Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1230, New York, NY, 10029, USA.
Nash Family Department of Neuroscience, Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1230, New York, NY, 10029, USA.
Psychopharmacology (Berl). 2019 Aug;236(8):2405-2412. doi: 10.1007/s00213-019-05300-5. Epub 2019 Jun 22.
The nascent field computational psychiatry has undergone exponential growth since its inception. To date, much of the published work has focused on choice behaviors, which are primarily modeled within a reinforcement learning framework. While this initial normative effort represents a milestone in psychiatry research, the reality is that many psychiatric disorders are defined by disturbances in subjective states (e.g., depression, anxiety) and associated beliefs (e.g., dysmorphophobia, paranoid ideation), which are not considered in normative models. In this paper, we present interoceptive inference as a candidate framework for modeling subjective-and associated belief-states in computational psychiatry. We first introduce the notion and significance of modeling subjective states in computational psychiatry. Next, we present the interoceptive inference framework, and in particular focus on the relationship between interoceptive inference (i.e., belief updating) and emotions. Lastly, we will use drug craving as an example of subjective states to demonstrate the feasibility of using interoceptive inference to model the psychopathology of subjective states.
新兴的计算精神病学领域自成立以来经历了指数级的增长。迄今为止,发表的大量研究工作主要集中在选择行为上,这些行为主要是在强化学习框架内建模的。虽然这一初步的规范性努力代表了精神病学研究的一个里程碑,但现实情况是,许多精神障碍是由主观状态(例如,抑郁、焦虑)和相关信念(例如,畸形恐惧症、偏执观念)的紊乱定义的,这些在规范性模型中并没有被考虑到。在本文中,我们提出了内感受推断作为计算精神病学中建模主观状态和相关信念状态的候选框架。我们首先介绍了在计算精神病学中建模主观状态的概念和意义。接下来,我们介绍了内感受推断框架,特别关注内感受推断(即信念更新)和情绪之间的关系。最后,我们将以药物渴求为例来说明主观状态,以展示使用内感受推断来建模主观状态的精神病理学的可行性。