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Altered Placebo and Drug Labeling Changes the Outcome of Episodic Migraine Attacks
Open accessAbstract
In 459 migraine attacks, information provided to patients (from negative to neutral to positive) modified placebo and medication outcomes in a progressive fashion.
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“In a clinical setting, it has been demonstrated that either or both placebo (positive expectancy of pain relief) and nocebo effects (negative expectancy of increased pain) influence the effectiveness of medical treatment (Kam-Hansen et al., 2014; Pollo et al., 2001).”
From Distinct neural representations of placebo and nocebo effects (2015) · cites this paper as Kam-Hansen et al., 2014
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“Overall, in adults, there is evidence for the clinical potential of OLPs for several pain conditions such as irritable bowel syndrome (23), migraine (24), chronic low back pain (25), and experimental heat pain (26, 27).”
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BackgroundChoice over placebo administration enhances open-label placebo hypoalgesia
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Walach, H. (2016) · Tidsskrift for Forskning i Sygdom og Samfund · doi:10.7146/tfss.v12i23.23016 · Cited by 3
“, 2010), or where (trial 2) they would receive various substances, among them potentially placebo and were told so (Kam-Hansen et al., 2014).”
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Evers, A. W. M., Broekman, F. L., Janine, W., Van Vliet Liesbeth, M., & H., M. (2025) · Handbook of clinical neurology · doi:10.1016/b978-0-443-29884-4.00015-7 · Cited by 2
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“In fact, some studies report that it is sufficient to provide patients just with an envelope saying “placebo”, without any explanation 25,26 .”
White, J. N., Watson, L., Wang, Y., Colloca, G., Heagerty, J. M., Li, S., Brawn, B., Varshney, A., Shafir, R., Belleï-Rodriguez, C.-É., et al. (2026) · npj Digital Medicine · doi:10.1038/s41746-026-02373-3 · Cited by 2
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Metadata
- Authors
- Kam-Hansen, S., Jakubowski, M., Kelley, J. M., Kirsch, I., Hoaglin, D. C., Kaptchuk, T. J., & Burstein, R.
- Affiliations
- Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.
- Beth Israel Deaconess Medical Center (US)
- IC Independent Consulting (Australia) (AU)
- Corresponding author
- Kaptchuk, Ted J.
- Burstein, Rami
- Venue
- Science Translational Medicine
- Published
- 2014-01-08
- Volume
- 6
- Issue
- 218
- Pages
- 218ra5-218ra5
- ISSN
- 1946-6234 (ISSN-L)
- 1946-6242
- PMC
- PMC4005597
- OpenAlex
- W2169836118
- Cited by
- 399
- References
- 22
- Citations by year
- 2026: 11 · 2025: 26 · 2024: 21 · 2023: 26 · 2022: 28 · 2021: 38 · 2020: 47 · 2019: 38 · 2018: 42 · 2017: 36 · 2016: 27 · 2015: 29 · 2014: 29
- FWCI
- 22.49
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Science Translational Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (R01NS069847, R37NS079678)
- National Center for Complementary and Integrative Health (K24AT004095)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Health Sciences › Medicine › Clinical Neurology › Migraine and Headache Studies
- Health Sciences › Medicine › Complementary and alternative medicine › Acupuncture Treatment Research Studies
- Keywords
- episodic migraine, placebo effect, drug labeling, rizatriptan, patient information, analgesia
- MeSH terms
- Drug Labeling, Humans, Migraine Disorders, Pain Measurement, Placebos, Triazoles, Tryptamines, Treatment Outcome, Endpoint Determination
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