Tobias U. Hauser
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View article: AI-driven Mental Health Decision Support Enhances Clinician Resilience and Preparedness
AI-driven Mental Health Decision Support Enhances Clinician Resilience and Preparedness Open
Objectives Mental health services are facing unprecedented demand, placing significant pressure on clinicians to conduct timely and effective patient assessments. Rising staff turnover and burnout threatens service quality across many coun…
View article: Early signs of depression and anxiety disorders in the young using digital biomarkers – Study protocol of a multi-method measurement burst study
Early signs of depression and anxiety disorders in the young using digital biomarkers – Study protocol of a multi-method measurement burst study Open
The prevalence of mental disorders, with depression and anxiety disorders being the most common, has been rising for years and particularly impacting adolescents. This trend was further exacerbated by the COVID-19 pandemic. Structural barr…
View article: Cortical Microstructural Variations Explain Individual Differences in Gamified Exploration-Exploitation Behaviours
Cortical Microstructural Variations Explain Individual Differences in Gamified Exploration-Exploitation Behaviours Open
The exploration-exploitation trade-off is ubiquitous in our everyday lives, and individuals display considerable variability in their preferred decision-making strategies. Most previous work pertaining to neural signatures of exploration i…
View article: The metacognitive paradox of OCD: confidence is globally reduced but shows increasedsensitivity to local evidence
The metacognitive paradox of OCD: confidence is globally reduced but shows increasedsensitivity to local evidence Open
Confidence is a critical metacognitive signal that guides performance. Biases in confidence, such as excessive doubt, are hallmark features of mental health disorders, especially obsessive- compulsive disorder (OCD). Yet, the underlying ne…
View article: cpm: a python library for theory-driven modelling in computational psychiatry
cpm: a python library for theory-driven modelling in computational psychiatry Open
The Computational Psychiatry Modelling (cpm) toolbox is a Python library fortheory-driven modelling in computational psychiatry and cognitive (neuro-)science. cpmintegrates a wide range of established computational approaches in a single f…
View article: Metacognitive antecedents to states of mental ill-health: Drops in confidence precede symptoms of OCD
Metacognitive antecedents to states of mental ill-health: Drops in confidence precede symptoms of OCD Open
Mental health symptoms, like those in obsessive-compulsive disorder (OCD), show pronounced fluctuations over time. However, little is known about the underlying factors driving these fluctuations. Whilst theoretical accounts propose that c…
View article: When Collaboration Falters, Insensitivity to How Our Actions Affect Others Drives Inflated Self-evaluations
When Collaboration Falters, Insensitivity to How Our Actions Affect Others Drives Inflated Self-evaluations Open
During high-stake interactions, people not only evaluate policies or outcomes, but also themselves and others. Such evaluations may be crucial for long-term outcomes, such as harmonious marriage, confident leadership and indeed mental heal…
View article: Insensitivity to how our actions affect others drives inflated self-evaluations during interactions which involve both shared and conflicting goals.
Insensitivity to how our actions affect others drives inflated self-evaluations during interactions which involve both shared and conflicting goals. Open
Receiving affirmation, whether from ourselves or others, is crucial for interpersonal relationships and goes awry in mental disorders. Meaningful evaluations emerge during interactions, where people can support or let each other down. Howe…
View article: Learning training as a cognitive restructuring intervention
Learning training as a cognitive restructuring intervention Open
A core part of cognitive therapy for low mood is learning to identify and challenge negative beliefs. However, it is currently unclear whether improved ability to recognise such beliefs, and the biased interpretations of events which may m…
View article: Learning Training as a Cognitive Restructuring Intervention
Learning Training as a Cognitive Restructuring Intervention Open
We suggest that personalized training, in conjunction with feedback based on interpretable computational model output, may provide a useful form of augmentation or learning support tool during therapy.
View article: Author Correction: The impact of the initial COVID-19 outbreak on young adults’ mental health: a longitudinal study of risk and resilience factors
Author Correction: The impact of the initial COVID-19 outbreak on young adults’ mental health: a longitudinal study of risk and resilience factors Open
View article: Day-to-day fluctuations in motivation drive effort-based decision-making
Day-to-day fluctuations in motivation drive effort-based decision-making Open
Internal states like motivation fluctuate substantially over time. However, studies of the neurocomputational mechanims of motivated behavior have failed to capture this. Here, we examined how naturalistic ups and downs in state motivation…
View article: Conduct Disorder Is Associated With Heightened Action Initiation and Reduced Learning From Punishment but Not Reward
Conduct Disorder Is Associated With Heightened Action Initiation and Reduced Learning From Punishment but Not Reward Open
These findings provide empirical support for a reduced ability to learn from punishment in CD, while reward learning is typical. Our results also suggest that behaviors that appear superficially to reflect reward learning differences may r…
View article: Generative AI–Enabled Therapy Support Tool for Improved Clinical Outcomes and Patient Engagement in Group Therapy: Real-World Observational Study
Generative AI–Enabled Therapy Support Tool for Improved Clinical Outcomes and Patient Engagement in Group Therapy: Real-World Observational Study Open
Background Cognitive behavioral therapy (CBT) is a highly effective treatment for depression and anxiety disorders. Nonetheless, a substantial proportion of patients do not respond to treatment. The lack of engagement with therapeutic mate…
View article: Metacognitive biases in anxiety-depression and compulsivity extend across perception and memory
Metacognitive biases in anxiety-depression and compulsivity extend across perception and memory Open
Metacognitive biases are characteristic of common mental health disorders like depression and obsessive-compulsive disorder (OCD). However, recent transdiagnostic approaches consistently contradict traditional clinical studies, with overco…
