Have a personal or library account? Click to login
Differential Effects of Psychotic Illness on Directed and Random Exploration Cover

Differential Effects of Psychotic Illness on Directed and Random Exploration

Open Access
|Aug 2020

Figures & Tables

00027f01c.png
Figure 1. 

Schematic of the horizon and information conditions in the Horizon Task. In this task, participants play a series of 120 games, in a self-paced manner, lasting either 5 or 10 trials each, in which they choose between virtual slot machines, each of which pays out a reward in the form of points sampled from a Gaussian distribution whose mean is different for each option, varies from game to game, and is (initially) unknown to the subject. After four forced-choice trials, participants make either one or six free choices. The key manipulations in the Horizon Task are the number of free choices in each game (termed the “horizon”), which determines how valuable it is to explore, and the amount of information the participant has about each option (how many observed outcomes, from one to three). When the game is short (five total trials, one free choice; termed Horizon 1), exploration has no value since there is no opportunity to use new information in the future. When the game is long (10 total trials, 6 free choices; termed Horizon 6), it is often worth exploring at first to gain information that may be useful later on. The four forced-choice trials set up two information conditions: A) an unequal condition, or [1 3], in which subjects see one example from one bandit and three from the other, and B) an equal information, or [2 2], condition, in which subjects see two draws from each bandit. Thus, there are four combinations of horizons (1 vs. 6) and information (equal vs. unequal).

Table 1. 

Demographic, cognitive, and clinical measures in the full sample of patients and controls

Measure Patients a Controls b Inferential statistic
Demographic
 Age, years, M (SD)37.0 (10.1)36.4 (10.4) t = 0.307
 Gender36 female, 72 male11 female, 22 male χ 2 = 0.000
 Race53 C, 43 AFA, 4 AS, 7 M/O18 C, 13 AFA, 0 AS, 2 M/O χ 2 = 1.372
 Subject education, M(SD)13.2 (2.1)15.1 (2.1) t = 4.374***
 Parental education, M(SD)14.3 (2.9)14.0 (2.6) t = 0.671
Cognitive, M(SD)
 WASI estimated IQ (four subtests)94.5 (14.1)111.5 (13.8) t = 6.05***
 WRAT-Reading scaled score97.2 (14.8)109.7 (15.0) t = 4.26***
 WTAR scaled score99.0 (17.5)110.9 (14.0) t = 4.01***
 MATRICS composite score32.9 (12.7)51.3 (11.0) t = 7.56***
 MATRICS domain scores
  Processing Speed38.1 (12.5)53.1 (11.8) t = 6.10***
  Attention/Vigilance39.9 (11.3)52.3 (11.2) t = 5.53***
  Working Memory39.7 (10.4)51.9 (11.6) t = 5.74***
  Verbal Learning37.7 (7.9)50.6 (8.8) t = 8.01***
  Visuospatial Learning36.0 (12.3)45.5 (10.7) t = 3.99***
  Reasoning/Problem Solving43.4 (10.8)49.6 (9.8) t = 2.98**
  Social Cognition41.9 (12.0)54.6 (8.0) t = 5.70***
Clinical, M(SD)
 BPRS mean item score—all items1.7 (0.4)  
 BPRS mean item score—Psychosis c 2.2 (1.2)  
 BPRS mean item score—Depression c 1.9 (0.9)  
 SANS mean item score—all items1.5 (0.7)  
 SANS mean item score—Avolition/Anhedonia2.0 (0.9)  

Note. AFA = African American; AS = Asian; BPRS = Brief Psychiatric Rating Scale; C = Caucasian; MATRICS = Measurement and Treatment Research to Improve Cognition in Schizophrenia Consensus Cognitive Battery; M/O = mixed/other; SANS = Scale for the Assessment of Negative Symptoms; WASI = Wechsler Abbreviated Scale of Intelligence; WRAT-Reading = Wide-Ranging Achievement Test, Reading Subtest; WTAR = Wechsler Test of Adult Reading.

a n = 108.

b n = 33.

c From the factor analysis of McMahon et al. (2002).

** p < 0.01.

*** p < 0.001.

00027f02g.png
Figure 2. 

