Evidence map›Paper›PMID 34316049›Full record

ArticleNature human behaviour2021

Paranoia and belief updating during the COVID-19 crisis.

Praveen Suthaharan, Erin J Reed, Pantelis Leptourgos, Joshua G Kenney, Stefan Uddenberg, Christoph D Mathys, Leib Litman, Jonathan Robinson, Aaron J Moss, Jane R Taylor and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Nature human behaviour, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
18.8field-weighted citation impact, top 1% 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

61 citing papers in PubMed, 126 citations in OpenAlex.

  1. Trial
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  7. Self-Reflection Protects Behavior from Volatile Beliefs Linked to Paranoia.Computational psychiatry (Cambridge, Mass.) · 2026
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 4 countries.

Praveen Suthaharan *Department of Psychiatry, Connecticut Mental Health Center, Yale University, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-2388-7009
Erin J Reed *Interdepartmental Neuroscience Program, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0003-1669-1929
Pantelis LeptourgosDepartment of Psychiatry, Connecticut Mental Health Center, Yale University, New Haven, CT, USA.
Joshua G KenneyDepartment of Psychiatry, Connecticut Mental Health Center, Yale University, New Haven, CT, USA.
Stefan UddenbergBooth School of Business, University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-2689-3906
Christoph D MathysInteracting Minds Center, Aarhus University, Aarhus, Denmark.ORCID http://orcid.org/0000-0003-4079-5453
Leib LitmanCloudResearch, New York, NY, USA.
Jonathan RobinsonCloudResearch, New York, NY, USA.
Aaron J MossCloudResearch, New York, NY, USA.ORCID http://orcid.org/0000-0003-4396-4128
Jane R TaylorDepartment of Psychiatry, Connecticut Mental Health Center, Yale University, New Haven, CT, USA.
Stephanie M GromanDepartment of Psychiatry, Connecticut Mental Health Center, Yale University, New Haven, CT, USA.
Philip R CorlettDepartment of Psychiatry, Connecticut Mental Health Center, Yale University, New Haven, CT, USA. philip.corlett@yale.edu.ORCID http://orcid.org/0000-0002-5368-1992
Yale University · USDermResearch (United States) · USScuola Internazionale Superiore di Studi Avanzati · ITUniversity of Chicago · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007205 · NIGMS · YALE UNIVERSITY · PI KAZMIERCZAK, BARBARA I · 1985 to 2019
$42.9M
NRSA Training Grant in Quantitative NeuroscienceT32MH065214 · NIMH · PRINCETON UNIVERSITY · PI Nathaniel Douglass Daw, KENNETH A NORMAN · 2002 to 2026
$7.9M
NEUROBIOLOGY OF CORTICAL SYSTEMST32NS007224 · NINDS · YALE UNIVERSITY · PI CARDIN, JESSICA A · 1985 to 2025
$4.6M
Predictive Coding as a Framework for Understanding PsychosisR01MH112887 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI CORLETT, PHILIP, GOLD, JAMES M. · 2018 to 2022
$3.6M
Decision-Making Dysfunction and Chronic CocaineR01DA041480 · NIDA · YALE UNIVERSITY · PI TAYLOR, JANE R · 2017 to 2021
$1.7M
Explaining Paranoia: Computational Modeling of Belief Updating in the General PopulationR21MH120799 · NIMH · YALE UNIVERSITY · PI CORLETT, PHILIP · 2019 to 2020
$404k
NCATS NIH HHS UL1 TR001863NIDA NIH HHS R01 DA041480NIGMS NIH HHS T32 GM007205NIMH NIH HHS R01 MH112887NIMH NIH HHS R21 MH120799NIMH NIH HHS T32 MH065214NINDS NIH HHS T32 NS007224U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R21MH120799-01
6 · The paper itself

Abstract

The COVID-19 pandemic has made the world seem less predictable. Such crises can lead people to feel that others are a threat. Here, we show that the initial phase of the pandemic in 2020 increased individuals' paranoia and made their belief updating more erratic. A proactive lockdown made people's belief updating less capricious. However, state-mandated mask-wearing increased paranoia and induced more erratic behaviour. This was most evident in states where adherence to mask-wearing rules was poor but where rule following is typically more common. Computational analyses of participant behaviour suggested that people with higher paranoia expected the task to be more unstable. People who were more paranoid endorsed conspiracies about mask-wearing and potential vaccines and the QAnon conspiracy theories. These beliefs were associated with erratic task behaviour and changed priors. Taken together, we found that real-world uncertainty increases paranoia and influences laboratory task behaviour.

Indexed as

Attitude to HealthCultureCOVID-19Health PolicyHumansInfection ControlMasksPandemicsParanoid Disorders

Identifiers

PMID34316049
PMCPMC8458246
OpenAlexW3185972415

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.