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健康个体中认知安慰剂和反安慰剂效应的证据。

Evidence for Cognitive Placebo and Nocebo Effects in Healthy Individuals.

机构信息

Department of Clinical Neurophysiology, University Medical Center Goettingen, Goettingen, Germany.

Institute for Psychology, University of Tromsø, Tromsø, Norway.

出版信息

Sci Rep. 2018 Nov 28;8(1):17443. doi: 10.1038/s41598-018-35124-w.


DOI:10.1038/s41598-018-35124-w
PMID:30487547
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6261963/
Abstract

Inactive interventions can have significant effects on cognitive performance. Understanding the generation of these cognitive placebo/nocebo effects is crucial for evaluating the cognitive impacts of interventional methods, such as non-invasive brain stimulation (NIBS). We report both cognitive placebo and nocebo effects on reward-based learning performance induced using an active sham NIBS protocol, verbal suggestions and conditioning in 80 healthy participants. Whereas our placebo manipulation increased both expected and perceived cognitive performance, nocebo had a detrimental effect on both. Model-based analysis suggests manipulation-specific strategic adjustments in learning-rates: Participants in the placebo group showed stronger learning from losses and reduced behavioral noise, participants in the nocebo group showed stronger learning from gains and increased behavioral noise. We conclude that experimentally induced expectancy can impact cognitive functions of healthy adult participants. This has important implications for the use of double-blind study designs that can effectively maintain blinding in NIBS studies.

摘要

无效干预措施可能对认知表现产生重大影响。了解这些认知安慰剂/反安慰剂效应的产生对于评估干预方法(如非侵入性脑刺激(NIBS))的认知影响至关重要。我们报告了在 80 名健康参与者中使用主动假 sham NIBS 协议、口头建议和条件作用诱导的基于奖励的学习表现的认知安慰剂和反安慰剂效应。虽然我们的安慰剂操作提高了预期和感知的认知表现,但反安慰剂对两者都有不利影响。基于模型的分析表明,学习率存在特定于操作的策略调整:安慰剂组的参与者从损失中表现出更强的学习能力,行为噪声降低,反安慰剂组的参与者从收益中表现出更强的学习能力,行为噪声增加。我们得出结论,实验诱导的期望可以影响健康成年参与者的认知功能。这对使用双盲研究设计具有重要意义,因为双盲研究设计可以有效地在 NIBS 研究中保持盲法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0277/6261963/4acca75d7f76/41598_2018_35124_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0277/6261963/3a93416cbaf7/41598_2018_35124_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0277/6261963/c3c005fa76d4/41598_2018_35124_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0277/6261963/63de7767880a/41598_2018_35124_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0277/6261963/61ef53b8dc76/41598_2018_35124_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0277/6261963/4acca75d7f76/41598_2018_35124_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0277/6261963/3a93416cbaf7/41598_2018_35124_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0277/6261963/c3c005fa76d4/41598_2018_35124_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0277/6261963/63de7767880a/41598_2018_35124_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0277/6261963/61ef53b8dc76/41598_2018_35124_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0277/6261963/4acca75d7f76/41598_2018_35124_Fig5_HTML.jpg

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本文引用的文献

[1]
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[2]
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