Abstract

Evidence suggests that some aspects of schizophrenia can be induced in healthy volunteers through acute administration of the non-competitive NMDA-receptor antagonist, ketamine. In probabilistic inference tasks, patients with schizophrenia have been shown to ‘jump to conclusions’ (JTC) when asked to make a decision. We aimed to test whether healthy participants receiving ketamine would adopt a JTC response pattern resembling that of patients. The paradigmatic task used to investigate JTC has been the ‘urn’ task, where participants are shown a sequence of beads drawn from one of two ‘urns’, each containing coloured beads in different proportions. Participants make a decision when they think they know the urn from which beads are being drawn. We compared performance on the urn task between controls receiving acute ketamine or placebo with that of patients with schizophrenia and another group of controls matched to the patient group. Patients were shown to exhibit a JTC response pattern relative to their matched controls, whereas JTC was not evident in controls receiving ketamine relative to placebo. Ketamine does not appear to promote JTC in healthy controls, suggesting that ketamine does not affect probabilistic inferences.

Highlights

  • Patients with schizophrenia have been shown to behave differently to controls on tasks involving probabilistic decision making, with patients tending towards a ‘jumping to conclusions’ (JTC) style of reasoning (Garety et al, 1991; Huq et al, 1988; Moritz and Woodward, 2005; Mortimer et al, 1996)

  • One urn might contain 85% blue beads and 15% red beads, the other 85% red beads and 15% blue beads; the participant is informed of these proportions, the containers are hidden from view

  • An analysis of variance (ANOVA) on the mean number of draws showed no effect of ketamine dose (F(2,45) = 0.08, p = 0.92)

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Summary

Introduction

Patients with schizophrenia have been shown to behave differently to controls on tasks involving probabilistic decision making, with patients tending towards a ‘jumping to conclusions’ (JTC) style of reasoning (Garety et al, 1991; Huq et al, 1988; Moritz and Woodward, 2005; Mortimer et al, 1996). This has been demonstrated using the ‘urn’ or ‘beads’ task, first proposed by Phillips and Edwards (1966). There is evidence of a JTC tendency in prodromal groups (Broome et al, 2007)

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