Evidence map›Paper›PMID 23358155›Full record

ArticleMolecular psychiatry2014

Sharing pain and relief: neural correlates of physicians during treatment of patients.

K B Jensen, P Petrovic, C E Kerr, I Kirsch, J Raicek, A Cheetham, R Spaeth, A Cook, R L Gollub, J Kong and 1 more

Abstract read
In one paragraph

Article in Molecular psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Placebo improves pleasure and pain through opposite modulation of sensory processing.Proceedings of the National Academy of Sciences of the United States of America · 2013
    Trial
  3. Article
  4. Article
  5. Brain-to-brain mechanisms underlying pain empathy and social modulation of pain in the patient-clinician interaction.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. How Negative Is Negative Information.Frontiers in neuroscience · 2021
    Article
  13. Article
  14. Patient-Clinician Brain Response During Clinical Encounter and Pain Treatment.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2020
    Article
  15. Article
  16. Article
  17. Socially transmitted placebo effects.Nature human behaviour · 2019
    Article
  18. Review
  19. Article
  20. Review
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

11 authors.

K B Jensen1] Department of Psychiatry, Mass General Hospital/Harvard Medical School, Boston, MA, USA [2] Athinoula A Martinos Center for Biomedical Imaging, Boston, MA, USA [3] Program in Placebo Studies and Therapeutic Encounter, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, USA.
P PetrovicDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
C E KerrDepartment of Family Medicine, Brown University, Providence, RI, USA.
I Kirsch1] Program in Placebo Studies and Therapeutic Encounter, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, USA [2] School of Psychology, Plymouth University, Plymouth, UK.
J RaicekDepartment of Psychiatry, Mass General Hospital/Harvard Medical School, Boston, MA, USA.
A CheethamDepartment of Psychiatry, Mass General Hospital/Harvard Medical School, Boston, MA, USA.
R SpaethDepartment of Psychiatry, Mass General Hospital/Harvard Medical School, Boston, MA, USA.
A CookDepartment of Psychiatry, Mass General Hospital/Harvard Medical School, Boston, MA, USA.
R L Gollub1] Department of Psychiatry, Mass General Hospital/Harvard Medical School, Boston, MA, USA [2] Athinoula A Martinos Center for Biomedical Imaging, Boston, MA, USA [3] Program in Placebo Studies and Therapeutic Encounter, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, USA.
J Kong1] Department of Psychiatry, Mass General Hospital/Harvard Medical School, Boston, MA, USA [2] Athinoula A Martinos Center for Biomedical Imaging, Boston, MA, USA.
T J KaptchukAthinoula A Martinos Center for Biomedical Imaging, Boston, MA, USA.

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
ZD6416 Analgesic--Painful Distal Symmetrical PolyneuropaM01RR001066 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI BROWN, EMERY N · 1985 to 2008
$37.4M
ULTRAHIGH FIELD TECHNOLOGY FOR FUNCTIONAL IMAGINGP41RR014075 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI ROSEN, BRUCE R · 1999 to 2011
$16.4M
The Role of Context Effect in Acupuncture Treatment of Low Back/J.KongP01AT006663 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI HIRSCHTICK, RANDY L, ROSEN, BRUCE R · 2011 to 2017
$10.0M
An fMRI study of expectancy on acupuncture treatment outcomes in knee OAR01AT005280 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI HIRSCHTICK, RANDY L, KAPTCHUK, TED · 2010 to 2014
$3.9M
The Neurobiology of Placebo and Nocebo Effects: A Brain Imaging StudyR01AT006364 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2011 to 2015
$3.6M
Omics and Variable Responses to Placebo and Acupuncture in Irritable Bowel SyndroR01AT004662 · NCCIH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI KAPTCHUK, TED, KOKKOTOU, EFI G. · 2009 to 2013
$2.3M
Mentoring and Research in Placebo Studies, Asian Medicine, and CAMK24AT004095 · NCCIH · HARVARD MEDICAL SCHOOL · PI KAPTCHUK, TED · 2007 to 2016
$1.4M
An acupuncture fMRI study on chronic pain: response reliability and dose effectR21AT004497 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2009 to 2010
$741k
Study of individual variability in acupuncture and placebo analgesiaK01AT003883 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2006 to 2010
$678k
A PET & fMRI study on opioid conditioning (placebo) effectsR03DA030512 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2011 to 2011
$266k
NCCIH NIH HHS AT006663NCCIH NIH HHS K01 AT003883NCCIH NIH HHS K24 AT004095NCCIH NIH HHS KO1AT003883NCCIH NIH HHS P01 AT006663NCCIH NIH HHS R01 AT004662NCCIH NIH HHS R01 AT005280NCCIH NIH HHS R01AT005280NCCIH NIH HHS R01 AT006364NCCIH NIH HHS R01AT006364NCCIH NIH HHS R03AT218317NCCIH NIH HHS R21 AT004497NCCIH NIH HHS R21AT004497NCRR NIH HHS M01 RR001066NCRR NIH HHS M01-RR-01066NCRR NIH HHS P41 RR014075NCRR NIH HHS P41RR14075NCRR NIH HHS UL1 RR025758NCRR NIH HHS UL1 RR025758-01NIDA NIH HHS R03 DA030512
6 · The paper itself

Abstract

Patient-physician interactions significantly contribute to placebo effects and clinical outcomes. While the neural correlates of placebo responses have been studied in patients, the neurobiology of the clinician during treatment is unknown. This study investigated physicians' brain activations during patient-physician interaction while the patient was experiencing pain, including a 'treatment', 'no-treatment' and 'control' condition. Here, we demonstrate that physicians activated brain regions previously implicated in expectancy for pain-relief and increased attention during treatment of patients, including the right ventrolateral and dorsolateral prefrontal cortices. The physician's ability to take the patients' perspective correlated with increased brain activations in the rostral anterior cingulate cortex, a region that has been associated with processing of reward and subjective value. We suggest that physician treatment involves neural representations of treatment expectation, reward processing and empathy, paired with increased activation in attention-related structures. Our findings further the understanding of the neural representations associated with reciprocal interactions between clinicians and patients; a hallmark for successful treatment outcomes.

Indexed as

Physician-Patient RelationsPlacebo EffectRewardAdultAttentionBrain MappingEmpathyFemaleGyrus CinguliHumansMagnetic Resonance ImagingMalePainPhysiciansPrefrontal Cortex

Identifiers

PMID23358155
PMCPMC3981541

What OpenQuestion holds

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Registered trials

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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.