Research articleTranscranial direct current stimulation of the medial prefrontal cortex modulates the propensity to help in costly helping behavior
Introduction
Helping behavior refers to voluntary actions intended to help or benefit other individuals or groups, which is a typical prosocial behavior [1]. Based on our daily experience, the offer of help is not always guaranteed, even when help is explicitly requested. People may decide to help or not to help in different circumstances, especially, when helping others is not in the interests of themselves and even be costly for them [2]. Helping behavior, especially costly helping behavior is actually, a social decision-making process [[3], [4], [5]]. Individuals would value the pros and cons to make a decision that affects both of the self and others.
Social decision-making is a complex process which must engage the process of social cognition (e.g. inferring the affective and mental states of another person), as well as the traditional decision-making process (e.g. valuation). In the case of costly helping decision-making, specifically, on the one hand, the decision depends on whether you would empathize or mentalize with the person in need. According to the “empathy-altruism hypothesis”, helping behavior may be initiated when we feel empathy for the person, that is, feeling and understanding what that person is experiencing [6]. On the other hand, the decision also depends on the assessment of the situation, such as the cost and the probability of success of helping [7]. People are unlikely to decide to help if they believe their help is doomed to fail or the cost is beyond their range.
Therefore, decision-making of costly helping would involve both of the traditional decision-making brain network and the social cognition brain network [8,9]. It is noteworthy that one brain region plays a key role in both of the networks: the medial prefrontal cortex (mPFC). Previous studies systematically suggested that in the decision-making related process the activity of mPFC is responsible for the generating and computation of subjective values, regardless of reward types [[10], [11], [12], [13]]. It was also consistently suggested that the mPFC plays a central role in understanding other’s feelings, emotions and thoughts, especially during the affective theory of mind (ToM) [14]. Taken together, it was reasonable to assume that the cortical excitability of mPFC might be crucial in costly helping decision-making.
Transcranial direct current stimulation (tDCS) modulates the cortical excitability by passing a direct current between an anodal and a cathodal electrode. Anodal stimulation causes depolarization of the resting membrane potential, making the neurons under the electrode site more likely to fire, whereas cathodal stimulation leads to hyperpolarization which results in the decrease of neuronal excitability [15,16]. This technique can provide insight into the role of cortical regions in cognitive functions by modulating neural excitability and observing the corresponding effects of the stimulation on the targeted [17]. Previous studies proved that using tDCS targeting in mPFC may modulate subjects’ behavior in social decision-making tasks(for a review, see [16]).
However, how the excitability of mPFC may influence the costly helping behavior has not been investigated yet. The aim of the current study was to demonstrate the causal involvement of mPFC in the decision-making of costly helping behavior. The target electrode of tDCS was placed over the mPFC and the reference electrode was placed over visual cortex based on previous studies [[18], [19], [20]]. Two subjects with different roles would participant in the experiment each time. One was the “decider” while the other one was the “pain-taker”. The pain-taker would receive a painful electrical shock in each given trial. Before the shock applied, the decider would have the chance to help the pain-taker. An offer with two aspects of information would be presented to the decider: 1) the money they need to spend if they choose to help; 2) the probability of successful helping. Based on the previous studies, the activations in the mPFC were suggested to provide the basis for one's “emotional bond” with other persons [21] and greater activity in mPFC was associated with higher levels of self-reported experienced empathy as well as with daily helping behavior [22]. And anodal tDCS stimulation applied on mPFC has also been suggested to increase the trustworthiness and altruism in social decision-making [23]. We, therefore, hypothesized that the anodal stimulation to mPFC would increase the propensity to help in this task and the cathodal stimulation to mPFC would show a reverse effect.
Section snippets
Subjects
Sixty right-handed subjects (20.8 ± 0.33y (mean ± s.e)) with no history of neurological disorders, brain injuries or developmental disabilities participated in the experiment and got reimbursed for their participation. All subjects were screened for possible contraindications to tDCS and were gave written informed consent after they fully understood the task. All research procedures were approved by the Medical Ethical Committee of College of Psychology and Sociology at Shenzhen University
Results
For the percentage of acceptance, after controlling for the individual difference in empathic traits, we observed a significant interaction of probability × stimulation (F (4, 106) = 3.569, p = 0.012, ηp2 = 0.119). Pairwise comparison revealed that when probability was 10% the difference between different stimulation groups were insignificant (anodal: 17.6 ± 3.5%; cathodal: 21.1 ± 3.5%; sham: 20.0 ± 3.5%, anodal vs cathodal, p = 0.397; anodal vs sham, p = 0.919; cathodal vs sham, p = 0.477).
Discussion
The present study used tDCS to demonstrate the causal relationship between the cortical excitability of mPFC and costly helping behavior. The results suggested that subjects received anodal stimulation chose to help others other more than subjects received cathodal stimulation, but only when the probability of success was high. When the probability was low or median, the effect of stimulation was not significantly different between groups. A trend was observed that the effect of stimulation was
Conflict of interest statement
The authors declare that they have no conflicts of interest for this study.
Acknowledgements
This study was funded by the National Natural Science Foundation of China (no. 31500877, 31400963, 31571129) and Humanity and Social Science Youth Foundation of Ministry of Education of China (16YJC190021).
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