Coleshill Matthew J, George David N, Mazzoni Giuliana
School of Life Sciences, University of Hull, Hull, United Kingdom; School of Psychology, The University of Sydney, Sydney, New South Wales, Australia.
School of Life Sciences, University of Hull, Hull, United Kingdom; School of Psychology, The University of New South Wales, Sydney, New South Wales, Australia.
J Pain. 2017 Sep;18(9):1067-1077. doi: 10.1016/j.jpain.2017.04.004. Epub 2017 Apr 26.
Placebo analgesia, reductions in pain after administration of an inert treatment, is a well documented phenomenon. We report, to our knowledge, the first demonstration that placebo analgesia can be experienced when a sham analgesic is applied onto a rubber hand. The effect was obtained by exploiting the rubber hand illusion, in which ownership is felt over a rubber arm that is unattached to the body. Under conditions of synchronous as well as asynchronous visuotactile stimulation, a thermal pain stimulus was delivered on the real arm of 20 participants and seemingly also on the rubber arm, before and after applying a sham analgesic and a control cream only to the rubber arm. During synchronous visuotactile stimulation, pain was experienced on the rubber arm, and the application of the sham analgesic to the rubber arm significantly decreased the severity of reported pain. This shows that experience of the body can modulate expectations and the induction of placebo analgesia.
This article presents an experiment suggesting that a placebo treatment applied to a rubber hand during the rubber hand illusion can produce placebo analgesia. This finding indicates that embodiment may influence the placebo effect, a previously unexamined factor in the treatment process with potential applications to treatment administration.
安慰剂镇痛,即给予惰性治疗后疼痛减轻,是一种有充分文献记载的现象。据我们所知,我们首次证明,当将假镇痛剂应用于橡胶手时,可体验到安慰剂镇痛。这种效应是通过利用橡胶手错觉获得的,在这种错觉中,人们会感觉到对一条与身体分离的橡胶手臂拥有所有权。在同步和异步视觉触觉刺激条件下,对20名参与者的真实手臂施加热痛刺激,在仅对橡胶手臂涂抹假镇痛剂和对照乳膏之前和之后,热痛刺激似乎也施加在橡胶手臂上。在同步视觉触觉刺激期间,橡胶手臂会感到疼痛,而对橡胶手臂涂抹假镇痛剂可显著降低报告的疼痛严重程度。这表明身体体验可以调节期望并诱导安慰剂镇痛。
本文介绍了一项实验,表明在橡胶手错觉期间应用于橡胶手的安慰剂治疗可产生安慰剂镇痛。这一发现表明,身体体现可能会影响安慰剂效应,这是治疗过程中一个以前未被研究的因素,具有潜在的治疗应用价值。