小脳刺激により報酬処理が向上する可能性を示す研究(Study Shows Cerebellar Brain Stimulation May Boost Reward Processing in Healthy Adults)

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2025-09-17 中国科学院(CAS)

中国科学院心理研究所の陳竜文教授らは、小脳高精度経頭蓋直流刺激(HD-tDCS)が健常成人の報酬処理を改善する可能性を示した。63名を対象に無作為化単盲検試験を行い、20分間の刺激後、報酬予測や喜びの維持、報酬感受性が向上することが確認された。対照群では顕著な低下がみられたのに対し、刺激群では維持または改善が観察された。小脳が報酬系に寄与することを裏付ける結果であり、うつ病や統合失調症など報酬関連障害の新たな治療標的となる可能性がある。成果は『The Cerebellum』に掲載。

<関連情報>

報酬処理を調節する小脳刺激:高解像度経頭蓋直流刺激研究 Cerebellar Stimulation Modulates Reward Processing: A High-definition Transcranial Direct Current Stimulation Study

Xuan Wang,Jin-ting Yu,Ling-ling Wang,Jia Huang,Yi Wang,Simon S. Y. Lui & Raymond C. K. Chan
The Cerebellum  Published:10 September 2025
DOI:https://doi.org/10.1007/s12311-025-01902-2

小脳刺激により報酬処理が向上する可能性を示す研究(Study Shows Cerebellar Brain Stimulation May Boost Reward Processing in Healthy Adults)

Abstract

Reward processing involves several components, including reward anticipation, cost-effort computation, reward consumption, reward sensitivity, and reward learning. Recent research has highlighted the cerebellum’s role in reward processing. This study aimed to investigate the effects of cerebellar stimulation on reward processing using high-definition transcranial direct current stimulation (HD-tDCS). In this single-blind, randomized, sham-controlled study, 63 healthy adults received either active (N = 31) or sham (N = 32) 1.7 mA HD-tDCS targeting the right posterior cerebellum for 20 minutes. Reward processing was assessed before and after stimulation using the Monetary Incentive Delay (MID) Task, the Effort-Expenditure for Rewards (EEfRT-Adaptive) Task, and the Probabilistic Stimulus Selection Task (PST). Results showed that the active stimulation group preserved anticipatory and consummatory pleasure in response to high rewards in the MID task, whereas the sham group exhibited a decline in these measures from pre-test to post-test. The active stimulation group had enhanced reward sensitivity in the EEfRT-adaptive task. HD-tDCS appeared to influence the reward learning rate in the PST, although this effect was moderated by participants’ emotional state. Our study provides preliminary evidence that HD-tDCS targeting the cerebellum can effectively modulate multiple facets of reward processing. Cerebellar stimulation may have therapeutic potential for psychiatric patients with impaired reward processing.

医療・健康
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