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High-definition Transcranial Direct Current Stimulation over Right Dorsolateral Prefrontal Cortex to Enhance Metacognitive Sensitivity
Published on: September 26, 2025
Using prefrontal transcranial direct current stimulation (tDCS) to enhance proactive cognitive control in
Megan A Boudewyn1, Katherine Scangos2, Charan Ranganath3
1University of California, Santa Cruz, CA, USA. mboudewyn@ucsc.edu.
Transcranial direct current stimulation (tDCS) enhanced cognitive control in schizophrenia by modulating prefrontal cortex activity. This suggests tDCS may improve proactive cognitive control in schizophrenia patients.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Psychiatry
Background:
- Schizophrenia is associated with deficits in proactive cognitive control.
- The prefrontal cortex (PFC) plays a crucial role in cognitive control.
- Neural oscillations, particularly gamma activity, are implicated in cognitive control.
Purpose of the Study:
- To investigate the role of the PFC in proactive cognitive control in schizophrenia using transcranial direct current stimulation (tDCS).
- To examine the effects of PFC-targeted tDCS on behavioral and electrophysiological markers of proactive cognitive control in schizophrenia patients.
Main Methods:
- A within-participants, double-blinded, sham-controlled crossover design was employed.
- Participants with schizophrenia received 20 minutes of either active or sham prefrontal tDCS.
- Electroencephalography (EEG) was recorded during the Dot Pattern Expectancy (DPX) Task, a measure of proactive cognitive control.
Main Results:
- Active PFC tDCS led to significant changes in error rates on the DPX task, indicating improved performance.
- EEG data revealed increased gamma power during periods taxing proactive cognitive control following active tDCS.
- These changes suggest enhanced proactive cognitive control with frontal tDCS.
Conclusions:
- The findings support the role of gamma oscillations in proactive cognitive control.
- Frontal tDCS shows promise as a non-invasive neuromodulation technique to enhance proactive cognitive control in schizophrenia.
- This study provides novel evidence for the efficacy of tDCS in addressing cognitive deficits in schizophrenia.
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