Evidence map›Paper›PMID 25617812›Full record

ArticleThe journal of pain2015

Conditioned placebo analgesia persists when subjects know they are receiving a placebo.

Scott M Schafer, Luana Colloca, Tor D Wager

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The journal of pain, 2015. 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 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
7.3field-weighted citation impact, top 2% of its field
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

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 116 citations in OpenAlex.

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  14. Social information creates self-fulfilling prophecies in judgments of pain, vicarious pain, and cognitive effort.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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  18. Neural underpinnings of open-label placebo effects in emotional distress.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
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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

3 authors at 3 institutions in 1 country.

Scott M SchaferDepartment of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado. Electronic address: scott.schafer@colorado.edu.
Luana CollocaSchool of Nursing, Pain and Translational Symptom Science, University of Maryland Baltimore Center to Advance Chronic Pain Research; and School of Medicine, Department of Anesthesiology, University of Maryland Baltimore, Baltimore, Maryland.
Tor D WagerDepartment of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado.
University of Colorado Boulder · USUniversity of Colorado System · USUniversity of Maryland, Baltimore · US

Funding

The Neural Bases of Placebo Effects and their Relation to Regulatory ProcessesR01MH076136 · NIMH · UNIVERSITY OF COLORADO · PI WAGER, TOR D. · 2007 to 2023
$8.5M
FMRI-based Decoupling of Conditioning and Belief Effects on Placebo AnalgesiaF31DA034516 · NIDA · UNIVERSITY OF COLORADO · PI SCHAFER, SCOTT MATTHEW · 2012 to 2014
$117k
NCCIH NIH HHS Z99AT999999NIDA NIH HHS 5F31DA034516-03NIDA NIH HHS F31 DA034516NIMH NIH HHS R01 MH076136NIMH NIH HHS R01MH076136
6 · The paper itself

Abstract

unlabelledBelief in the effectiveness of a placebo treatment is widely thought to be critical for placebo analgesia. Many types of placebo responses--even those that depend on conditioning--appear to be mediated by expectations that are strengthened as treatment cues are reinforced with positive outcomes. However, placebo effects may occur even when participants are aware they are receiving a placebo. To address the question of whether conditioned placebo analgesia can persist in the absence of expectations, we studied the effects of long (4 days) versus short (1 day) conditioning to a placebo treatment. After an initial placebo test, a "reveal" manipulation convincingly demonstrated to participants that they had never received an active drug. Placebo analgesia persisted after the reveal in the long conditioning group only. These findings suggest that reinforcing treatment cues with positive outcomes can create placebo effects that are independent of reported expectations for pain relief. PERSPECTIVE: This article demonstrates a form of placebo analgesia that relies on prior conditioning rather than current expected pain relief. This highlights the importance of prior experience on pain relief and offers insight into the variability of placebo effects across individuals.

Indexed as

Placebo EffectAdolescentAdultAnalgesiaConditioning, PsychologicalFemaleHumansMaleMiddle AgedYoung AdultconditioningexpectancypainPlaceboreversal

Identifiers

PMID25617812
PMCPMC4424173
OpenAlexW2085650940

What OpenQuestion holds

Textmetadata
LicenceTDM
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.