Abstract
Jumping to conclusions (JTC) during probabilistic reasoning is a cognitive bias repeatedly demonstrated in people with schizophrenia and shown to be associated with delusions. Little is known about the neurochemical basis of probabilistic reasoning. We tested the hypothesis that catecholamines influence data gathering and probabilistic reasoning by administering intravenous methamphetamine, which is known to cause synaptic release of the catecholamines noradrenaline and dopamine, to healthy humans whilst they undertook a probabilistic inference task. Our study used a randomised, double-blind, cross-over design. Seventeen healthy volunteers on three visits were administered either placebo or methamphetamine or methamphetamine preceded by amisulpride. In all three conditions participants performed the “beads” task in which participants decide how much information to gather before making a probabilistic inference, and which measures the cognitive bias towards jumping to conclusions. Psychotic symptoms triggered by methamphetamine were assessed using Comprehensive Assessment of At-Risk Mental States (CAARMS). Methamphetamine induced mild psychotic symptoms, but there was no effect of drug administration on the number of draws to decision (DTD) on the beads task. DTD was a stable trait that was highly correlated within subjects across visits (intra-class correlation coefficients of 0.86 and 0.91 on two versions of the task). The less information was sampled in the placebo condition, the more psychotic-like symptoms the person had after the methamphetamine plus amisulpride condition (p = 0.028). Our results suggest that information gathering during probabilistic reasoning is a stable trait, not easily modified by dopaminergic or noradrenergic modulation.
Highlights
Jumping to conclusions (JTC) is a cognitive bias consistently observed in people with schizophrenia and is associated with delusions
In the analysis of variance (ANOVA) of draws to decision (DTD) we looked at condition (85:15, 60:40) by drug
We examined whether baseline probabilistic reasoning function predicted severity of methamphetamine induced psychotic symptoms using Spearman’s correlation coefficients
Summary
Jumping to conclusions (JTC) is a cognitive bias consistently observed in people with schizophrenia and is associated with delusions (for reviews see [1,2,3]). Amphetamines act on plasma membrane monoamine transporters so that, instead of the uptake of catecholamine into the cell, the transport is reversed, releasing catecholamines into the synapse. They affect the vesicular monoamine transporter-2 in such a way that dopamine is released into the cytoplasm of the nerve terminal. Amphetamines inhibit monoamine oxidase, an enzyme responsible for the breakdown of catecholamines [reviewed in 11]
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