Evidence map›Paper›PMID 39747372›Full record

ArticleScientific reports2025

Neuromodulation of risk and reward processing during decision making in individuals with general anxiety disorder (GAD).

Vahid Nejati, Jamal Amani Rad, Amir Hosein Hadian Rasanan

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Vahid NejatiDepartment of Psychology, Shahid Beheshti University Tehran, Tehran, Iran. nejati@sbu.ac.ir.
Jamal Amani RadChoice Modelling Centre and Institute for Transport Studies, University of Leeds, Leeds, UK.
Amir Hosein Hadian RasananUniversity of Basel, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Individuals with general anxiety disorder (GAD) have an impaired future-oriented processing and altered reward perception, which might involve the ventromedial prefrontal cortex (vmPFC) and dorsolateral prefrontal cortex (dlPFC). Twenty-nine adults with GAD performed the balloon analogue risk-taking task (BART) and delay discounting task (DDT) during five sessions of transcranial direct current stimulation (tDCS) with different stimulation conditions. The stimulation conditions were: anodal dlPFC (F3)/cathodal vmPFC (Fp2), anodal vmPFC (Fp2)/cathodal dlPFC (F3), anodal dlPFC (F3)/cathodal right shoulder, anodal vmPFC (Fp2)/cathodal left shoulder, and sham stimulation. Cognitive modeling was used to extract process-based measures. The process-based modeling measures, rather than conventional outcome-based measures, showed a significant effect of stimulation condition. All real stimulation conditions improved the updating rate of prevalence, and risk taking in the BART. Moreover, for anodal dlPFC (F3)/cathodal vmPFC (Fp2), anodal vmPFC (Fp2)/cathodal dlPFC (F3), and anodal vmPFC (Fp2)/cathodal left shoulder stimulations we have observed an improvement in prior beliefs about the explosion. Also, for anodal dlPFC (F3)/cathodal vmPFC (Fp2), anodal dlPFC (F3)/cathodal right shoulder, anodal vmPFC (Fp2)/cathodal left shoulder we have observed more stable choice pattern. the DDT, exponential discounting rate and randomness were improved during anodal dlPFC and anodal vmPFC stimulation with extracranial return electrodes. Different roles of the targeted areas are discussed based on significant performance differences resulting from the specific electrode positions. The results suggest that different domains of reward processing are controlled by the vmPFC and dlPFC. The vmPFC is more relevant for value-based decision making with a positive expectation and chance-based randomness, whereas the dlPFC is more relevant for logic-based decision making.

Indexed as

Anxiety DisordersDecision MakingRewardRisk-TakingTranscranial Direct Current StimulationAdultDelay DiscountingDorsolateral Prefrontal CortexFemaleGeneralized Anxiety DisorderHumansMaleMiddle AgedPrefrontal CortexYoung AdultDelay discountingDorsolateral prefrontal cortexGeneral anxiety disorder (GAD)Reward processingRisky decision makingTranscranial direct current stimulationVentromedial prefrontal cortex

Identifiers

PMID39747372
PMCPMC11696206

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.