Prior Information Shapes Perceptual Evidence Accumulation Dynamics Differentially in Psychosis

Humans rely on prior information to navigate sensory uncertainty: Such priors could shape the decision process before sensory evidence is gathered (origin model), or could amplify sensory evidence dynamically (gain model). Dysfunctionalities in the utilisation of priors may underlie hallucinatory percepts and delusional ideation in psychosis, yet their impact on decision-making across sensory modalities has remained unclear. Using a perceptual target-detection task across auditory and visual domains in laboratory and online samples, we applied hierarchical drift diffusion modelling to examine how prior probabilities shape evidence accumulation in clinical and non-clinical populations. We show that in healthy individuals, prior information enhances sensory gain and decision flexibility, as represented by drift criterion and rate, consistent with the gain model. In contrast, individuals with psychosis exhibit diminished sensory gain, relying instead on pre-evidence biases, consistent with the origin model. Notably, greater positive symptom severity predicted a reduction in traditional criterion decision bias. These results suggest that sensory gain deficits may serve as a computational marker for psychosis progression, linking dysfunctional prior use to perceptual aberrancies. By demonstrating how prior information modulates evidence accumulation across sensory modalities, our study advances the understanding of psychotic perception and decision-making, offering insights for computational psychiatry and fine-tuned clinical diagnostics.