A scoping review of placebo and nocebo responses and effects: insights for clinical trials and practice

2025
journal article
review article
4
dc.abstract.enPlacebo and nocebo responses and effects influence treatment outcomes across a variety of conditions. The current scoping review aims to synthesise evidence from systematic reviews and meta-analyses in both clinical and healthy populations, elucidating key determinants of placebo and nocebo responses and effects, including individual, clinical,psychological and contextual factors. Among the 306 publications identified, 83% were meta-analyses and 17% systematic reviews, with a predominance of research in medical specialties (81.7%) such as psychiatry and neurology. Placebo responses were significantly more studied than nocebo responses. Individual determinants (e.g., age),clinical determinants (e.g., baseline symptom severity) and psychological determinants (e.g., expectations) were found to influence placebo and nocebo outcomes. Contextual determinants, including trial design and the method of treatment administration, also played critical roles. Several key underinvestigated areas in the current body of systematic reviews and meta-analyses were also identified. This scoping review highlights valuable insights into the determinants of placebo and nocebo responses and effects on a group level, potentially offering practical implications for optimising clinical trial designs and enhancing patient care strategies in clinical practice. However, to fully leverage these benefits, it is crucial to address the underexplored topics through more rigorous investigations using a person-centred perspective.
dc.affiliationWydział Lekarski : Katedra Medycyny Rodzinnej
dc.affiliationWydział Filozoficzny : Instytut Psychologii
dc.cm.idOmegaUJCMbb5a7d1f0a0e44ea93e3b50cbd062807pl
dc.contributor.authorBagnis, Arianna
dc.contributor.authorMeeuwis, Stefanie H.
dc.contributor.authorHaas, Julia W.
dc.contributor.authorO'Keeffe, Mary
dc.contributor.authorBajcar, Elżbieta - 361635
dc.contributor.authorBąbel, Przemysław - 127263
dc.contributor.authorEvers, Andrea W.M.
dc.contributor.authorGlogan, Eveliina
dc.contributor.authorOleszczyk, Marek - 133029
dc.contributor.authorPortoles, Antonio
dc.contributor.authorVlaeyen, Johan W.S.
dc.contributor.authorMattarozzi, Katia
dc.date.accessioned2025-06-30T22:11:02Z
dc.date.accessioned2025-07-17T13:29:35Z
dc.date.available2025-07-17T13:29:35Z
dc.date.createdat2025-07-17T13:29:35Zen
dc.date.issued2025pl
dc.date.openaccess0pl
dc.description.accesstimew momencie opublikowaniapl
dc.description.number2pl
dc.description.physical409-447pl
dc.description.versionostateczna wersja wydawcypl
dc.description.volume19pl
dc.identifier.doi10.1080/17437199.2025.2471792pl
dc.identifier.eissn1743-7202
dc.identifier.issn1743-7199
dc.identifier.projectDRC AI
dc.identifier.urihttps://ruj.uj.edu.pl/handle/item/557634
dc.languageengpl
dc.language.containerengpl
dc.pbn.affiliationDziedzina nauk medycznych i nauk o zdrowiu : nauki medyczne
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licenceCC-BY-NC-NDpl
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.typeOtwarte czasopismopl
dc.source.integratorfalse
dc.subject.enclinical practice
dc.subject.enclinical trials
dc.subject.enhealthcare
dc.subject.ennocebo
dc.subject.enplacebo
dc.subject.enscoping review
dc.subtypeReviewArticlepl
dc.titleA scoping review of placebo and nocebo responses and effects: insights for clinical trials and practice
dc.title.journalHealth Psychology Review
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.en
Placebo and nocebo responses and effects influence treatment outcomes across a variety of conditions. The current scoping review aims to synthesise evidence from systematic reviews and meta-analyses in both clinical and healthy populations, elucidating key determinants of placebo and nocebo responses and effects, including individual, clinical,psychological and contextual factors. Among the 306 publications identified, 83% were meta-analyses and 17% systematic reviews, with a predominance of research in medical specialties (81.7%) such as psychiatry and neurology. Placebo responses were significantly more studied than nocebo responses. Individual determinants (e.g., age),clinical determinants (e.g., baseline symptom severity) and psychological determinants (e.g., expectations) were found to influence placebo and nocebo outcomes. Contextual determinants, including trial design and the method of treatment administration, also played critical roles. Several key underinvestigated areas in the current body of systematic reviews and meta-analyses were also identified. This scoping review highlights valuable insights into the determinants of placebo and nocebo responses and effects on a group level, potentially offering practical implications for optimising clinical trial designs and enhancing patient care strategies in clinical practice. However, to fully leverage these benefits, it is crucial to address the underexplored topics through more rigorous investigations using a person-centred perspective.
dc.affiliation
Wydział Lekarski : Katedra Medycyny Rodzinnej
dc.affiliation
Wydział Filozoficzny : Instytut Psychologii
dc.cm.idOmegapl
UJCMbb5a7d1f0a0e44ea93e3b50cbd062807
dc.contributor.author
Bagnis, Arianna
dc.contributor.author
Meeuwis, Stefanie H.
dc.contributor.author
Haas, Julia W.
dc.contributor.author
O'Keeffe, Mary
dc.contributor.author
Bajcar, Elżbieta - 361635
dc.contributor.author
Bąbel, Przemysław - 127263
dc.contributor.author
Evers, Andrea W.M.
dc.contributor.author
Glogan, Eveliina
dc.contributor.author
Oleszczyk, Marek - 133029
dc.contributor.author
Portoles, Antonio
dc.contributor.author
Vlaeyen, Johan W.S.
dc.contributor.author
Mattarozzi, Katia
dc.date.accessioned
2025-06-30T22:11:02Z
dc.date.accessioned
2025-07-17T13:29:35Z
dc.date.available
2025-07-17T13:29:35Z
dc.date.createdaten
2025-07-17T13:29:35Z
dc.date.issuedpl
2025
dc.date.openaccesspl
0
dc.description.accesstimepl
w momencie opublikowania
dc.description.numberpl
2
dc.description.physicalpl
409-447
dc.description.versionpl
ostateczna wersja wydawcy
dc.description.volumepl
19
dc.identifier.doipl
10.1080/17437199.2025.2471792
dc.identifier.eissn
1743-7202
dc.identifier.issn
1743-7199
dc.identifier.project
DRC AI
dc.identifier.uri
https://ruj.uj.edu.pl/handle/item/557634
dc.languagepl
eng
dc.language.containerpl
eng
dc.pbn.affiliation
Dziedzina nauk medycznych i nauk o zdrowiu : nauki medyczne
dc.rights
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licencepl
CC-BY-NC-ND
dc.rights.uri
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.typepl
Otwarte czasopismo
dc.source.integrator
false
dc.subject.en
clinical practice
dc.subject.en
clinical trials
dc.subject.en
healthcare
dc.subject.en
nocebo
dc.subject.en
placebo
dc.subject.en
scoping review
dc.subtypepl
ReviewArticle
dc.title
A scoping review of placebo and nocebo responses and effects: insights for clinical trials and practice
dc.title.journal
Health Psychology Review
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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