Noninvasive stimulation of the ventromedial prefrontal cortex modulates rationality of human decision-making

Sci Rep. 2022 Nov 23;12(1):20213. doi: 10.1038/s41598-022-24526-6.

Abstract

The framing-effect is a bias that affects decision-making depending on whether the available options are presented with positive or negative connotations. Even when the outcome of two choices is equivalent, people have a strong tendency to avoid the negatively framed option. The ventromedial prefrontal cortex (vmPFC) is crucial for rational decision-making, and dysfunctions in this region have been linked to cognitive biases, impulsive behavior and gambling addiction. Using a financial decision-making task in combination with magnetoencephalographic neuroimaging, we show that excitatory compared to inhibitory non-invasive transcranial direct current stimulation (tDCS) of the vmPFC reduces framing-effects while improving the assessment of loss-probabilities, ultimately leading to increased overall gains. Behavioral and neural data consistently suggest that this improvement in rational decision-making is predominately due to an attenuation of biases towards negative affect (loss-aversion and risk-aversion). These findings recommend further research towards clinical applications of vmPFC-tDCS as in addictive disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Affect
  • Behavior, Addictive*
  • Humans
  • Impulsive Behavior
  • Prefrontal Cortex / diagnostic imaging
  • Transcranial Direct Current Stimulation*