Signal discrimination in the psychotic phenotype: increased sensory precision and reduced decision threshold associated with psychotic-like experiences.
Francesco Scaramozzino, Ryan Mckay, Nicholas Furl
Cognitive neuropsychiatry July 1, 2025 Peer reviewed DOI: 10.1080/13546805.2025.2587020 via PubMed
Summary
Psychotic-like experiences, such as hallucinations and delusions, are linked to how people interpret ambiguous sensory information. In a study of 191 participants completing a motion perception task, those with more psychotic-like experiences showed faster evidence accumulation (drift rate) and, for hallucination-like experiences, a lower decision threshold. This suggests overprecise signal discrimination and a tendency to act on less evidence, which may bias perception toward false positives and contribute to anomalous experiences. However, a separate beads task did not replicate prior findings of reduced data-gathering.
Study at a glance
| Design | observational cohort |
|---|---|
| Sample size | 191 |
| Population | participants with varying psychotic-like experiences |
| Key finding | Hallucination- and delusion-like experiences were associated with increased drift rates, and hallucination-like experiences also predicted lower decision thresholds. |
Abstract
Psychotic-like experiences may reflect disrupted signal discrimination, whereby individuals overinterpret noisy sensory input as meaningful. Drawing on predictive coding accounts, we investigated whether increased sensory precision and reduced data-gathering relate to psychotic-like experiences in a signal discrimination task. We fitted drift-diffusion models to Random Dot Motion (RDM) task data completed by 191 participants. We estimated drift rate and decision threshold: (1) across groups differing in psychotic phenotypes, and (2) as outcomes in regression models with psychotic-like experiences as predictors. Drift rate measures evidence gain and, in this task, can be considered an approximate measure of sensory precision. We also tested whether reduced data-gathering on the beads task replicated prior associations with psychotic phenotypes. Hallucination- and delusion-like experiences were associated with increased drift rates. Hallucination-like experiences also predicted lower decision thresholds. In the beads task, psychotic-like experiences correlated with higher confidence ratings but not with reduced data-gathering. Our findings indicate that psychotic-like phenomenology is linked to increased precision of signal discrimination and reduced decision thresholds. Overprecise signal discrimination and lower decision thresholds may bias perceptual inference toward false positive detections, potentially leading to anomalous experiences.