Su S, Vanvoorden T, Le Denmat P, Zénon A, Braconnier C, Duque J. Transcutaneous vagus nerve stimulation boosts accuracy during perceptual decision-making.
Brain Stimul 2025;
18:975-986. [PMID:
40311845 DOI:
10.1016/j.brs.2025.04.020]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2024] [Revised: 03/28/2025] [Accepted: 04/28/2025] [Indexed: 05/03/2025] Open
Abstract
BACKGROUND
The locus coeruleus-norepinephrine (LC-NE) system is a well-established regulator of behavior, yet its precise role remains unclear. Animal studies predominantly support a "gain" hypothesis, suggesting that the LC-NE system enhances sensory processing. In contrast, human studies have proposed an alternative "urgency" hypothesis, postulating that LC-NE primarily accelerates responses.
METHOD
To address this discrepancy, we administered transcutaneous vagus nerve stimulation (tVNS) in two experiments. In the first experiment (n = 22), we showed that 4-s tVNS trains reliably induced greater pupil dilation compared to SHAM condition, indicating increased LC-NE activity. In the second experiment (n = 21), we applied tVNS during a random dot motion task to assess its impact on perceptual decision-making.
RESULT
tVNS improved accuracy without affecting reaction times, which appears inconsistent with the "urgency" hypothesis. Exploratory drift-diffusion model analyses further support the "gain" hypothesis, revealing that tVNS increased the drift rate, indicative of enhanced evidence accumulation. Both accuracy and drift-rate improvements were most prominent following errors and especially pronounced in participants who exhibited post-error declines in these measures under SHAM.
CONCLUSION
Our findings align with the "gain" hypothesis, with tentative evidence suggesting that the impact of LC-NE activity adapts to task demands. Accordingly, tVNS showed the strongest effects in contexts prone to accuracy declines, possibly reflecting attentional disengagement, which points to a role of LC in mitigating lapses of attention.
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