Evidence map›Paper›PMID 40948886›Full record

ArticleComputational psychiatry (Cambridge, Mass.)2025

Investigating Learning, Decision-Making, and Mental Health in Pregnancy: Insights From a UK Cohort Study.

Ilaria Costantini, Axel Montout, Paul Moran, Daphne Kounali, Rebecca M Pearson, Casimir J H Ludwig

Abstract read
In one paragraph

Article in Computational psychiatry (Cambridge, Mass.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Ilaria CostantiniCentre for Academic Mental Health, University of Bristol, Oakfield House, Bristol, United Kingdom.ORCID https://orcid.org/0000-0002-1688-2963
Axel MontoutBristol Veterinary School, University of Bristol, Bristol, United Kingdom.ORCID https://orcid.org/0000-0002-7825-5244
Paul MoranCentre for Academic Mental Health, University of Bristol, Oakfield House, Bristol, United Kingdom.ORCID https://orcid.org/0000-0002-9257-8699
Daphne KounaliNIHR Biomedical Research Centre at the University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom.ORCID https://orcid.org/0000-0002-6392-6690
Rebecca M PearsonCentre for Academic Mental Health, University of Bristol, Oakfield House, Bristol, United Kingdom.ORCID https://orcid.org/0000-0001-8527-3400
Casimir J H LudwigSchool of Psychological Science, University of Bristol, Bristol, United Kingdom.ORCID https://orcid.org/0000-0003-4656-0751

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Parental capacity to learn from infant responses is a fundamental component of early dyadic interactions. However, the precise cognitive processes involved in these interactions and how these processes are influenced by mental health difficulties remain unclear. Methods: We investigated the computational basis of learning and decision-making in males and nulliparous females (Study 1) and pregnant participants enrolled in a cohort study (Study 2), using a two-armed bandit task adapted to simulate playful interactions with an infant. Participants chose between two competing bandits (i.e., two toys) with different underlying nominal probabilities for three outcomes (i.e., infant sad, neutral, and happy facial expressions). In Study 1, we manipulated the baseline emotional context of the task (i.e., the infant started either happy or sad) to investigate its effect on the processing of emotional feedback and decision-making. In both studies, we explored whether individual differences in mental health and personalities difficulties associated with variation in parameters. Results: In Study 1, the emotional context manipulation influenced both learning rates and how neutral outcomes were evaluated. Participants starting with a happy infant exhibited faster learning and a more negative evaluation of neutral outcomes compared to those starting with a sad infant. In Study 2, participants reporting higher levels of personality difficulties and antenatal depressive symptoms showed reduced learning rates. These associations were weaker in Study 1. Conclusions: Our findings provide novel evidence regarding the role of the emotional context in learning and decision-making processes. For parents with depressive symptoms and personality difficulties, dampened responsivity to emotional feedback and inflexibility in updating beliefs about the values of actions may underlie fewer sensitive behaviours when interacting with their infants.

Indexed as

ALSPACantenatal depression and personality difficultiesbandit-tasklearning and decision-making processesreference point

Identifiers

PMID40948886
PMCPMC12427613

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.