Increasing the Construct Validity of Computational Phenotypes of Mental Illness Through Active Inference and Brain Imaging

After more than 30 years since its inception, the utility of brain imaging for understanding and diagnosing mental illnesses is in doubt, receiving well-grounded criticisms from clinical practitioners. Symptom-based correlational approaches have struggled to provide psychiatry with reliable brain-im...

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Main Authors: Roberto Limongi, Alexandra B. Skelton, Lydia H. Tzianas, Angelica M. Silva
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Brain Sciences
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Online Access:https://www.mdpi.com/2076-3425/14/12/1278
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author Roberto Limongi
Alexandra B. Skelton
Lydia H. Tzianas
Angelica M. Silva
author_facet Roberto Limongi
Alexandra B. Skelton
Lydia H. Tzianas
Angelica M. Silva
author_sort Roberto Limongi
collection DOAJ
description After more than 30 years since its inception, the utility of brain imaging for understanding and diagnosing mental illnesses is in doubt, receiving well-grounded criticisms from clinical practitioners. Symptom-based correlational approaches have struggled to provide psychiatry with reliable brain-imaging metrics. However, the emergence of computational psychiatry has paved a new path not only for understanding the psychopathology of mental illness but also to provide practical tools for clinical practice in terms of computational metrics, specifically computational phenotypes. However, these phenotypes still lack sufficient test–retest reliability. In this review, we describe recent works revealing that mind and brain-related computational phenotypes show structural (not random) variation over time, longitudinal changes. Furthermore, we show that these findings suggest that understanding the causes of these changes will improve the construct validity of the phenotypes with an ensuing increase in test–retest reliability. We propose that the active inference framework offers a general-purpose approach for causally understanding these longitudinal changes by incorporating brain imaging as observations within partially observable Markov decision processes.
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spelling doaj-art-481d80e999c7481b8d9919302e9eba982025-08-20T02:53:27ZengMDPI AGBrain Sciences2076-34252024-12-011412127810.3390/brainsci14121278Increasing the Construct Validity of Computational Phenotypes of Mental Illness Through Active Inference and Brain ImagingRoberto Limongi0Alexandra B. Skelton1Lydia H. Tzianas2Angelica M. Silva3Department of Psychology, Brandon University, Brandon, MB R7A 6A9, CanadaDepartment of Psychology, Brandon University, Brandon, MB R7A 6A9, CanadaDepartment of Psychology, University of Western Ontario, London, ON N6A 3K7, CanadaDepartment of French and Francophone Studies, Brandon University, Brandon, MB R7A 6A9, CanadaAfter more than 30 years since its inception, the utility of brain imaging for understanding and diagnosing mental illnesses is in doubt, receiving well-grounded criticisms from clinical practitioners. Symptom-based correlational approaches have struggled to provide psychiatry with reliable brain-imaging metrics. However, the emergence of computational psychiatry has paved a new path not only for understanding the psychopathology of mental illness but also to provide practical tools for clinical practice in terms of computational metrics, specifically computational phenotypes. However, these phenotypes still lack sufficient test–retest reliability. In this review, we describe recent works revealing that mind and brain-related computational phenotypes show structural (not random) variation over time, longitudinal changes. Furthermore, we show that these findings suggest that understanding the causes of these changes will improve the construct validity of the phenotypes with an ensuing increase in test–retest reliability. We propose that the active inference framework offers a general-purpose approach for causally understanding these longitudinal changes by incorporating brain imaging as observations within partially observable Markov decision processes.https://www.mdpi.com/2076-3425/14/12/1278computational phenotypescomputational psychiatryactive inferencecomputational psychopathologylinguistic phenotypesfree energy principle
spellingShingle Roberto Limongi
Alexandra B. Skelton
Lydia H. Tzianas
Angelica M. Silva
Increasing the Construct Validity of Computational Phenotypes of Mental Illness Through Active Inference and Brain Imaging
Brain Sciences
computational phenotypes
computational psychiatry
active inference
computational psychopathology
linguistic phenotypes
free energy principle
title Increasing the Construct Validity of Computational Phenotypes of Mental Illness Through Active Inference and Brain Imaging
title_full Increasing the Construct Validity of Computational Phenotypes of Mental Illness Through Active Inference and Brain Imaging
title_fullStr Increasing the Construct Validity of Computational Phenotypes of Mental Illness Through Active Inference and Brain Imaging
title_full_unstemmed Increasing the Construct Validity of Computational Phenotypes of Mental Illness Through Active Inference and Brain Imaging
title_short Increasing the Construct Validity of Computational Phenotypes of Mental Illness Through Active Inference and Brain Imaging
title_sort increasing the construct validity of computational phenotypes of mental illness through active inference and brain imaging
topic computational phenotypes
computational psychiatry
active inference
computational psychopathology
linguistic phenotypes
free energy principle
url https://www.mdpi.com/2076-3425/14/12/1278
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