Graphical representation of the model. Each variable is represented by a node, with edges denoting the dependence between variables. Shaded nodes correspond to observed variables, that is, the free choices c Gshug , forced-trial rewards r Gshug , and forced-trial choices a Gshug . Unshaded nodes correspond to unobserved variables whose values are inferred by the model.

00027f03c.png
Figure 3. 

Performance on the Horizon Task by diagnostic group. A) Proportions of optimal responses as a function of trial number for Horizon 1 (filled circles) and Horizon 6 (open circles) games. B, C) Model-free analysis of the first free choice as a function of horizon, with B showing proportions of high-information (information seeking) choices and C showing proportions of low-mean choices (indicative of behavioral variability).

00027f04c.png
Figure 4. 

Percentages of information choices. A) Percentages of high-information choices at Horizon 1 plotted against those at Horizon 6, in patients (red crosses) and controls (blue circles). While most participants make more high-information choices at Horizon 6 than at Horizon 1, a subset of participants (predominantly schizophrenia patients) make few high-information choices in both horizon conditions. These individuals were said to be “ambiguity averse.” B) Percentages of low-mean-value choices at Horizon 1 plotted against those at Horizon 6, in patients (red crosses) and controls (blue circles).

00027f05c.png
Figure 5. 

Comparison of experimental measures from the Horizon Task in ambiguity-averse (AA) and non-AA patients. A) Overall Horizon Task performance in AA and non-AA patients. B) Directed Exploration in AA and non-AA patients. C) Random Exploration in AA and non-AA patients.

Table 2. 

Demographic, cognitive, and clinical measures in patient subgroups

Measure Non-AA patients a AA patients b Inferential statistic
Demographic
 Age, years, M (SD)36.7 (10.3)38.3 (9.6) t = 0.672
 Gender26 female, 59 male10 female, 13 male χ 2 = 1.353
 Race47 C, 27 AFA, 3 AS, 7 M/O6 C, 16 AFA, 1 AS, 0 M/O χ 2 = 11.489**
 Subject education, M (SD)13.3 (2.1)13.0 (2.1) t = 0.675
 Parental education, M (SD)14.6 (2.7)13.5 (3.4) t = 1.611
Cognitive, M (SD)
 WASI estimated IQ (four subtests)96.1 (14.7)88.9 (10.0) t = 2.721**
 WRAT-Reading scaled score98.6 (15.5)91.8 (10.5) t = 2.457*
 WTAR scaled core101.0 (17.6)91.8 (15.6) t = 2.268*
 MATRICS composite score33.9 (13.2)29.1 (9.6) t = 1.621
 MATRICS working memory41.0 (10.6)35.0 (8.1) t = 2.527*
 MATRICS processing speed38.6 (13.0)36.0 (10.3) t = 0.895
Clinical, M (SD)
 BPRS mean item score—all items1.7 (0.4)1.7 (0.5) t = 0.334
 BPRS mean item score—Psychosis2.1 (1.2)2.3 (1.2) t = 0.663
 BPRS mean item score—Depression1.8 (0.9)2.1 (1.1) t = 1.180
 SANS mean item score—all items1.5 (0.7)1.5 (0.6) t = 0.184
 SANS mean item score—Avolition/Anhedonia2.0 (0.9)1.9 (0.7) t = 0.557

Note. AA = ambiguity averse; AFA = African American; AS = Asian; BPRS = Brief Psychiatric Rating Scale; C = Caucasian; MATRICS = Measurement and Treatment Research to Improve Cognition in Schizophrenia Consensus Cognitive Battery; M/O = mixed/other; SANS = Scale for the Assessment of Negative Symptoms; WASI = Wechsler Abbreviated Scale of Intelligence; WRAT-Reading = Wide-Ranging Achievement Test, Reading Subtest; WTAR = Wechsler Test of Adult Reading.

a n = 85.

b n = 23.

* p < 0.05.

** p < 0.01.

Table 3. 

