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Neuromodulation of conditioned placebo/nocebo in heat pain: anodal vs cathodal transcranial direct current stimulation to the right dorsolateral prefrontal cortex
Open accessAbstract
Placebo and nocebo play an important role in clinical practice and medical research. Modulating placebo/nocebo responses using noninvasive brain stimulation methods, such as transcranial direct current stimulation (tDCS), has the potential to harness these effects to therapeutic benefit in a clinical setting. In this study, we assessed the effect of anodal and cathodal tDCS over the right dorsolateral prefrontal cortex (rDLPFC) on conditioned placebo/nocebo cue response to heat pain. Two matched groups of healthy volunteers were subjected to an identical session of conditioning, during which low and high cues (abstract images) were associated with low and high pain levels, respectively. Twenty-minute 2-mA tDCS (either anodal or cathodal) over the rDLPFC was applied. The influence of tDCS current polarity (anodal vs cathodal) on placebo and nocebo was assessed, using subjects' pain ratings in response to identical pain preceded by the conditioned high or low cues. The duration of cue presentation varied to allow either fully conscious or subliminal processing. Significant placebo and nocebo effects in the anodal but not the cathodal group were elicited with the conditioning paradigm. This study provides evidence of a possibility to modulate the conditioned placebo and nocebo effect by changing the excitability of the rDLPFC using tDCS.
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“Pain is influenced by social interactions and can be modulated through the observation of others.37”
From Nocebo and pain: an overview of the psychoneurobiological mechanisms (2017) · cites this paper as [37]
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Nocebo and pain: an overview of the psychoneurobiological mechanisms
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Metadata
- Authors
- Egorova, N., Yu, R., Kaur, N., Vangel, M., Gollub, R. L., Dougherty, D. D., Kong, J., & Camprodon, J. A.
- Affiliations
- Harvard University (US)
- Massachusetts General Hospital (US)
- Corresponding author
- Kong, Jian
- ORCID
- Venue
- Pain
- Published
- 2015-07
- Volume
- 156
- Issue
- 7
- Pages
- 1342-1347
- ISSN
- 0304-3959 (ISSN-L)
- PMC
- PMC4474770
- OpenAlex
- W2024441125
- Cited by
- 63
- References
- 56
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 9 · 2023: 6 · 2022: 8 · 2021: 6 · 2020: 5 · 2019: 8 · 2018: 7 · 2017: 3 · 2016: 3 · 2015: 2
- FWCI
- 3.01
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R25MH094612)
- National Center for Complementary and Integrative Health (R01AT006364, P01AT006663, R01AT005280)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- placebo effect, nocebo effect, thermal pain, transcranial direct current stimulation, dorsolateral prefrontal cortex, anodal tDCS, cathodal tDCS, current polarity, pain anticipation
- MeSH terms
- Adult, Conditioning, Psychological, Female, Hot Temperature, Humans, Male, Pain, Pain Measurement, Photic Stimulation, Placebo Effect, Prefrontal Cortex, Young Adult, Nocebo Effect, Transcranial Direct Current Stimulation
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