Evidence map›Paper›PMID 29398218›Full record

ArticleCurrent biology : CB2018

A Perceptual Inference Mechanism for Hallucinations Linked to Striatal Dopamine.

Clifford M Cassidy, Peter D Balsam, Jodi J Weinstein, Rachel J Rosengard, Mark Slifstein, Nathaniel D Daw, Anissa Abi-Dargham, Guillermo Horga

Abstract read
In one paragraph

Article in Current biology : CB, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

97 citing papers in PubMed.

  1. Trial
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  9. Review
  10. Schizophrenia.Nature reviews. Disease primers · 2025
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37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Clifford M CassidyDepartment of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, 1051 Riverside Drive, New York, NY 10032, USA; The Royal's Institute of Mental Health Research, University of Ottawa, 1145 Carling Avenue, Ottawa, ON K1Z 7K4, Canada.
Peter D BalsamDepartment of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, 1051 Riverside Drive, New York, NY 10032, USA; Department of Psychology, Columbia University, 3009 Broadway, New York, NY 10027, USA.
Jodi J WeinsteinDepartment of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, 1051 Riverside Drive, New York, NY 10032, USA; Department of Psychiatry, Stony Brook University, 100 Nicholls Road, Stony Brook, NY 11794, USA.
Rachel J RosengardDepartment of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, 1051 Riverside Drive, New York, NY 10032, USA.
Mark SlifsteinDepartment of Psychiatry, Stony Brook University, 100 Nicholls Road, Stony Brook, NY 11794, USA.
Nathaniel D DawDepartment of Psychology, Princeton University, South Drive, Princeton, NJ 08540, USA.
Anissa Abi-DarghamDepartment of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, 1051 Riverside Drive, New York, NY 10032, USA; Department of Psychiatry, Stony Brook University, 100 Nicholls Road, Stony Brook, NY 11794, USA.
Guillermo HorgaDepartment of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, 1051 Riverside Drive, New York, NY 10032, USA. Electronic address: horgag@nyspi.columbia.edu.

Funding

Dopamine Dysfunction in SchizophreniaP50MH086404 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI ABI-DARGHAM, ANISSA · 2010 to 2014
$9.4M
Timing & Associative LearningR01MH068073 · NIMH · BARNARD COLLEGE · PI BALSAM, PETER D. · 2003 to 2024
$8.0M
Neural mechanisms of sensory predictions in schizophrenia with hallucinationsK23MH101637 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI HORGA, GUILLERMO · 2014 to 2018
$862k
Probing dopamine D2 receptor trafficking in schizophreniaR21MH099509 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI ABI-DARGHAM, ANISSA · 2013 to 2014
$455k
NIMH NIH HHS K23 MH101637NIMH NIH HHS P50 MH086404NIMH NIH HHS R01 MH068073NIMH NIH HHS R21 MH099509
6 · The paper itself

Abstract

Hallucinations, a cardinal feature of psychotic disorders such as schizophrenia, are known to depend on excessive striatal dopamine. However, an underlying cognitive mechanism linking dopamine dysregulation and the experience of hallucinatory percepts remains elusive. Bayesian models explain perception as an optimal combination of prior expectations and new sensory evidence, where perceptual distortions such as illusions and hallucinations may occur if prior expectations are afforded excessive weight. Such excessive weight of prior expectations, in turn, could stem from a gain-control process controlled by neuromodulators such as dopamine. To test for such a dopamine-dependent gain-control mechanism of hallucinations, we studied unmedicated patients with schizophrenia with varying degrees of hallucination severity and healthy individuals using molecular imaging with a pharmacological manipulation of dopamine, structural imaging, and a novel task designed to measure illusory changes in the perceived duration of auditory stimuli under different levels of uncertainty. Hallucinations correlated with a perceptual bias, reflecting disproportional gain on expectations under uncertainty. This bias could be pharmacologically induced by amphetamine, strongly correlated with striatal dopamine release, and related to cortical volume of the dorsal anterior cingulate, a brain region involved in tracking environmental uncertainty. These findings outline a novel dopamine-dependent mechanism for perceptual modulation in physiological conditions and further suggest that this mechanism may confer vulnerability to hallucinations in hyper-dopaminergic states underlying psychosis.

Indexed as

AdultBayes TheoremBrainCorpus StriatumDopamineFemaleGyrus CinguliHallucinationsHumansIllusionsMalePerceptionPerceptual DistortionPsychotic DisordersSchizophreniaDopamineamphetamineBayesian inferencedopaminehallucinationsillusionPET imagingpredictive codingpsychosisschizophreniasensory learning

Identifiers

PMID29398218
PMCPMC5820222

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.