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Psychedelics and schizophrenia: Distinct alterations to Bayesian inference.

Hardik Rajpal, Pedro A. M. Mediano, Fernando E. Rosas, Christopher Timmermann, Stefan Brugger, Suresh Muthukumaraswamy, Anil K. Seth, Daniel Bor, Robin Carhart-Harris, Henrik J. Jensen

Neuroimage November 1, 2022 DOI: 10.1016/j.neuroimage.2022.119624 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational study with computational modeling Peer reviewed
Population Healthy volunteers
Interventions LSD Ketamine
Keywords Information theory Predictive processing Psychedelics hallucinogens Entheogens Psychoactive drugs Schizophrenia psychosis Schizophrenic disorders Brain networks Neural path
Citations 23
Key findings Schizophrenia and LSD/ketamine states both increase neural signal diversity, but schizophrenia increases front-to-back transfer entropy while the drugs reduce it, modeled as opposing alterations in precision of priors versus sensory information.

Abstract

Schizophrenia and states induced by certain psychotomimetic drugs may share some physiological and phenomenological properties, but they differ in fundamental ways: one is a crippling chronic mental disease, while the others are temporary, pharmacologically-induced states presently being explored as treatments for mental illnesses. Building towards a deeper understanding of these different alterations of normal consciousness, here we compare the changes in neural dynamics induced by LSD and ketamine (in healthy volunteers) against those associated with schizophrenia, as observed in resting-state M/EEG recordings. While both conditions exhibit increased neural signal diversity, our findings reveal that this is accompanied by an increased transfer entropy from the front to the back of the brain in schizophrenia, versus an overall reduction under the two drugs. Furthermore, we show that these effects can be reproduced via different alterations of standard Bayesian inference applied on a computational model based on the predictive processing framework. In particular, the effects observed under the drugs are modelled as a reduction of the precision of the priors, while the effects of schizophrenia correspond to an increased precision of sensory information. These findings shed new light on the similarities and differences between schizophrenia and two psychotomimetic drug states, and have potential implications for the study of consciousness and future mental health treatments.