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High-definition Transcranial Direct Current Stimulation over Right Dorsolateral Prefrontal Cortex to Enhance Metacognitive Sensitivity
Published on: September 26, 2025
Diminishing risk-taking behavior by modulating activity in the prefrontal cortex: a direct current stimulation study.
Shirley Fecteau1, Daria Knoch, Felipe Fregni
1Berenson-Allen Center for Noninvasive Brain Stimulation, Harvard Medical School, Boston, Massachusetts 02215, USA.
Targeted brain stimulation using transcranial direct current stimulation (tDCS) can reduce risky decision-making. Applying tDCS to specific areas of the dorsolateral prefrontal cortex (DLPFC) in healthy individuals decreased risk-taking behavior.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Neuromodulation
Background:
- Repetitive transcranial magnetic stimulation over the right dorsolateral prefrontal cortex (DLPFC) increases risk-taking.
- Differential modulation of DLPFC activity may influence decision-making.
- Excessive risk-taking has negative consequences in clinical populations.
Purpose of the Study:
- To investigate if concurrent anodal tDCS of the right DLPFC and cathodal tDCS of the left DLPFC can decrease risk-taking behavior.
- To explore the role of interhemispheric DLPFC balance in decision-making.
Main Methods:
- Thirty-six healthy volunteers participated in a risk task.
- Participants received one of three tDCS conditions: right anodal/left cathodal, left anodal/right cathodal, or sham stimulation.
- Behavioral responses during the risk task were recorded.
Main Results:
- Right anodal/left cathodal DLPFC stimulation significantly decreased risk-taking behavior compared to other conditions.
- Participants under right anodal/left cathodal stimulation were less sensitive to reward magnitude.
- These results indicate that interhemispheric DLPFC balance is crucial for decision-making.
Conclusions:
- Concurrent anodal/cathodal tDCS over the DLPFC effectively suppresses risky behaviors.
- This neuromodulation approach may offer therapeutic benefits for populations with excessive risk-taking, such as those with addiction.
- Findings highlight the importance of interhemispheric brain balance in regulating decision-making.
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