Evidence map›Paper›PMID 31350784›Full record

ArticleClinical pharmacology and therapeutics2019

When Expectancies Are Violated: A Functional Magnetic Resonance Imaging Study.

Luana Colloca, Lieven A Schenk, Dominic E Nathan, Oliver J Robinson, Christian Grillon

Abstract read
In one paragraph

Article in Clinical pharmacology and therapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Placebo and nocebo effect in pain.Handbook of clinical neurology · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. 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.

Luana CollocaDepartment of Pain and Translational Symptom Science, University of Maryland Baltimore School of Nursing, Baltimore, Maryland, USA.
Lieven A SchenkDepartment of Pain and Translational Symptom Science, University of Maryland Baltimore School of Nursing, Baltimore, Maryland, USA.
Dominic E NathanUniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Oliver J RobinsonUniversity College London Institute of Cognitive Neuroscience, London, UK.
Christian GrillonNational Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, USA.

Funding

The Psychophysiology Of Fear And AnxietyZIAMH002798 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI GRILLON, CHRISTIAN · 2009 to 2022
$29.0M
The Psychophysiology Of Fear And AnxietyZ01MH002798 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI GRILLON, CHRISTIAN · 2002 to 2008
$3.8M
Neural correlates of hypoalgesia driven by observationR01AT010333 · NCCIH · UNIVERSITY OF MARYLAND BALTIMORE · PI COLLOCA, LUANA · 2019 to 2023
$3.7M
Chronic orofacial pain: genetics, cognitive-emotional factors, and endogenous modulatory systemsR01DE025946 · NIDCR · UNIVERSITY OF MARYLAND BALTIMORE · PI COLLOCA, LUANA · 2016 to 2019
$2.1M
Intramural NIH HHS Z01 MH002798Intramural NIH HHS Z99 MH999999Intramural NIH HHS ZIA MH002798Medical Research Council MR/K024280/1NCCIH NIH HHS R01 AT010333NIDCR NIH HHS R01 DE025946
6 · The paper itself

Abstract

Positive and negative expectancies drive behavioral and neurobiological placebo and nocebo effects, which in turn can have profound effects on patient improvement or worsening. However, expectations of events and outcomes are often not met in daily life and clinical practice. It is currently unknown how this affects placebo and nocebo effects. We have demonstrated that the violation of expectancies, such as when there is a discrepancy between what is expected and what is actually presented, reduces both placebo and nocebo effects while causing an extinction of placebo effects. The reduction of placebo and nocebo effects was paralleled by an activation of the left inferior parietal cortex, a brain region that redirects attention when discrepancies between sensory and cognitive events occur. Our findings highlight the importance of expectancy violation in shaping placebo and nocebo effects and open up new avenues for managing positive and negative expectations in clinical trials and practices.

Indexed as

CuesMagnetic Resonance ImagingPlacebo EffectRandomized Controlled Trials as TopicResearch DesignAdultFemaleHumansMaleNocebo EffectPainPain PerceptionPain ThresholdParietal LobePredictive Value of TestsVisual Perception

Identifiers

PMID31350784
PMCPMC6851406

What OpenQuestion holds

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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.