Evidence map›Paper›PMID 39167466›Full record

Trial reportPain2025

Independent effects of transcranial direct current stimulation and social influence on pain.

Amin Dehghani, Carmen Bango, Ethan K Murphy, Ryan J Halter, Tor D Wager

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  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

5 authors.

Amin DehghaniDepartment of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, United States.
Carmen BangoDepartment of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, United States.
Ethan K MurphyThayer School of Engineering and Geisel School of Medicine, Dartmouth College, Hanover, NH, United States.
Ryan J HalterThayer School of Engineering and Geisel School of Medicine, Dartmouth College, Hanover, NH, United States.
Tor D WagerDepartment of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, United States.ORCID 0000-0002-1936-5574

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
Brain and Genetic Predictors of Individual Differences in Pain and Placebo AnalgesiaR01DA046064 · NIDA · UNIVERSITY OF COLORADO · PI FRIEDMAN, NAOMI P., WAGER, TOR D. · 2018 to 2022
$3.2M
The neural bases of placebo effects and their relation to regulatory processesR37MH076136 · NIMH · DARTMOUTH COLLEGE · PI TOR D. WAGER · 2024 to 2026
$2.4M
Psychosocial risk factors for chronic pain: Characterizing brain and genetic pathways and variation across understudied populationsR21AT012431 · NCCIH · DARTMOUTH COLLEGE · PI WAGER, TOR D. · 2022 to 2022
$459k
NCCIH NIH HHS R21 AT012431NIDA NIH HHS R01 DA046064NIMH NIH HHS R01 MH076136NIMH NIH HHS R01 MH116026NIMH NIH HHS R37 MH076136
6 · The paper itself

Abstract

abstractTranscranial direct current stimulation (tDCS) is a noninvasive neuromodulatory technique with the potential to provide pain relief. However, tDCS effects on pain are variable across existing studies, possibly related to differences in stimulation protocols and expectancy effects. We investigated the independent and joint effects of contralateral motor cortex tDCS (anodal vs cathodal) and socially induced expectations (analgesia vs hyperalgesia) about tDCS on thermal pain. We employed a double-blind, randomized 2 × 2 factorial cross-over design, with 5 sessions per participant on separate days. After calibration in Session 1, Sessions 2 to 5 crossed anodal or cathodal tDCS (20 minutes 2 mA) with socially induced analgesic or hyperalgesic expectations, with 6 to 7 days between the sessions. The social manipulation involved videos of previous "participants" (confederates) describing tDCS as inducing a low-pain state ("analgesic expectancy") or hypersensitivity to sensation ("hyperalgesic expectancy"). Anodal tDCS reduced pain compared with cathodal stimulation (F(1,19.9) = 19.53, P < 0.001, Cohen d = 0.86) and analgesic expectancy reduced pain compared with hyperalgesic expectancy (F(1,19.8) = 5.62, P = 0.027, Cohen d = 0.56). There was no significant interaction between tDCS and social expectations. Effects of social suggestions were related to expectations, whereas tDCS effects were unrelated to expectancies. The observed additive effects provide novel evidence that tDCS and socially induced expectations operate through independent processes. They extend clinical tDCS studies by showing tDCS effects on controlled nociceptive pain independent of expectancy effects. In addition, they show that social suggestions about neurostimulation effects can elicit potent placebo effects.

Indexed as

Cross-Over StudiesPainPain ManagementTranscranial Direct Current StimulationAdolescentAdultDouble-Blind MethodFemaleHumansHyperalgesiaMaleMotor CortexPain MeasurementPain ThresholdYoung Adult

Identifiers

PMID39167466
PMCPMC11649493

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.