Evidence map›Paper›PMID 39021437›Full record

ReviewBrain, behavior, & immunity - health2024

Risk factors associated with nocebo effects: A review of reviews.

Francesca Grosso, Diletta Barbiani, Cesare Cavalera, Eleonora Volpato, Francesco Pagnini

Abstract readReview
In one paragraph

Review in Brain, behavior, & immunity - health, 2024. 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. Positive social modeling attenuates nocebo side effects.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Not so great expectations: The role of price and name information in the nocebo effect.Exploratory research in clinical and social pharmacy · 2025
    Article
  9. Review
  10. Illness Expectations and Asthma Symptoms: A 6-Month Longitudinal Study.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. 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.

Francesca GrossoDepartment of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.
Diletta BarbianiDepartment of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.
Cesare CavaleraDepartment of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.
Eleonora VolpatoDepartment of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.
Francesco PagniniDepartment of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This meta-review aims to identify and categorize the risk factors that are associated with nocebo effects. The nocebo effect can exert a negative impact on treatment outcomes and have detrimental outcomes on health. Learning more about its potential predictors and risk factors is a crucial step to mitigating it. Methods: Literature review studies about the risk factors for nocebo effects were searched through five databases (PubMed, Scopus, The Cochrane Library, PsycINFO, and Embase) and through grey literature. Methodological validity and risk of bias were assessed. We conducted a thematic analysis of the results of the forty-three included reviews. Results: We identified nine categories of risk factors: prior expectations and learning; socio-demographic characteristics; personality and individual differences; neurodegenerative conditions; inflammatory conditions; communication of information and patient-physician relationship; drug characteristics; setting; and self-awareness. We also highlighted the main biochemical and neurophysiological mechanisms underlying nocebo effects. Conclusions: Nocebo effects arise from expectations of adverse symptoms, particularly when triggered by previous negative experiences. A trusting relationship with the treating physician and clear, tailored treatment instructions can act as protective factors against a nocebo effect. Clinical implications are discussed.

Indexed as

Meta-reviewNoceboNocebo mechanismsNocebo risk factors

Identifiers

PMID39021437
PMCPMC11252084

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.