma, and determine the extent to which they mediate the trauma-psychosis relationship.

Methods:
We used data from 3360 individuals from the Avon Longitudinal Study of Parents and Children birth cohort who completed assessments for psychotic outcomes, depression, anxiety, and two belief updating tasks at age 24 and had data available on traumatic events assessed from birth to late adolescence. Unadjusted and adjusted regression and counterfactual mediation methods were used for the analyses.

Results:
Basic behavioral measures of belief updating (draws-to-decision and disconfirmatory updating) were not associated with psychotic experiences. However, computational modeling revealed an association between increased decision noise with both psychotic experiences and trauma exposure, although <3% of the trauma–psychotic experience association was mediated by decision noise. Belief updating measures were also associated with intelligence and sociodemographic characteristics, confounding most of the associations with psychotic experiences. There was little evidence that belief updating parameters were differentially associated with delusions compared with hallucinations or that they were differentially associated with psychotic outcomes compared with depression or anxiety.

Conclusions:
These findings challenge the hypothesis that atypical belief updating mechanisms (as indexed by the computational models and behavioral measures we used) underlie the development of psychotic phenomena.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine
R Medicine > RJ Pediatrics
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Psychoses -- Case studies, Psychoses -- Patients -- Analysis, Psychoses in children, Psychic trauma in children
Journal or Publication Title: Biological Psychiatry: Cognitive Neuroscience and Neuroimaging
Publisher: Elsevier
ISSN: 2451-9022
Official Date: 2021
Dates:
DateEvent
2021Available
9 December 2021Accepted
DOI: 10.1016/j.bpsc.2021.12.007
Status: Peer Reviewed
Publication Status: In Press
Access rights to Published version: Open Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIED[MRC] Medical Research Councilhttp://dx.doi.org/10.13039/501100000265
UNSPECIFIEDUniversity of Bristolhttp://dx.doi.org/10.13039/501100000883
MR/M006727/1[MRC] Medical Research Councilhttp://dx.doi.org/10.13039/501100000265
217065/Z/19/ZWellcome Trusthttp://dx.doi.org/10.13039/100010269
UNSPECIFIEDSamuel Roberts Noble Foundationhttp://dx.doi.org/10.13039/100000944
MR/S007806/1[MRC] Medical Research Councilhttp://dx.doi.org/10.13039/501100000265
UNSPECIFIED[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
UNSPECIFIEDUniversity Hospitals Bristol NHS Foundation Trusthttp://dx.doi.org/10.13039/100012141
UNSPECIFIEDUCLH Biomedical Research Centrehttp://dx.doi.org/10.13039/501100012317
UNSPECIFIEDUniversity Hospitals Bristol NHS Foundation Trusthttp://dx.doi.org/10.13039/100012141
UNSPECIFIEDUniversity Hospitals Bristol and Weston NHS Foundation Trusthttp://viaf.org/viaf/8830164423022020530008
Investigator Award : 49 206368/Z/17/ZWellcome Trusthttp://dx.doi.org/10.13039/100010269
UNSPECIFIEDBernard Wolfe Health Neuroscience FundUNSPECIFIED

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