# Transcranial alternating current stimulation over left DLPFC modulates feedback processing: a simultaneous tACS-fMRI study

**Authors:** Ranjan Debnath, Eva Lenz, Johannes Tobelander, Paula Schweppe, Vincent Renner, Christoph Mulert

PMC · DOI: 10.1038/s41398-026-03942-6 · Translational Psychiatry · 2026-03-18

## TL;DR

This study shows how theta and beta brain waves affect how the brain processes rewards and losses when stimulated over the left DLPFC.

## Contribution

The novel contribution is demonstrating distinct neural effects of theta and beta tACS on feedback processing in the left DLPFC.

## Key findings

- Theta stimulation increased activity in sensory and emotional regions during loss feedback.
- Beta stimulation modulated reward and emotional areas during gain feedback.
- Findings highlight theta-beta oscillations' roles in negative and positive feedback processing.

## Abstract

Studies have shown that reward-related feedback is processed by distinct brain networks. Neuronal oscillations, particularly theta and beta rhythms, play a key role in facilitating communications within these networks. This study investigated how modulating brain oscillations at theta and beta frequencies using transcranial alternating current stimulation (tACS) influences activation in brain regions involved in feedback processing. In three separate sessions, 28 healthy participants received either theta (5 Hz), beta (25 Hz), or sham tACS over the left dorsolateral prefrontal cortex (DLPFC) while performing a gambling task. fMRI data were recorded simultaneously with tACS to measure BOLD activations associated with gain and loss feedback. Results showed that theta stimulation enhanced activity in brain regions related to sensory processing, error monitoring, cognitive control, and emotion regulation during loss feedback. On the other hand, beta stimulation modulated activation in areas associated with reward sensitivity and emotional processing during gain feedback. These findings demonstrate the distinct roles of theta and beta oscillations in negative and positive feedback processing.

## Full-text entities

- **Genes:** HNMT (histamine N-methyltransferase) [NCBI Gene 3176] {aka HMT, HNMT-S1, HNMT-S2, MRT51}
- **Diseases:** Impulsiveness (MESH:D007174), mood disorders (MESH:D019964), neurological or psychiatric disorders (MESH:D001523), substance use disorders (MESH:D019966), psychosis (MESH:D011618), schizophrenia (MESH:D012559), BPD (MESH:D001883), depression (MESH:D003866), ADHD (MESH:D001289), anhedonia (MESH:D059445), impulsive behaviors (MESH:D010554), impaired decision-making (MESH:D020195)
- **Chemicals:** EPI (-), oxygen (MESH:D010100)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13039424/full.md

## References

2 references — full list in the complete paper: https://tomesphere.com/paper/PMC13039424/full.md

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Source: https://tomesphere.com/paper/PMC13039424