A neural mechanism of direct and observational conditioning for placebo and nocebo responses

Classical theories suggest placebo analgesia and nocebo hyperalgesia are based on expectation and conditioned experience. Whereas the neural mechanism of how expectation modulates placebo and nocebo effects during pain anticipation have been extensively studied, little is known about how experience...

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Published inNeuroImage (Orlando, Fla.) Vol. 184; pp. 954 - 963
Main Authors Tu, Yiheng, Park, Joel, Ahlfors, Seppo P., Khan, Sheraz, Egorova, Natalia, Lang, Courtney, Cao, Jin, Kong, Jian
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.01.2019
Elsevier Limited
Subjects
Adult
Alpha band connectivity
Analgesia
Brain - physiology
Brain Waves
Conditioning
Conditioning, Psychological
Consciousness
Cortex (cingulate)
Cortex (temporal)
Experiments
Facial Recognition
Female
Heat
Humans
Hyperalgesia
Learning
Magnetoencephalography
Male
Narcotics
Neural networks
Neural Pathways - physiology
Nocebo Effect
Nocebos
Nociception - physiology
Pain
Pain Measurement
Pain perception
Placebo
Placebo Effect
Rostral anterior cingulate cortex
Sensory perception
Studies
Temporal gyrus
Visual cortex
Visual stimuli
Young Adult
Learning
Rostral anterior cingulate cortex
Alpha band connectivity
Conditioning
Consciousness
Placebo
Online AccessGet full text

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Abstract Classical theories suggest placebo analgesia and nocebo hyperalgesia are based on expectation and conditioned experience. Whereas the neural mechanism of how expectation modulates placebo and nocebo effects during pain anticipation have been extensively studied, little is known about how experience may change brain networks to produce placebo and nocebo responses. We investigated the neural pathways of direct and observational conditioning for conscious and nonconscious conditioned placebo/nocebo effects using magnetoencephalography and a face visual cue conditioning model. We found that both direct and observational conditioning produced conscious conditioned placebo and nocebo effects and a nonconscious conditioned nocebo effect. Alpha band brain connectivity changes before and after conditioning could predict the magnitude of conditioned placebo and nocebo effects. Particularly, the connectivity between the rostral anterior cingulate cortex and middle temporal gyrus was an important indicator for the manipulation of placebo and nocebo effects. Our study suggests that conditioning can mediate our pain experience by encoding experience and modulating brain networks. •Direct and observational conditioning could produce placebo/nocebo effects•Direct and observational conditioning could modulate alpha band brain connectivity•Alpha band brain connectivity was predictive for placebo/nocebo responses•rACC-MTG connectivity was an indicator of placebo/nocebo response magnitude
AbstractList Classical theories suggest placebo analgesia and nocebo hyperalgesia are based on expectation and conditioned experience. Whereas the neural mechanism of how expectation modulates placebo and nocebo effects during pain anticipation have been extensively studied, little is known about how experience may change brain networks to produce placebo and nocebo responses. We investigated the neural pathways of direct and observational conditioning for conscious and nonconscious conditioned placebo/nocebo effects using magnetoencephalography and a face visual cue conditioning model. We found that both direct and observational conditioning produced conscious conditioned placebo and nocebo effects and a nonconscious conditioned nocebo effect. Alpha band brain connectivity changes before and after conditioning could predict the magnitude of conditioned placebo and nocebo effects. Particularly, the connectivity between the rostral anterior cingulate cortex and middle temporal gyrus was an important indicator for the manipulation of placebo and nocebo effects. Our study suggests that conditioning can mediate our pain experience by encoding experience and modulating brain networks.
Classical theories suggest placebo analgesia and nocebo hyperalgesia are based on expectation and conditioned experience. Whereas the neural mechanism of how expectation modulates placebo and nocebo effects during pain anticipation have been extensively studied, little is known about how experience may change brain networks to produce placebo and nocebo responses. We investigated the neural pathways of direct and observational conditioning for conscious and nonconscious conditioned placebo/nocebo effects using magnetoencephalography and a face visual cue conditioning model. We found that both direct and observational conditioning produced conscious conditioned placebo and nocebo effects and a nonconscious conditioned nocebo effect. Alpha band brain connectivity changes before and after conditioning could predict the magnitude of conditioned placebo and nocebo effects. Particularly, the connectivity between the rostral anterior cingulate cortex and middle temporal gyrus was an important indicator for the manipulation of placebo and nocebo effects. Our study suggests that conditioning can mediate our pain experience by encoding experience and modulating brain networks. •Direct and observational conditioning could produce placebo/nocebo effects•Direct and observational conditioning could modulate alpha band brain connectivity•Alpha band brain connectivity was predictive for placebo/nocebo responses•rACC-MTG connectivity was an indicator of placebo/nocebo response magnitude
Author Lang, Courtney
Kong, Jian
Park, Joel
Tu, Yiheng
Cao, Jin
Egorova, Natalia
Ahlfors, Seppo P.
Khan, Sheraz
AuthorAffiliation 2 Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, USA
1 Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, USA
3 The Florey Institute of Neuroscience and Mental Health, Australia
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Rostral anterior cingulate cortex
Alpha band connectivity
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Consciousness
Placebo
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Snippet Classical theories suggest placebo analgesia and nocebo hyperalgesia are based on expectation and conditioned experience. Whereas the neural mechanism of how...
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SubjectTerms Adult
Alpha band connectivity
Analgesia
Brain - physiology
Brain Waves
Conditioning
Conditioning, Psychological
Consciousness
Cortex (cingulate)
Cortex (temporal)
Experiments
Facial Recognition
Female
Heat
Humans
Hyperalgesia
Learning
Magnetoencephalography
Male
Narcotics
Neural networks
Neural Pathways - physiology
Nocebo Effect
Nocebos
Nociception - physiology
Pain
Pain Measurement
Pain perception
Placebo
Placebo Effect
Rostral anterior cingulate cortex
Sensory perception
Studies
Temporal gyrus
Visual cortex
Visual stimuli
Young Adult
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Title A neural mechanism of direct and observational conditioning for placebo and nocebo responses
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