Evidence map›Paper›PMID 40592945›Full record

Trial reportScientific reports2025

A randomized crossover trial with experience sampling to test placebo effects on pathological skin-picking.

Anne Schienle, Sara Kohlhofer, Johannes Wilhelm, Sandra Tanzmeister

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Anne SchienleDepartment of Clinical Psychology, University of Graz, Universitätsplatz 2, Graz, Austria. anne.schienle@uni-graz.at.ORCID http://orcid.org/0000-0003-2173-6626
Sara KohlhoferDepartment of Clinical Psychology, University of Graz, Universitätsplatz 2, Graz, Austria.
Johannes WilhelmDepartment of Clinical Psychology, University of Graz, Universitätsplatz 2, Graz, Austria.
Sandra TanzmeisterDepartment of Clinical Psychology, University of Graz, Universitätsplatz 2, Graz, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emotional distress is a typical trigger for pathological skin-picking (PSP). Given that placebo treatments can reduce emotional distress, the present study sought to investigate placebo responsiveness in individuals with PSP. In this randomized crossover trial, 69 participants (90% female, M = 31 years) with self-reported PSP underwent two weeks with daily placebo treatment (pills introduced as 'N-acetylcysteine' to reduce skin-picking) and two weeks without placebo treatment. Participants used a smartphone application to provide daily ratings for their skin-picking symptoms, as well as their stress levels. Questionnaires assessing the severity of skin-picking, stress, and difficulties in emotion regulation were completed before and after the two-week intervals (with and without the placebo). Questionnaire data indicated that placebo treatment reduced skin-picking severity (large effect) as well as perceived stress and difficulties in emotion regulation (medium effects). App-based assessments revealed that the placebo effect was limited to a moderate reduction in the urge to engage in skin-picking behavior, observed only during the second week of treatment, with no significant impact on daily stress levels. Individuals with PSP are responsive to placebo treatment. However, the magnitude of the placebo effect appears to be overestimated when relying on retrospective questionnaire data compared to ecological momentary assessments.

Indexed as

Placebo EffectSkinAdultCross-Over StudiesExcoriation DisorderFemaleHumansMaleMobile ApplicationsStress, PsychologicalSurveys and QuestionnairesYoung AdultEcological momentary assessmentEmotion regulationPlaceboSkin-picking disorder

Identifiers

PMID40592945
PMCPMC12215208

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.