Evidence map›Paper›PMID 42732563›Full record

ReviewJournal of evaluation in clinical practice2026

A Comprehensive Scientometric Analysis of Placebo and Nocebo Effects in Pain Research: From Placebo Mechanisms to Clinical Trials.

Francesca Borghesi, Valeria Volpino, Elisa Rho, Giorgia Cecconato, Francesco Campaci, Pietro Cipresso, Alessandro Piedimonte, Elisa Carlino

Abstract readReview
In one paragraph

Review in Journal of evaluation in clinical practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Francesca BorghesiDepartment of Psychology, University of Turin, Turin, Italy.
Valeria Volpino"Rita Levi Montalcini" Department of Neurosciences, University of Turin, Turin, Italy.ORCID 0009-0009-0974-371X
Elisa Rho"Rita Levi Montalcini" Department of Neurosciences, University of Turin, Turin, Italy.ORCID 0009-0009-8388-3403
Giorgia Cecconato"Rita Levi Montalcini" Department of Neurosciences, University of Turin, Turin, Italy.ORCID 0009-0000-7780-104X
Francesco Campaci"Rita Levi Montalcini" Department of Neurosciences, University of Turin, Turin, Italy.ORCID 0000-0003-1356-8271
Pietro CipressoDepartment of Psychology, University of Turin, Turin, Italy.
Alessandro Piedimonte"Rita Levi Montalcini" Department of Neurosciences, University of Turin, Turin, Italy.ORCID 0000-0002-5705-2173
Elisa Carlino"Rita Levi Montalcini" Department of Neurosciences, University of Turin, Turin, Italy.ORCID 0000-0001-8472-656X

Funding

Ministero dell'Istruzione, dell'Università e della Ricerca
6 · The paper itself

Abstract

Placebo and nocebo phenomena are central in neuroscience, psychology, and clinical research, yet comprehensive bibliometric analyses remain limited. This study mapped placebo and nocebo research in pain, distinguishing mechanistic studies from randomised controlled trials (RCTs), using data from the Web of Science Core Collection up to March 2025, which yielded 1246 mechanistic studies and 35,134 RCTs. Analyses performed with the Bibliometrix R package included descriptive statistics, co-citation and keyword co-occurrence networks, and local citations to assess internal impact. Mechanistic studies grew 3.97% annually, focusing on expectation, conditioning, and pain modulation, with key contributions from Benedetti, Colloca, and Wager, concentrated in the USA, Germany, Italy, and the UK. RCTs grew 3.52% per year, emphasising systematic reviews and methodological standards (Jadad scale, PRISMA), led by Moore and Manchikanti, with the USA, China, and the UK dominating output. Co-citation analyses identified mechanistic clusters around opioidergic and dopaminergic pathways and prefrontal-cingulate circuits, and RCT clusters emphasising methodological rigour and pain outcomes. Keyword analyses highlighted pain, analgesia, and expectation as central themes, with emerging trends reflecting evolving clinical applications and innovative trial designs. This scientometric mapping underscores the dual role of placebo as a neurobiological phenomenon and methodological cornerstone, offering a comprehensive overview of the evolution, structure, and thematic organisation of placebo and nocebo research in pain.

Indexed as

BibliometricsNocebo EffectPainPain ManagementPlacebo EffectHumansRandomized Controlled Trials as Topicbibliometric mappingpain researchplacebo effectplacebo mechanismscientometric analysis

Identifiers

PMID42732563
PMCPMC13571793

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.