Evidence map›Paper›PMID 31583339›Full record

ArticlePain reports

Shaping placebo analgesic responses on the Internet: a randomized experimental trial.

Moa Pontén, Brjánn Ljótsson, Karin Jensen

Open access · goldAbstract read
In one paragraph

Article in Pain reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. 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 1 country.

Moa PonténDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Brjánn LjótssonDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Karin JensenDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Karolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe field of Internet-based treatments is expanding. However, little is known about placebo effects in online therapeutic settings. The aim of this study was to test if placebo analgesia could be induced via online communication. Exploratory analyses tested if different communication styles (empathetic/neutral) would influence the placebo effect.

methodsIn this double-blind experiment, 30 healthy participants were randomized to either empathetic or neutral online communication. After completing the online modules, a face-to-face placebo analgesia experiment was performed. An independent experimenter (blinded as to communication type) performed the pain testing and treatment with a sham analgesic device (placebo).

resultsOverall, there was a significant placebo effect, as participants rated the pain lower when the sham analgesic device was turned on, compared to off. An additional control experiment (n = 17) confirmed that pain testing with the sham analgesic device per se, without any prior communication, was not enough to induce placebo effects. Exploratory analyses indicated a significant difference in perception of the online communication between participants randomized to the empathetic and neutral groups because the empathetic group rated the interaction as more positive. Also, there was a significant difference in online compliance. Yet, exploratory analyses did not suggest any difference in placebo pain ratings between the empathetic and neutral communication groups.

conclusionThe results in this study suggest that placebo effects can be created even when information about an analgesic treatment is delivered online. This is the first indication of a novel research line that investigates placebo effects in online treatment.

Indexed as

AnalgesiaExpectancyInternetPatient–physician interactionPlacebo effect

Identifiers

PMID31583339
PMCPMC6749896
OpenAlexW2953067689

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.