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Behavioral and neural underpinnings of positive and negative treatment expectations, and their effects on pain

Behavioral and neural underpinnings of positive and negative treatment expectations, and their effects on pain - COLA MRT

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
DRKS
Registry ID
DRKS00031993
Enrollment
65
Registered
2023-07-31
Start date
2023-07-31
Completion date
Unknown
Last updated
2026-06-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy volunteers

Interventions

Group 1: Healthy volunteers receive heat pain stimuli in three experimental conditions, that are varied trial-by-trial (within-subject design with three measurement days, MRI measurement on day 2).

Sponsors

Universitätsklinikum Essen, Klinik für Neurologie
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 40 Years

Inclusion criteria

Inclusion criteria: - Healthy - Right-handedness - Fluent in German - Written voluntary consent to participate - Absistence from consuming alcohol 24h before each session

Exclusion criteria

Exclusion criteria: - Left-handedness - Substance/drug use in the past 4 weeks before the participation - Regular medication intake in the last 7 days (except hormonal contraceptives) - Use of over-the-counter pain medication in the past 24 hours - Known neurological, internal, psychological, or dermatological conditions - Allergies (contact allergies) - Previous experiences with electro- or nerve stimulation (e.g. in the gym, TENS, etc) - Participation in an experimental study involving electrical stimulation or heat stimulation in the last 6 months - Color blindness or red-green deficiency - Surgical procedures in the past 6 months - Injuries/scars on the forearms - Skin damage (e.g., sunburn) to the forearms - Limited vision or uncorrected vision that cannot be corrected using contact lenses or the scanner glasses (+6 to –6 dioptres) - Astigmatism that cannot be corrected using contact lenses or the scanner glasses - Limited hearing - Acute infections - Any contraindication for MRI measurement (metal or electrical implants, pregnancy, claustrophobia, work with metal, etc.) - Failed calibration in session 1: e.g., the calibration procedure ends up with indistinguishable temperatures for VAS 40, 60 and 80

Design outcomes

Primary

MeasureTime frame
Brain activity associated with positive and negative expectations regarding pain during the conditioning and test phase.

Secondary

MeasureTime frame
Extent of subjective placebo analgesia and nocebo hyperalgesia (difference in ratings of actual pain intensity between experimental conditions during the test phase). Extent of subjective expectation (difference in ratings of expected pain intensity between experimental conditions during the conditioning and test phase). Change in subjective expectations (GEEE ratings of expected and experienced treatment efficacy between experimental conditions over the course of the experiment. Other exploratory outcomes are: - the experience and tolerability of the treatment - genetic predispositions (measured via a saliva sample) - somatosensory amplification (Somatosensory Amplification Scale, SSAS) - perceived stress (Perceived Stress Scale, PSS) - anxiety and depression as a state (State)/current state (State-Trait Anxiety Depression Inventory, STADI State) over the entire course of the experiment - anxiety and depression as a trait (Trait)/general state anxiety and depression (STADI Trait) - fear of pain (Fear of Pain Questionnaire, FPQ-III)) - catastrophizing thoughts related to pain (Pain Catastrophizing Scale, PCS) - personality factors (Big Five Inventory) - behavioral activation vs. inhibition (BIS/BAS) - functional and structural connectivity of the brain (e.g., resting state fMRI, diffusion tensor imaging)

Countries

Germany

Contacts

Public ContactHelena Hartmann

Universitätsklinikum Essen, Klinik für Neurologie

helena.hartmann@uk-essen.de00492017232439

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Jun 27, 2026