Evidence map›Paper›PMID 41593355›Full record

ArticleNPJ digital medicine2026

Context-dependent placebo hypoalgesia through observational learning: the role of empathy in immersive and non-immersive environments.

Jewel N White, Lakota Watson, Yang Wang, Giancarlo Colloca, Jonathan Michael Heagerty, Sida Li, Barbara Brawn, Amitabh Varshney, Roni Shafir, Carmen-Édith Belleï-Rodriguez and 1 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2026. 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

11 authors.

Jewel N WhiteDepartment of Pain and Translational Symptom Science, University of Maryland School of Nursing, Baltimore, MD, USA.
Lakota WatsonGraduate Program in Life Sciences, Program in Neuroscience, University of Maryland School of Medicine, Baltimore, MD, USA.
Yang WangDepartment of Pain and Translational Symptom Science, University of Maryland School of Nursing, Baltimore, MD, USA.
Giancarlo CollocaInformation Technology PhD Program, Towson University, Towson, MD, USA.
Jonathan Michael HeagertyCollege of Computer, Mathematical, and Natural Sciences, University of Maryland College Park, College Park, MD, USA.
Sida LiCollege of Computer, Mathematical, and Natural Sciences, University of Maryland College Park, College Park, MD, USA.
Barbara BrawnCollege of Computer, Mathematical, and Natural Sciences, University of Maryland College Park, College Park, MD, USA.
Amitabh VarshneyCollege of Computer, Mathematical, and Natural Sciences, University of Maryland College Park, College Park, MD, USA.
Roni ShafirDepartment of Pain and Translational Symptom Science, University of Maryland School of Nursing, Baltimore, MD, USA.
Carmen-Édith Belleï-RodriguezDepartment of Pain and Translational Symptom Science, University of Maryland School of Nursing, Baltimore, MD, USA.
Luana CollocaDepartment of Pain and Translational Symptom Science, University of Maryland School of Nursing, Baltimore, MD, USA. colloca@umaryland.edu.

Funding

Neural correlates of hypoalgesia driven by observationR01AT010333 · NCCIH · UNIVERSITY OF MARYLAND BALTIMORE · PI COLLOCA, LUANA · 2019 to 2023
$3.7M
Neural Mechanisms of Immersive Virtual Reality in Chronic PainR01AT011347 · NCCIH · UNIVERSITY OF MARYLAND BALTIMORE · PI Luana Colloca · 2021 to 2026
$3.2M
Secondary Analysis and Integration of Existing Data Related to Chronic Orofacial Pain and Placebo Effects - Administrative SupplementR21DE032532 · NIDCR · UNIVERSITY OF MARYLAND BALTIMORE · PI COLLOCA, LUANA, DORSEY, SUSAN G · 2022 to 2023
$513k
NCATS NIH HHS 5TL1TR003100NCCIH NIH HHS R01 AT010333NCCIH NIH HHS R01 AT011347NIDCR NIH HHS R21 DE032532
6 · The paper itself

Abstract

Digital environments are increasingly used to study social and pain-related behaviors. Empathy and contextual factors influence observationally induced placebo analgesia. We tested whether state empathy (i.e., immediate affective and cognitive responses to another's experience) differs when observing a demonstrator in immersive VR versus 2D video, and whether this modulation affects placebo hypoalgesia. Forty-seven participants observed a human or avatar demonstrator receiving painful stimulation with or without placebo, then experienced the same stimulations. Observation induced significant placebo hypoalgesia for pain intensity and unpleasantness. Human demonstrators evoked greater cognitive empathy, while placebo treatments reduced empathy across contexts. Analgesic effects were stronger in 2D after observing humans, but in VR, avatars induced greater placebo effects. Placebo responsiveness was related to trait empathy in the VR-Human condition; however, state empathy did not mediate the effect. Our findings highlight that demonstrator characteristics and immersion critically shape the social transfer of placebo effects.

Identifiers

PMID41593355
PMCPMC12949248

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.