Acute stress reduces effortful prosocial behaviour

Reviewer #1 (Public Review):

The authors sought to understand the neurocomputational mechanisms of how acute stress impacts human effortful prosocial behavior. Functional neuroimaging during an effort-based decision task and computational modeling were employed. Two major results are reported: 1) Compared to controls, participants who experienced acute stress were less willing to exert effort for others, with a more prominent effect for those who were more selfish; 2) More stressed participants exhibited an increase in activation in the dorsal anterior cingulate cortex and anterior insula that are critical for self-benefiting behaviour. The authors conclude that their findings have important insights into how acute stress affects prosociality and its associated neural mechanisms.

Overall, there are several strengths in this well-written manuscript. The experimental design along with acute stress induction procedures were well controlled, the data analyses were reasonable and informative, and the results from the computational modeling provide important insights (e.g., subjective values). Despite these strengths, there were some weaknesses regarding potential confounding factors in both the experimental design and methodological approach, including selective reporting of only some aspects of this complex dataset, and the interpretation of the observations. These detract from from the overall impact of the manuscript. In particular, the stress manipulation and pro-social task are both effortful, raising the possibility that stressed participants were more fatigued. Other concerns include the opportunity for social dynamics or cues during task administration, the baseline social value orientation (SVO) in each group, and the possibility of a different SVO in individuals with selfish tendencies. Finally, Figure 4 should specify whether the depicted prosocial choices include all five levels of effort.

Reviewer #2 (Public Review):

This manuscript describes an interesting study assessing the impact of acute stress on neural activity and helping behavior in young, healthy men. Strengths of the study include a combination of neuroimaging and psychoneuroendocrine measures, as well as computational modeling of prosocial behavior. Weaknesses include complex, difficult to understand 3-way interactions that the sample size may not be large enough to reliably test. Nonetheless, the study and results provide useful information for researchers seeking to better understand the influence of stress on the neural bases of complex behavior.

The stressor was effective at eliciting physiological and psychological stress responses as shown in Figure 2.

Higher perceived stress in more selfish participants (lower social value orientation (SVO) angle) was associated with lower prosocial responding (Figure 4). How can we reconcile this finding with the finding (presented on page 15) that those with a more prosocial SVO showed a significant decline in dACC activation to subjective value at increasing levels of perceived stress? This seems contrary to the behavioral response.

A larger issue with the study is that the power analysis presented on page 23 is based on a 2 (between: stress v. control) by 2 (within: self v. other) design. Most of the reported findings come from analyses of 3-way interactions. How can the readers have confidence in the reliability of results from 3-way interaction analyses, which were not powered to detect such effects?