An integrative review of the influence of expectancies on pain
Open accessAbstract
Expectancies can shape pain experiences. Attention for the influence of expectancies on pain has increased particularly due to research on placebo effects, of which expectancy is believed to be the core mechanism. In the current review, we provide a brief overview of the literature on the influence of expectancies on pain. We first discuss the central role of expectancy in the major psychological learning theories. Based on these theories, different kinds of expectancies can be distinguished. Pain experiences are influenced particularly by response expectancies directly pertaining to the pain experience itself, but can also be affected by self-efficacy expectancies regarding one's ability to cope with pain, and possibly by stimulus expectancies regarding external events. These different kinds of expectancies might interact with each other, and related emotions and cognitions, as reflected by various multifaceted constructs in which expectancies are incorporated. Optimism and pain catastrophizing, in particular, but also hope, trust, worry, and neuroticism have been found to be associated with pain outcomes. We conclude with recommendations for further advancing research on the influence of expectancies on pain and for harnessing expectancy effects in clinical practice.
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Nocebo hyperalgesia (pain expectancies based on previously learned associations) can contribute to pain increase.
“Nocebo hyperalgesia (i.e., pain expectancies based on previouslylearned associations) can further contribute to pain increase [2].”
From Nocebo hyperalgesia and other expectancy-related factors in daily fibromyalgia pain: Combining experimental and electronic diary methods (2024) · cites this paper as [2]
Pain can be shaped by different types of expectancies.
“Pain can be shaped by different types of expectancies [1,2].”
From Nocebo hyperalgesia and other expectancy-related factors in daily fibromyalgia pain: Combining experimental and electronic diary methods (2024) · cites this paper as [2]
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Initial validation of the expectancies for Benzodiazepine Analgesia Scale.
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Age progression in hypnosis for pain and fatigue in individuals with disabilities
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Expertise Modulates Students’ Perception of Pain From a Self-Perspective: Quasi-Experimental Study
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Expectations underlie the effects of unpredictable pain: a behavioral and EEG studyPreprint
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Placebo effects in neuropathic pain conditions
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Vaginal penetration: pain or pleasure?
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Underpredicting Pain: An experimental investigation into the benefits and risks - PreprintPreprint
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Self-citation
- Authors
- Peerdeman, K. J., Laarhoven, A. I. M. V., Peters, M. L., & Evers, A. W. M.
- Affiliations
- Leiden University (NL)
- Maastricht University (NL)
- Corresponding author
- Peerdeman, Kaya J.
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2016-08-23
- Volume
- 7
- Pages
- 1270-1270
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC4993782
- OpenAlex
- W2515918419
- Cited by
- 122
- References
- 82
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 12 · 2023: 18 · 2022: 14 · 2021: 11 · 2020: 20 · 2019: 14 · 2018: 13 · 2017: 7 · 2016: 1
- FWCI
- 1.24
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Leiden Repository (Leiden University) (submittedVersion, cc-by)
- Leiden Repository (Leiden University) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Leiden Repository (Leiden University) (submittedVersion)
- Research Publications (Maastricht University) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Radboud Repository (Radboud University) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, cc-by)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Funders
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek (Innovation Scheme (Vidi) Grant)
- European Research Council (ERC Consolidator Grant)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- pain anticipation, placebo effect, response expectancy, self-efficacy, stimulus expectancy, optimism, pain catastrophizing, hope, trust, worry, neuroticism, pain coping
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