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偏执妄想模型:精神病早期阶段的机制见解。

Models of persecutory delusions: a mechanistic insight into the early stages of psychosis.

机构信息

Department of Psychiatry (UPK), University of Basel, Basel, Switzerland.

Translational Neuromodeling Unit (TNU), Institute for Biomedical Engineering, University of Zurich & Swiss Federal Institute of Technology (ETH Zurich), Zurich, Switzerland.

出版信息

Mol Psychiatry. 2019 Sep;24(9):1258-1267. doi: 10.1038/s41380-019-0427-z. Epub 2019 May 10.

Abstract

Identifying robust markers for predicting the onset of psychosis has been a key challenge for early detection research. Persecutory delusions are core symptoms of psychosis, and social cognition is particularly impaired in first-episode psychosis patients and individuals at risk for developing psychosis. Here, we propose new avenues for translation provided by hierarchical Bayesian models of behaviour and neuroimaging data applied in the context of social learning to target persecutory delusions. As it comprises a mechanistic model embedded in neurophysiology, the findings of this approach may shed light onto inference and neurobiological causes of transition to psychosis.

摘要

确定预测精神病发作的稳健标志物一直是早期检测研究的一个关键挑战。被害妄想是精神病的核心症状,而在首发精神病患者和有发展为精神病风险的个体中,社会认知能力尤其受损。在这里,我们提出了新的途径,即应用于社会学习背景下的行为和神经影像学数据的分层贝叶斯模型提供的翻译,以针对被害妄想。由于它包含一个嵌入神经生理学的机制模型,因此这种方法的研究结果可能有助于推断和理解精神病发作的神经生物学原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e14/6756090/e8766e3f92c1/41380_2019_427_Fig1_HTML.jpg

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