Pope Paul A, Brenton Jonathan W, Miall R Chris
School of Psychology, University of Birmingham, Birmingham, UK.
Cereb Cortex. 2015 Nov;25(11):4551-8. doi: 10.1093/cercor/bhv094. Epub 2015 May 15.
We previously speculated that depression of cerebellar excitability using cathodal transcranial direct current stimulation (tDCS) might release extra cognitive resources via the disinhibition of activity in prefrontal cortex. The objective of the present study was to investigate whether anodal tDCS over the prefrontal cortex could similarly improve performance when cognitive demands are high. Sixty-three right-handed participants in 3 separate groups performed the Paced Auditory Serial Addition Task (PASAT) and the more difficult Paced Auditory Serial Subtraction Task (PASST), before and after 20 min of anodal, cathodal, or sham stimulation over the left dorsolateral prefrontal cortex (DLPFC). Performance was assessed in terms of the accuracy, latency, and variability of correct verbal responses. All behavioral measures significantly improved for the PASST after anodal DLPFC stimulation, but not the PASAT. There were smaller practice effects after cathodal and sham stimulation. Subjective ratings of attention and mental fatigue were unchanged by tDCS over time. We conclude that anodal stimulation over the left DLPFC can selectively improve performance on a difficult cognitive task involving arithmetic processing, verbal working memory, and attention. This result might be achieved by focally improving executive functions and/or cognitive capacity when tasks are difficult, rather than by improving levels of arousal/alertness.
我们之前推测,使用阴极经颅直流电刺激(tDCS)降低小脑兴奋性可能通过解除前额叶皮质活动的抑制来释放额外的认知资源。本研究的目的是调查当认知需求较高时,前额叶皮质的阳极tDCS是否能同样改善表现。63名右利手参与者被分为3组,在对左侧背外侧前额叶皮质(DLPFC)进行20分钟的阳极、阴极或假刺激前后,执行了听觉序列加法任务(PASAT)和更难的听觉序列减法任务(PASST)。通过正确言语反应的准确性、潜伏期和变异性来评估表现。阳极DLPFC刺激后,PASST的所有行为指标均显著改善,但PASAT没有。阴极和假刺激后的练习效应较小。随着时间的推移,tDCS对注意力和精神疲劳的主观评分没有改变。我们得出结论,左侧DLPFC的阳极刺激可以选择性地改善涉及算术处理、言语工作记忆和注意力的困难认知任务的表现。这一结果可能是通过在任务困难时局部改善执行功能和/或认知能力来实现的,而不是通过提高唤醒/警觉水平。