Evidence map›Paper›PMID 25722948›Full record

Trial reportBrain and behavior2015

Conscientiousness is modified by genetic variation in catechol-O-methyltransferase to reduce symptom complaints in IBS patients.

Kathryn T Hall, Benjamin R Tolkin, Garrett M Chinn, Irving Kirsch, John M Kelley, Anthony J Lembo, Ted J Kaptchuk, Efi Kokkotou, Roger B Davis, Lisa A Conboy

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brain and behavior, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.9field-weighted citation impact, top 26% 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.

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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Neuropathic pain.Nature reviews. Disease primers · 2017
    Review
  9. Review
  10. Review
  11. Genetics and the placebo effect: the placebome.Trends in molecular medicine · 2015
    Review
  12. Article
  13. Article
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

10 authors at 2 institutions in 2 countries.

Kathryn T HallProgram in Placebo Studies, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts ; Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts.
Benjamin R TolkinProgram in Placebo Studies, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts ; Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts.
Garrett M ChinnDepartment of Medicine, Massachusetts General Hospital and Harvard Medical School Boston, Massachusetts.
Irving KirschProgram in Placebo Studies, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts ; School of Psychology, University of Plymouth Devon, UK.
John M KelleyProgram in Placebo Studies, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts ; Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School Boston, Massachusetts ; Endicott College Beverly, Massachusetts.
Anthony J LemboProgram in Placebo Studies, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts ; Department of Gastroenterology, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts.
Ted J KaptchukProgram in Placebo Studies, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts ; Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts.
Efi KokkotouProgram in Placebo Studies, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts ; Department of Gastroenterology, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts.
Roger B DavisProgram in Placebo Studies, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts ; Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts.
Lisa A ConboyProgram in Placebo Studies, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts ; Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts.
Harvard University · USBeth Israel Deaconess Medical Center · US

Funding

Research Training in Complementary and Integrative MedicineT32AT000051 · NCCIH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI GLORIA Y YEH · 1999 to 2026
$10.2M
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
Integrative Healing Model in IBS (RMI)R21AT002860 · NCCIH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI KAPTCHUK, TED · 2004 to 2005
$254k
NCCIH NIH HHS 3R01AT004662-02S1NCCIH NIH HHS K24 AT004095NCCIH NIH HHS K24AT004095NCCIH NIH HHS R01 AT004662NCCIH NIH HHS R21 AT002860NCCIH NIH HHS R21AT002860NCCIH NIH HHS T32 AT000051
6 · The paper itself

Abstract

backgroundAttention to and perception of physical sensations and somatic states can significantly influence reporting of complaints and symptoms in the context of clinical care and randomized trials. Although anxiety and high neuroticism are known to increase the frequency and severity of complaints, it is not known if other personality dimensions or genes associated with cognitive function or sympathetic tone can influence complaints. Genetic variation in catechol-O-methyltransferase (COMT) is associated with anxiety, personality, pain, and response to placebo treatment. We hypothesized that the association of complaint reporting with personality might be modified by variation in the COMT val158met genotype.

methodsWe administered a standard 25-item complaint survey weekly over 3-weeks to a convenience sample of 187 irritable bowel syndrome patients enrolled in a placebo intervention trial and conducted a repeated measures analysis.

resultsWe found that complaint severity rating, our primary outcome, was negatively associated with the personality measures of conscientiousness (β = -0.31 SE 0.11, P = 0.003) and agreeableness (β = -0.38 SE 0.12, P = 0.002) and was positively associated with neuroticism (β = 0.24 SE 0.09, P = 0.005) and anxiety (β = 0.48 SE 0.09, P < 0.0001). We also found a significant interaction effect of COMT met alleles (β = -32.5 SE 14.1, P = 0.021). in patients genotyped for COMT val158met (N  = 87) specifically COMT × conscientiousness (β = 0.73 SE 0.26, P = 0.0042) and COMT × anxiety (β = -0.42 SE 0.16, P = 0.0078) interaction effects.

conclusionThese findings potentially broaden our understanding of the factors underlying clinical complaints to include the personality dimension of conscientiousness and its modification by COMT.

Indexed as

AdultAnxietyCatechol O-MethyltransferaseFemaleGenetic VariationHumansIrritable Bowel SyndromeMaleMiddle AgedPersonalityPlacebosCatechol O-MethyltransferasePlacebosCatechol-O-methyltransferasecomplaintsCOMTconscientiousnesspersonality

Identifiers

PMID25722948
PMCPMC4321393
OpenAlexW2147836130

What OpenQuestion holds

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LicenceCC BY
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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.