Evidence map›Paper›PMID 20817355›Full record

Trial reportPain2010

How the number of learning trials affects placebo and nocebo responses.

Luana Colloca, Predrag Petrovic, Tor D Wager, Martin Ingvar, Fabrizio Benedetti

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Pain, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03294148 (Mind-body Treatments for Chronic Back Pain), which is not on this map. Cited by 123 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
123citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03294148 nacompletednot on this mapstarted 2017, after this paper: background citation

Mind-body Treatments for Chronic Back Pain

TypeinterventionalSponsorUniversity of Colorado, BoulderRan2017 to 2019Enrolled151ConditionsChronic Pain, Back Pain Lower Back Chronic, Back Pain, LowArmsOpen-Label Placebo Treatment for Chronic Back Pain, Psychotherapy Treatment for Chronic Back Pain
3 · Its place in the literature

Who cites it

123 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  5. The Nocebo Effect: A Review of Contemporary Experimental Research.International journal of behavioral medicine · 2022
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  11. Impact of Verbal Suggestions on Finger Flexor Activation and Strength in Healthy Individuals.Medical science monitor : international medical journal of experimental and clinical research · 2023
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63 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Luana CollocaDepartment of Neuroscience, University of Turin Medical School and National Institute of Neuroscience, Turin, Italy MR-Research Center and Osher Center, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden National Center for Complementary and Alternative Medicine (NCCAM) & Department of Bioethics, Clinical Center, National Institutes of Health, Bethesda, USA Department of Psychology and Neuroscience, University of Colorado, Boulder, USA.
Predrag Petrovic
Tor D Wager
Martin Ingvar
Fabrizio Benedetti

Funding

Intramural NIH HHS Z99 AT999999
6 · The paper itself

Abstract

Conditioning procedures are used in many placebo studies because evidence suggests that conditioning-related placebo responses are usually more robust than those induced by verbal suggestions alone. However, it has not been shown whether there is a causal relation between the number of conditioning trials and the resistance to extinction of placebo and nocebo responses. Here we test the effects of either one or four sessions of conditioning on the modulation of both non-painful and painful stimuli delivered to the dorsum of the foot. Placebo and nocebo manipulations were obtained by pairing green or red light to a series of stimuli that were made lower or higher with respect to a yellow light associated with a series of control stimuli. Subjects were told that the lights would indicate a treatment that would reduce or increase non-painful and painful stimuli to the foot. They were randomly assigned to either Group 1 or 2. Group 1 underwent one session of conditioning and Group 2 received four sessions of conditioning. We found that one session of conditioning (Group 1) induced nocebo responses, but not placebo responses in no pain condition. After one session of conditioning, we observed both nocebo and placebo responses to painful stimulation. However, these effects extinguished over time. Conversely, four sessions of conditioning (Group 2) induced robust placebo and nocebo responses to both non-painful and painful stimuli that persisted over the entire experiment. These findings suggest that the strength of learning may be clinically important for producing long-lasting placebo effects.

Indexed as

Placebo EffectAdultAnalysis of VarianceConditioning, PsychologicalElectric StimulationFemaleHumansMalePainPain MeasurementPain ThresholdPhotic StimulationPlacebosPsychological TestsPsychophysicsStatistics as TopicPlacebos

Identifiers

PMID20817355
PMCPMC2955814

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.