Evidence map›Paper›PMID 29555019›Full record

Trial reporteLife2018

The periaqueductal gray and Bayesian integration in placebo analgesia.

Arvina Grahl, Selim Onat, Christian Büchel

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in eLife, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% 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

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 109 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. 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
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Pain Expectation Effects Are Predicted by Emotion Rather Than Precision.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  20. Convergent state-control of endogenous opioid analgesia.bioRxiv : the preprint server for biology · 2025
    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

3 authors at 1 institution in 2 countries.

Arvina GrahlDepartment of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-9699-6329
Selim OnatDepartment of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-4782-5603
Christian BüchelDepartment of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0003-1965-906X
Universität Hamburg · DE

Funding

European Research Council ERC-2010-AdG_20100407
6 · The paper itself

Abstract

In placebo hypoalgesia research, the strength of treatment expectations and experiences are key components. However, the reliability or precision of expectations had been mostly ignored although being a likely source for interindividual differences. In the present study, we adopted a Bayesian framework, naturally combining expectation magnitudes and precisions. This postulates that expectations (prior) are integrated with incoming nociceptive information (likelihood) and both are weighted by their relative precision to form the pain percept and placebo effect. Sixty-two healthy subjects received heat pain during fMRI. Placebo effects were more pronounced in subjects with more precise treatment expectations and correlated positively with the relative precision of the prior expectation. Neural correlates of this precision were observed in the periaqueductal gray and the rostral ventromedial medulla, indicating that already at the level of the brainstem the precision of an expectation can influence pain perception presenting strong evidence for Bayesian integration in placebo hypoalgesia.

Indexed as

Bayes TheoremPlacebo EffectAdultAlgorithmsAnalgesiaBrain MappingDouble-Blind MethodHumansMagnetic Resonance ImagingMaleMedulla OblongataModels, NeurologicalPainPain PerceptionPeriaqueductal GrayYoung AdultBayesiancomputational biologyfMRIhumanneurosciencePAGpainplacebo analgesiaprecisionsystems biology

Identifiers

PMID29555019
PMCPMC5860873
OpenAlexW2793180700

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.