Evidence map›Paper›PMID 33878489›Full record

ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2022

Using Computational Modeling to Capture Schizophrenia-Specific Reinforcement Learning Differences and Their Implications on Patient Classification.

Andra Geana, Deanna M Barch, James M Gold, Cameron S Carter, Angus W MacDonald, J Daniel Ragland, Steven M Silverstein, Michael J Frank

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% of its field
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  6. Article
  7. 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
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  8. Article
  9. Evidence for shallow cognitive maps in schizophrenia.Cognitive, affective & behavioral neuroscience · 2025
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  10. Article
  11. Review
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  13. Article
  14. Review
  15. The challenge of learning adaptive mental behavior.Journal of psychopathology and clinical science · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Cognitive Control in Schizophrenia: Advances in Computational Approaches.Current directions in psychological science · 2024
    Article
  20. Article
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 at 5 institutions in 1 country.

Andra GeanaDepartment of Department of Cognitive, Linguistic, and Psychological Sciences, Brown University, Providence, Rhode Island. Electronic address: andra_geana@brown.edu.
Deanna M BarchDepartment of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, Missouri; Department of Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri; Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri.
James M GoldDepartment of Psychiatry, Maryland Psychiatric Research Center, Baltimore, Maryland.
Cameron S CarterDepartment of Psychiatry, University of California, Davis, California.
Angus W MacDonaldDepartment of Psychology, University of Minnesota, Minneapolis, Minnesota.
J Daniel RaglandDepartment of Psychiatry, University of California, Davis, California.
Steven M SilversteinDepartment of Psychiatry, University of Rochester, Rochester, New York.
Michael J FrankDepartment of Department of Cognitive, Linguistic, and Psychological Sciences, Brown University, Providence, Rhode Island.
Brown University · USUniversity of California, Davis · USMallinckrodt (United States) · USUniversity of Minnesota · USUniversity of Rochester · US

Funding

Cognitive Neurocomputational Task Reliability and Clinical Applications ConsortiumR01MH084840 · NIMH · WASHINGTON UNIVERSITY · PI Deanna Barch, Cameron S. Carter · 2008 to 2026
$8.5M
4/5-Cognitive Neuroscience Task Reliability & Clinical Applications ConsortiumR01MH084821 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI GOLD, JAMES M. · 2008 to 2023
$4.2M
2/5-Cognitive Neuroscience Task Reliability & Clinical Applications ConsortiumR01MH084826 · NIMH · UNIVERSITY OF CALIFORNIA-IRVINE · PI CARTER, CAMERON S. · 2008 to 2023
$4.0M
5/5-Cognitive Neuroscience Task Reliability & Clinical Applications ConsortiumR01MH084861 · NIMH · UNIVERSITY OF MINNESOTA · PI MACDONALD, ANGUS W · 2008 to 2024
$3.8M
Cognitive Neurocomputational Task Reliability & Clinical Applications ConsortiumR01MH084828 · NIMH · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI SILVERSTEIN, STEVEN M · 2008 to 2024
$3.3M
Brown Postdoctoral Training Program in Computational PsychiatryT32MH126388 · NIMH · BROWN UNIVERSITY · PI MICHAEL J. FRANK, STEPHANIE Ruggiano JONES · 2021 to 2026
$2.1M
Advancing the Research Careers of Women and PEERs in Brain ScienceR25NS124530 · NINDS · BROWN UNIVERSITY · PI CARLOS D AIZENMAN, Diane Lipscombe · 2022 to 2026
$1.3M
NIMH NIH HHS R01 MH084821NIMH NIH HHS R01 MH084826NIMH NIH HHS R01 MH084828NIMH NIH HHS R01 MH084840NIMH NIH HHS R01 MH084861NIMH NIH HHS T32 MH126388NINDS NIH HHS R25 NS124530
6 · The paper itself

Abstract

backgroundPsychiatric diagnosis and treatment have historically taken a symptom-based approach, with less attention on identifying underlying symptom-producing mechanisms. Recent efforts have illuminated the extent to which different underlying circuitry can produce phenotypically similar symptomatology (e.g., psychosis in bipolar disorder vs. schizophrenia). Computational modeling makes it possible to identify and mathematically differentiate behaviorally unobservable, specific reinforcement learning differences in patients with schizophrenia versus other disorders, likely owing to a higher reliance on prediction error-driven learning associated with basal ganglia and underreliance on explicit value representations associated with orbitofrontal cortex.

methodsWe used a well-established probabilistic reinforcement learning task to replicate those findings in individuals with schizophrenia both on (n = 120) and off (n = 44) antipsychotic medications and included a patient comparison group of bipolar patients with psychosis (n = 60) and healthy control subjects (n = 72).

resultsUsing accuracy, there was a main effect of group (F

conclusionsBoth medicated and unmedicated patients showed overreliance on prediction error-driven learning as well as significantly higher noise and value-related memory decay, compared with the healthy control subjects and the patients with bipolar disorder. Additionally, the computational model parameters capturing these processes can significantly improve patient/control classification, potentially providing useful diagnosis insight.

Indexed as

Antipsychotic AgentsPsychotic DisordersSchizophreniaComputer SimulationHumansReinforcement, PsychologyAntipsychotic AgentsClassificationComputational psychiatryModelingReinforcement learningSchizophrenia

Identifiers

PMID33878489
PMCPMC9272137
OpenAlexW3154323267

What OpenQuestion holds

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Registered trials

None linked

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.