Evidence map›Paper›PMID 31636406›Full record

ArticleNature human behaviour2019

Socially transmitted placebo effects.

Pin-Hao A Chen, Jin Hyun Cheong, Eshin Jolly, Hirsh Elhence, Tor D Wager, Luke J Chang

Abstract read
In one paragraph

Article in Nature human behaviour, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing 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

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

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  10. Reframing the Performance and Ethics of Empathic AI: Wisdom of the Crowd and Placebos.Perspectives on psychological science : a journal of the Association for Psychological Science · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Pin-Hao A ChenDepartment of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, USA.
Jin Hyun CheongDepartment of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, USA.ORCID http://orcid.org/0000-0002-9255-1648
Eshin JollyDepartment of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, USA.ORCID http://orcid.org/0000-0002-6144-5789
Hirsh ElhenceDepartment of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, USA.
Tor D WagerDepartment of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, USA.ORCID http://orcid.org/0000-0002-1936-5574
Luke J ChangDepartment of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, USA. luke.j.chang@dartmouth.edu.ORCID http://orcid.org/0000-0002-6621-8120

Funding

The Neural Bases of Placebo Effects and their Relation to Regulatory ProcessesR01MH076136 · NIMH · UNIVERSITY OF COLORADO · PI WAGER, TOR D. · 2007 to 2023
$8.5M
Dynamic brain representations underlying emotional experienceR01MH116026 · NIMH · DARTMOUTH COLLEGE · PI CHANG, LUKE JOSEPH · 2018 to 2025
$4.9M
Prefrontal-Amygdala Interactions in Social LearningR56MH080716 · NIMH · DARTMOUTH COLLEGE · PI CHANG, LUKE JOSEPH · 2017 to 2018
$810k
NIMH NIH HHS R01 MH076136NIMH NIH HHS R01 MH116026NIMH NIH HHS R56 MH080716
6 · The paper itself

Abstract

Medical treatments typically occur in the context of a social interaction between healthcare providers and patients. Although decades of research have demonstrated that patients' expectations can dramatically affect treatment outcomes, less is known about the influence of providers' expectations. Here we systematically manipulated providers' expectations in a simulated clinical interaction involving administration of thermal pain and found that patients' subjective experiences of pain were directly modulated by providers' expectations of treatment success, as reflected in the patients' subjective ratings, skin conductance responses and facial expression behaviours. The belief manipulation also affected patients' perceptions of providers' empathy during the pain procedure and manifested as subtle changes in providers' facial expression behaviours during the clinical interaction. Importantly, these findings were replicated in two more independent samples. Together, our results provide evidence of a socially transmitted placebo effect, highlighting how healthcare providers' behaviour and cognitive mindsets can affect clinical interactions.

Indexed as

AttitudeEmpathyInterpersonal RelationsPlacebo EffectAdolescentAdultFacial ExpressionFemaleGalvanic Skin ResponseHumansMaleMotivationPainPhysical StimulationSkin CreamYoung Adult

Identifiers

PMID31636406
PMCPMC7494051

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.