Neurophysiological insights into catecholamine-dependent tDCS modulation of cognitive control

Goal-directed behavior requires resolving both consciously and subconsciously induced response conflicts. Neuronal gain control, which enhances processing efficacy, is crucial for conflict resolution and can be increased through pharmacological or brain stimulation interventions, though it faces inherent physical limits. This study examined the effects of anodal transcranial direct current stimulation (atDCS) and methylphenidate (MPH) on conflict processing. Healthy adults (n = 105) performed a flanker task, with electroencephalography (EEG) used to assess alpha and theta band activity (ABA, TBA). Results showed that combining atDCS with MPH enhanced cognitive control and reduced response conflicts more effectively than atDCS alone, particularly when both conflict types co-occurred. Both atDCS and atDCS + MPH exhibited similar task-induced ABA and TBA modulations in the (pre)supplementary motor area, indicating heightened gain control. Overlapping neuroanatomical effects in mid-superior frontal areas suggest that atDCS and MPH share a common neuronal mechanism of gain control, especially in high-conflict/-demand situations.