Evidence map›Paper›PMID 29613940›Full record

Trial reportPsychosomatic medicine2018

Enhancing Placebo Effects in Somatic Symptoms Through Oxytocin.

Aleksandrina Skvortsova, Dieuwke S Veldhuijzen, Henriët Van Middendorp, Omer Van den Bergh, Andrea W M Evers

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychosomatic medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. What is new in the psychology of chronic itch?Experimental dermatology · 2019
    Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. [Placebo and nocebo effects on itch : Methodological and clinical implications].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2018
    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

5 authors.

Aleksandrina SkvortsovaFrom the Health, Medical and Neuropsychology Unit (Skvortsova, Veldhuijzen, Van Middendorp, Evers), Faculty of Social and Behavioural Sciences, Leiden University; Leiden Institute for Brain and Cognition (Skvortsova, Veldhuijzen, Van Middendorp, Evers), Leiden, the Netherlands; Health Psychology (Van den Bergh), KU Leuven - University of Leuven, Leuven, Belgium; and Department of Psychiatry (Evers), Leiden University Medical Center, Leiden, the Netherlands.
Dieuwke S Veldhuijzen
Henriët Van Middendorp
Omer Van den Bergh
Andrea W M Evers

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePlacebo effects relieve various somatic symptoms, but it is unclear how they can be enhanced to maximize positive treatment outcomes. Oxytocin administration may potentially enhance placebo effects, but few studies have been performed, and they have had conflicting findings. The study aim was to investigate the influence of positive verbal suggestions and oxytocin on treatment expectations and placebo effects for pain and itch.

methodsOne hundred eight female participants were allocated to one of the following four groups: (1) oxytocin with positive verbal suggestions, (2) placebo with positive verbal suggestions, (3) oxytocin without suggestions, and (4) placebo without suggestions. The administration of 24 IU oxytocin or a placebo spray was preceded by positive verbal suggestions regarding the pain- and itch-relieving properties of the spray or no suggestions, depending on group allocation. Pain was assessed with a cold pressor test, and itch was assessed with histamine iontophoresis.

resultsPositive verbal suggestions induced expectations of lower pain (F = 4.77, p = .031) and itch (F = 5.38, p = .022). Moreover, positive verbal suggestions elicited placebo analgesia (F = 5.48, p = .021) but did not decrease itch. No effect of oxytocin on the placebo effect or on expectations was found.

conclusionsPositive suggestions induced placebo analgesia but oxytocin did not enhance the placebo effect. Study limitations are that we only included a female sample and a failure to induce placebo effect for itch. Future studies should focus on how oxytocin might influence placebo effects, taken into account the role of sex, dose-dependent effects, and various expectation manipulations.

trial registrationThe study was registered as a clinical trial on www.trialregister.nl (number 6376).

Indexed as

Placebo EffectSuggestionAdultAnalgesiaFemaleHumansOxytocinPainPruritusTreatment OutcomeYoung AdultOxytocin

Identifiers

PMID29613940
PMCPMC5959206

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.