Evidence map›Paper›PMID 39707685›Full record

SynthesisBritish journal of health psychology2025

Trait responsiveness to verbal suggestions predicts nocebo responding: A meta-analysis.

Madeline V Stein, Monika Heller, Sarah Chapman, G James Rubin, Devin B Terhune

Abstract readMeta-Analysis
In one paragraph

Synthesis in British journal of health psychology, 2025. 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
–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 synthesis or guideline pooled it.

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

Madeline V SteinDepartment of Psychology, Institute of Psychology, Psychiatry, and Neuroscience, King's College London, London, UK.ORCID 0000-0001-7612-6089
Monika HellerCentre for Behavioural Medicine, UCL School of Pharmacy, London, UK.
Sarah ChapmanInstitute of Pharmaceutical Science, King's College London, London, UK.
G James RubinDepartment of Psychological Medicine, Institute of Psychology, Psychiatry, and Neuroscience, King's College London, London, UK.
Devin B TerhuneDepartment of Psychology, Institute of Psychology, Psychiatry, and Neuroscience, King's College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNocebo responding involves the experience of adverse health outcomes in response to contextual cues. These deleterious responses impact numerous features of mental and physical health but are characterized by pronounced heterogeneity. Suggestion is widely recognized as a contributing factor to nocebo responding but the moderating role of trait responsiveness to verbal suggestions (suggestibility) in nocebo responding remains poorly understood.

objectiveWe conducted a pre-registered meta-analysis (PROSPERO registration number CRD42023425605) to quantitatively synthesize available research on the relationship between suggestibility and nocebo responding.

methodsFour electronic databases were searched for original studies involving both the assessment of suggestibility and symptom reports in response to an inactive stimulus.

resultsOf 7729 search results, 10 articles presenting 13 correlations between suggestibility and nocebo responding were analysed. A random-effects meta-analysis revealed a significant, albeit weak, positive correlation, r = .21 [95% CI: .04, .37], between suggestibility and nocebo responses, such that more highly suggestible individuals displayed larger responses. Sensitivity and meta-regression analyses demonstrated that studies of higher methodological quality, including those that maintained experimenter blinding, exhibited stronger effect sizes.

conclusionThese results corroborate proposals that trait responsiveness to verbal suggestions confers greater response to nocebos and warrants renewed attention to the role of suggestibility in symptom induction and perception.

Indexed as

Nocebo EffectSuggestionHumansPersonalityexpectationmeta‐analysisnocebopatient–clinician communicationsuggestibilitysuggestion

Identifiers

PMID39707685
PMCPMC11662164

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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.