No evidence for a generalised predictive processing deficit in psychosis: A meta-analysis.

Psychol MedSep 9, 2026 (epub)
Clinical ResearchPsychiatry

Chantal Miller-Silva, Benjamin J G Illingworth, Kirsten Martey et al.

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In 30 seconds

This meta-analysis evaluated the predictive processing theory of psychosis by analyzing 34 results from 27 studies involving 904 individuals with schizophrenia-spectrum psychosis and 1,039 healthy controls. The analysis found no evidence for atypical reliance on priors in psychosis (g = 0.03, p = 0.818), challenging the notion of a generalized predictive processing deficit in this population.

Key findings

  • No evidence for atypical reliance on priors in psychosis (g = 0.03, p = 0.818).
  • No significant association between reliance on priors and delusions (r = -0.16, p = 0.293).
  • No significant association between reliance on priors and hallucinations (r = 0.04, p = 0.780).
  • Sub-group analysis did not support a two-level hierarchical model of priors (F(1,32) = 0.1, p = 0.758).

Why it matters

Understanding the mechanisms underlying psychosis is crucial for developing effective interventions. This study challenges existing theories, suggesting that psychosis may not involve a generalized predictive processing deficit, which could influence future research and treatment approaches.

Source

Published in Psychol Med. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

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