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Examining decision-making using transcranial direct current stimulation

In healthy participants with no history of mental illness, how does transcranial direct current stimulation to the dorsolateral prefrontal cortex affect playing a risky gamble or accepting an unfair monetary distribution?

Status
Withdrawn
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12613000488707
Enrollment
24
Registered
2013-05-01
Start date
2013-06-01
Completion date
2014-06-01
Last updated
2022-06-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

One of the main symptoms of Major Depression is Anhedonia, or a reduced ability to experience pleasure. Anhedonia can reduce one’s motivation to engage in pleasurable activities as well reducing the sense of enjoyment they experience from activities that would typically give them pleasure. As such, it is likely that anhedonia can influence our day-to-day decision-making choices as well. Prior research has shown that transcranial direct current stimulation (tDCS; a research tool that involves applying low-voltage electrical stimulation to electrodes placed on the scalp) can alter cognitive processing and decision-making in humans. The goal of the present study is to investigate how tDCS to part of the brain known as the dorsolateral prefrontal cortex (DLPFC) can influence economic and social decision-making behaviour in individuals with anhedonia. By comparing the effects of tDCS on healthy people with varying levels of anhedonia, we hope to better understand the role of the DLPFC in decision-making, and how this is modulate by anhedonic symptoms. The use of electroencephalography (EEG; a research tool that involves recording brain waves from electrodes placed on the scalp), in this study may help us gain a better understanding of the neurological basis of decision-making, and how this is affected by anhedonia. The hypotheses of the study are that participants receiving tDCS treatment designed to simultaneously increase activity on the right side of their brain and decrease activity on the left side of their brain will (compared to participants receiving tDCS treatment designed to simultaneously decrease activity on the right side of their brain and increase acitivitry on the left side of their brain), be more willing to accept unfair offers to distribute a sum of money and less willing to place a risky bet when playing a gambling game. We also hypothesize that variations in participants' anhedonia levels will affect their behaviour in these tasks; individuals with higher anhedonia levels are hypothesised to show increased acceptance of unfair offers and a decreased willingness to play a risky bet.

Interventions

Eldith tDCS stimulator device (DC Stimulator Plus); Participants will be assigned to one of two arms (each participant will undergo two sessions in total). For both arms, Session 2 will be scheduled at least 3 days after Session 1. Arm 1: Session 1: 20 minutes of transcranial Direct Current Stimulation (tDCS) at 2mA: anodal stimulation to left dorsolateral prefrontal cortex (DLPFC) (electrode placed at F3, based on the international 10-20 system) and cathodal stimulation to right DLPFC (ele

Eldith tDCS stimulator device (DC Stimulator Plus); Participants will be assigned to one of two arms (each participant will undergo two sessions in total). For both arms, Session 2 will be scheduled at least 3 days after Session 1. Arm 1: Session 1: 20 minutes of transcranial Direct Current Stimulation (tDCS) at 2mA: anodal stimulation to left dorsolateral prefrontal cortex (DLPFC) (electrode placed at F3, based on the international 10-20 system) and cathodal stimulation to right DLPFC (electrode placed at F4). Session 2: 20 minutes of sham (fake) tDCS (30 seconds of 2 mA tDCS, then current is switched off) to left DLPFC and right DLPFC. Arm 2: Session 1: 20 minutes of tDCS at 2mA: anodal stimulation to right DLPFC and cathodal stimulation to left DLPFC Session 2: 20 minutes of sham (fake) tDCS

Sponsors

Professor Paul Fitzgerald
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Subject, Caregiver)

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

No history of neurological or psychiatric illness; Not taking any psychoactive medications; Able to provide informed consent

Exclusion criteria

Presence of metal anywhere in the head (except the mouth); Have had a prior serious head injury, neurological condition, or other serious medical condition; Are pregnant.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026