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Activation of prefrontal cortex by transcranial direct current stimulation reduces appetite for risk during ambiguous decision making.

作者信息

Fecteau Shirley, Pascual-Leone Alvaro, Zald David H, Liguori Paola, Théoret Hugo, Boggio Paulo S, Fregni Felipe

机构信息

Berenson-Allen Center for Noninvasive Brain Stimulation, Department of Neurology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02215, USA.

出版信息

J Neurosci. 2007 Jun 6;27(23):6212-8. doi: 10.1523/JNEUROSCI.0314-07.2007.


DOI:10.1523/JNEUROSCI.0314-07.2007
PMID:17553993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6672163/
Abstract

As adult humans, we are continuously faced with decisions in which proper weighing of the risk involved is critical. Excessively risky or overly cautious decision making can both have disastrous real-world consequences. Weighing of risks and benefits toward decision making involves a complex neural network that includes the dorsolateral prefrontal cortex (DLPFC), but its role remains unclear. Repetitive transcranial magnetic stimulation studies have shown that disruption of the DLPFC increases risk-taking behavior. Transcranial direct current stimulation (tDCS) allows upregulation of activity in the DLPFC, and we predicted that it might promote more cautious decision making. Healthy participants received one of the following treatments while they performed the Balloon Analog Risk Task: (1) right anodal/left cathodal DLPFC tDCS, (2) left anodal/right cathodal DLPFC tDCS, or (3) sham tDCS. This experiment revealed that participants receiving either one of the bilateral DLPFC tDCS strategies adopted a risk-averse response style. In a control experiment, we tested whether unilateral DLPFC stimulation (anodal tDCS over the right or left DLPFC with the cathodal electrode over the contralateral supraorbital area) was sufficient to decrease risk-taking behaviors. This experiment showed no difference in decision-making behaviors between the groups of unilateral DLPFC stimulation and sham stimulation. These findings extend the notion that DLPFC activity is critical for adaptive decision making, possibly by suppressing riskier responses. Anodal tDCS over DLPFC by itself did not significantly change risk-taking behaviors; however, when the contralateral DLPFC was modulated with cathodal tCDS, an important decrease in risk taking was observed. Also, the induced cautious decision-making behavior was observed only when activity of both DLPFCs was modulated. The ability to modify risk-taking behavior may be translated into therapeutic interventions for disorders such as drug abuse, overeating, or pathological gambling.

摘要

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本文引用的文献

[1]
Shaping the effects of transcranial direct current stimulation of the human motor cortex.

J Neurophysiol. 2007-4

[2]
One session of high frequency repetitive transcranial magnetic stimulation (rTMS) to the right prefrontal cortex transiently reduces cocaine craving.

Drug Alcohol Depend. 2007-1-5

[3]
Which psychosocial factors moderate or directly affect substance use among inner-city adolescents?

Addict Behav. 2007-4

[4]
Effects of transcranial direct current stimulation on working memory in patients with Parkinson's disease.

J Neurol Sci. 2006-11-1

[5]
Disruption of right prefrontal cortex by low-frequency repetitive transcranial magnetic stimulation induces risk-taking behavior.

J Neurosci. 2006-6-14

[6]
Distinct neural mechanisms of risk and ambiguity: a meta-analysis of decision-making.

Neuroimage. 2006-8-1

[7]
Transcranial DC stimulation (tDCS): a tool for double-blind sham-controlled clinical studies in brain stimulation.

Clin Neurophysiol. 2006-4

[8]
The influence of rTMS over the left dorsolateral prefrontal cortex on Stroop task performance.

Exp Brain Res. 2006-2

[9]
Repetitive transcranial magnetic stimulation over the right dorsolateral prefrontal cortex affects strategic decision-making.

Neuroreport. 2005-11-7

[10]
Does gender play a role in functional asymmetry of ventromedial prefrontal cortex?

Brain. 2005-12

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