期刊
BRAIN
卷 130, 期 -, 页码 2387-2400出版社
OXFORD UNIV PRESS
DOI: 10.1093/brain/awm173
关键词
prediction error; associative learning; fMRI; delusions; psychosis
资金
- Medical Research Council [G0001354, G0001354B] Funding Source: researchfish
- Medical Research Council [G0001354] Funding Source: Medline
- Wellcome Trust [064351] Funding Source: Medline
Delusions are maladaptive beliefs about the world. Based upon experimental evidence that prediction error a mismatch between expectancy and outcome drives belief formation, this study examined the possibility that delusions form because of disrupted prediction-error processing. We used fMRI to determine prediction-error-related brain responses in 12 healthy subjects and 12 individuals ( 7 males) with delusional beliefs. Frontal cortex responses in the patient group were suggestive of disrupted prediction-error processing. Furthermore, across subjects, the extent of disruption was significantly related to an individual's propensity to delusion formation. Our results support a neurobiological theory of delusion formation that implicates aberrant prediction-error signalling, disrupted attentional allocation and associative learning in the formation of delusional beliefs.
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