Analyses of correlations between model-free and model-based measures of experimental behavior and clinical variables in patients in the Horizon Task

Variable BPRS overall mean BPRS Psychosis item mean BPRS Depression item mean SANS overall mean SANS Avolition/Anhedonia item mean
Model-based measures of performance
 Prior mean0.030.02−0.090.050.10
 Initial learning rate−0.25** −0.28 ** −0.10−0.06−0.08
 Asymptotic learning rate0.080.090.03−0.03−0.03
Model-free measures of information seeking/directed exploration
 Overall information seeking [Σp(high info)]0.010.01−0.040.020.06
 Directed exploration [Δp(high info)]0.060.030.12−0.05−0.06
Model-based measures of information seeking/directed exploration
 Information weight (Horizon 1)−0.02−0.01−0.140.040.08
 Information weight (Horizon 6)0.010.050.01−0.11−0.06
 Change in information weight0.020.080.16−0.19* −0.15
Model-free measures of behavioral variability/random exploration
 Overall behavioral variability [Σp(low mean)]0.170.23* 0.02−0.01−0.02
 Random exploration [Δp(low mean)]0.29** 0.39 *** 0.19−0.03−0.03
Model-based measures of behavioral variability/random exploration
 Reward weight (Horizon 1 [1 3])−0.03−0.10−0.04−0.010.04
 Reward weight (Horizon 6 [1 3])−0.04−0.17−0.090.130.14
 Reward weight (Horizon 1 [2 2])0.090.110.080.110.12
 Reward weight (Horizon 6 [2 2])− 0.25* −0.29** −0.20* 0.110.11
 Change in reward weight ([1 3])0.01−0.01−0.090.140.12
 Change in reward weight ([2 2])−0.15−0.20* −0.15−0.02−0.02

Note. Correlation values are Spearman coefficients. Correlations illustrated in Figure 6 are bolded. BPRS = Brief Psychiatric Rating Scale; SANS = Scale for the Assessment of Negative Symptoms.

* p < 0.05.

** p < 0.014.

*** p < 0.001.

00027f06c.png
Figure 6. 

Relationships between cognitive and behavioral measures in patients. A) Composite Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) scores correlated positively with overall information seeking in both patients and controls. B) Composite MATRICS scores correlated inversely with overall behavioral variability in both patients and controls. C) Verbal Learning scores from the MATRICS correlated positively with directed exploration scores in both patients and controls. D) Overall IQ estimates from the Wechsler Abbreviated Scale of Intelligence (WASI) correlated positively with prior mean, a model-based performance metric. Also in patients, ratings for psychotic symptoms correlated (E) positively with random exploration scores and (F) negatively with initial learning rate, a model-based indicator of the strength of prior beliefs. BPRS = Brief Psychiatric Rating Scale.

Table 4. 

Correlations between measures of experimental behavior and cognitive variables in patients in the Horizon Task

Construct Overall Performance Overall Information Seeking Directed Exploration Overall Behavioral Variability Random Exploration
VariablePrior meanΣp(high info)Δp(high info)Σp(low mean)Δp(low mean)
WASI estimated IQ (four subtests) 0.385 *** 0.387*** 0.227* −0.292** 0.029
WTAR scaled score0.248** 0.223* 0.210−0.317*** 0.102
MATRICS composite score0.303** 0.351 *** 0.212* −0.300 ** 0.001
MATRICS domain scores
 Working Memory0.292** 0.355*** 0.186−0.211* 0.079
 Processing Speed0.259** 0.276** 0.128−0.239* −0.024
 Attention/Vigilance0.194* 0.257** 0.156−0.295** −0.070
 Verbal Learning0.257** 0.336*** 0.232 * −0.0590.189*

Note. Correlation scores are Spearman correlation coefficients; correlations illustrated in Figure 6 are bolded. MATRICS = Measurement and Treatment Research to Improve Cognition in Schizophrenia Consensus Cognitive Battery. WASI = Wechsler Abbreviated Scale of Intelligence; WTAR = Wechsler Test of Adult Reading.

* p < 0.05.

** p < 0.01.

*** p < 0.001.

Language: English
Submitted on: Aug 13, 2019
|
Accepted on: Apr 27, 2020
|
Published on: Aug 1, 2020
Published by: MIT Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2020 James A. Waltz, Robert C. Wilson, Matthew A. Albrecht, Michael J. Frank, James M. Gold, published by MIT Press
This work is licensed under the Creative Commons Attribution 4.0 License.