Evidence map›Paper›PMID 33315893›Full record

ArticlePLoS computational biology2020

A Bayesian computational model reveals a failure to adapt interoceptive precision estimates across depression, anxiety, eating, and substance use disorders.

Ryan Smith, Rayus Kuplicki, Justin Feinstein, Katherine L Forthman, Jennifer L Stewart, Martin P Paulus, Tulsa 1000 investigators, Sahib S Khalsa

Registry-linked trialAbstract read
In one paragraph

Article in PLoS computational biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06332963 (Interoceptive Mechanisms of Body Image Disturbance in Anorexia Nervosa), which is not on this map. Cited by 94 papers.

0numbers the graph read from it
0cells of the map it votes in
94citing 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.

NCT06332963 narecruitingnot on this mapstarted 2024, after this paper: background citation

Interoceptive Mechanisms of Body Image Disturbance in Anorexia Nervosa

TypeinterventionalSponsorLaureate Institute for Brain Research, Inc.Ran2024 to 2028Enrolled102ConditionsAnorexia Nervosa, Body Image Disturbance, InteroceptionArmsFloatation-REST, IFT, EFT
3 · Its place in the literature

Who cites it

94 citing papers in PubMed.

  1. Trial
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  11. Breath, Belief, and Brain: A Tripartite Map of Respiratory Interoception.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. From symptom-based heterogeneity to mechanism-based profiling in youth ADHD: the promise of computational psychiatry.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  17. Article
  18. Article
  19. Article
  20. Decision-Making in Repeated Games: Insights from Active Inference.Behavioral sciences (Basel, Switzerland) · 2025
    Review

34 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ryan SmithLaureate Institute for Brain Research, Tulsa, Oklahoma, United States of America.ORCID 0000-0002-4448-185X
Rayus KuplickiLaureate Institute for Brain Research, Tulsa, Oklahoma, United States of America.ORCID 0000-0003-2954-6421
Justin FeinsteinLaureate Institute for Brain Research, Tulsa, Oklahoma, United States of America.ORCID 0000-0003-0802-8406
Katherine L ForthmanLaureate Institute for Brain Research, Tulsa, Oklahoma, United States of America.ORCID 0000-0002-8695-8388
Jennifer L StewartLaureate Institute for Brain Research, Tulsa, Oklahoma, United States of America.ORCID 0000-0003-0123-9438
Martin P PaulusLaureate Institute for Brain Research, Tulsa, Oklahoma, United States of America.ORCID 0000-0002-0825-3606
Tulsa 1000 investigators
Sahib S KhalsaLaureate Institute for Brain Research, Tulsa, Oklahoma, United States of America.ORCID 0000-0003-2124-8585

Funding

The Center for Neuroscience-based Mental Health Assessment and Prediction (NEUROMAP)P20GM121312 · NIGMS · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI Wesley Kurt Thompson · 2017 to 2026
$23.7M
Neural Basis of Meal Related Interoceptive Dysfunction in Anorexia NervosaK23MH112949 · NIMH · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI KHALSA, SAHIB · 2017 to 2021
$994k
NIGMS NIH HHS P20 GM121312NIMH NIH HHS K23 MH112949
6 · The paper itself

Abstract

Recent neurocomputational theories have hypothesized that abnormalities in prior beliefs and/or the precision-weighting of afferent interoceptive signals may facilitate the transdiagnostic emergence of psychopathology. Specifically, it has been suggested that, in certain psychiatric disorders, interoceptive processing mechanisms either over-weight prior beliefs or under-weight signals from the viscera (or both), leading to a failure to accurately update beliefs about the body. However, this has not been directly tested empirically. To evaluate the potential roles of prior beliefs and interoceptive precision in this context, we fit a Bayesian computational model to behavior in a transdiagnostic patient sample during an interoceptive awareness (heartbeat tapping) task. Modelling revealed that, during an interoceptive perturbation condition (inspiratory breath-holding during heartbeat tapping), healthy individuals (N = 52) assigned greater precision to ascending cardiac signals than individuals with symptoms of anxiety (N = 15), depression (N = 69), co-morbid depression/anxiety (N = 153), substance use disorders (N = 131), and eating disorders (N = 14)-who failed to increase their precision estimates from resting levels. In contrast, we did not find strong evidence for differences in prior beliefs. These results provide the first empirical computational modeling evidence of a selective dysfunction in adaptive interoceptive processing in psychiatric conditions, and lay the groundwork for future studies examining how reduced interoceptive precision influences visceral regulation and interoceptively-guided decision-making.

Indexed as

Bayes TheoremComputer SimulationAdolescentAdultAnxietyCase-Control StudiesDepressionFeeding and Eating DisordersFemaleHeart RateHumansMaleMiddle AgedOverweightSubstance-Related DisordersThinness

Identifiers

PMID33315893
PMCPMC7769623

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.