View article: Biased replay of aversive and uncertain outcomes underlies irrational decision making
Biased replay of aversive and uncertain outcomes underlies irrational decision making Open
Humans often make irrational decisions when facing uncertain or aversive future events despite careful deliberation. How we make choices, including irrational ones, has been the object of extensive study both behaviourally and neurally and…
View article: The Limbic Layer: Transforming Large Language Models (LLMs) into Clinical Mental Health Experts
The Limbic Layer: Transforming Large Language Models (LLMs) into Clinical Mental Health Experts Open
Large Language Models (LLMs) have emerged as powerful tools with potential applications across multiple sectors, including healthcare, where resource constraints make efficiency gains particularly valuable. However, the domain of mental he…
View article: AI-Enabled Conversational Agent Improves Treatment Outcomes and Patient Engagement in 1:1 Cognitive-Behavioral Therapy (CBT): A Real-World Observational Study
AI-Enabled Conversational Agent Improves Treatment Outcomes and Patient Engagement in 1:1 Cognitive-Behavioral Therapy (CBT): A Real-World Observational Study Open
The importance of supporting mental well-being is increasingly critical, but patient engagement in psychological talking therapy remains a challenge. To address this, we developed an AI-enabled therapy support tool designed to offer therap…
View article: Indecision and recency-weighted evidence integration in non-clinical and clinical settings
Indecision and recency-weighted evidence integration in non-clinical and clinical settings Open
Biases in information gathering are common in the general population and can reach pathological extremes in paralysing indecisiveness, as in obsessive-compulsive disorder (OCD). Here, we adopt a new perspective on information gathering and…
View article: Insensitivity to how our actions affect others drives inflated self-evaluations during interactions which involve both shared and conflicting goals.
Insensitivity to how our actions affect others drives inflated self-evaluations during interactions which involve both shared and conflicting goals. Open
Receiving affirmation, whether from ourselves or others, is crucial for interpersonal relationships and goes awry in mental disorders. Meaningful evaluations emerge during interactions, where people can support or let each other down. Howe…
View article: AI-enabled conversational agent increases engagement with cognitive-behavioral therapy: A randomized controlled trial
AI-enabled conversational agent increases engagement with cognitive-behavioral therapy: A randomized controlled trial Open
Timely support after referral to mental healthcare is crucial, yet patients often face prolonged wait times without intervention. Digital mental health interventions offer scalable solutions, but many struggle to achieve acceptable patient…
View article: Naturalistic assessments across the lifespan: Systematic review of inhibition measures in ecological settings
Naturalistic assessments across the lifespan: Systematic review of inhibition measures in ecological settings Open
Inhibitory control is essential for our everyday lives. Despite this, it is commonly assessed using non-naturalistic assessments. In this systematic review, we argue for the importance of taking an ecological approach to assess cognition. …
View article: Day-to-day fluctuations in motivation drive effort-based choices
Day-to-day fluctuations in motivation drive effort-based choices Open
Internal states like motivation fluctuate substantially over time. However, studies of the neurocomputational mechanims of motivated behaviour have failed to capture this. Here, we examined how naturalistic ups and downs in state motivatio…
View article: Human adolescent brain similarity development is different for paralimbic versus neocortical zones
Human adolescent brain similarity development is different for paralimbic versus neocortical zones Open
Adolescent development of human brain structural and functional networks is increasingly recognized as fundamental to emergence of typical and atypical adult cognitive and emotional processes. We analysed multimodal magnetic resonance imag…
View article: Distinct alterations in probabilistic reversal learning across at-risk mental state, first episode psychosis and persistent schizophrenia
Distinct alterations in probabilistic reversal learning across at-risk mental state, first episode psychosis and persistent schizophrenia Open
View article: Information gathering: Dissociable effects of autistic and alexithymic traits in youths aged 6–25 years.
Information gathering: Dissociable effects of autistic and alexithymic traits in youths aged 6–25 years. Open
Autistic youths tend to react negatively to uncertain events. Little is known about the cognitive processes associated with this intolerance of uncertainty, most notably the tendency to actively gather information to minimize uncertainty. …
View article: Conduct disorder is associated with heightened action initiation and reduced learning from punishment but not reward
Conduct disorder is associated with heightened action initiation and reduced learning from punishment but not reward Open
Theoretical and empirical accounts of conduct disorder (CD) suggest problems with reinforcement learning as well as heightened impulsivity. These two facets can manifest in similar behaviour, such as risk-taking. Computational models that …
View article: Conduct disorder is associated with heightened action initiation and reduced learning from punishment but not reward
Conduct disorder is associated with heightened action initiation and reduced learning from punishment but not reward Open
Theoretical and empirical accounts of conduct disorder (CD) suggest problems with reinforcement learning as well as heightened impulsivity. These two facets can manifest in similar behaviour, such as risk-taking. Computational models that …
View article: Consistency within change: Evaluating the psychometric properties of a widely used predictive-inference task
Consistency within change: Evaluating the psychometric properties of a widely used predictive-inference task Open
View article: Shock to Thrill: Linking Sensation and Information Seeking
Shock to Thrill: Linking Sensation and Information Seeking Open
Sensation-seeking (SS) is characterised by a proclivity for intense experiences and disregard for potential aversive consequences. While SS is implicated as a vulnerability factor in various mental disorders, the underlying mechanisms rema…