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The Power of Belief: Expectation-driven and Placebo Modulation of Empathic Pain

The Power of Belief: Expectation-driven and Placebo Modulation of Empathic Pain

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07367672
Acronym
PoB-EP
Enrollment
120
Registered
2026-01-26
Start date
2025-12-01
Completion date
2026-03-30
Last updated
2026-01-26

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

Conditions

Healthy Participants

Keywords

Analgesic expectation, Empathic pain, fMRI, Oxytocin, Placebo

Brief summary

This study investigates how belief and expectation influence empathic pain-the pain we feel when observing others in distress. Healthy adult participants will be randomly assigned to one of three groups: no-treatment control, placebo nasal spray, oxytocin-containing nasal spray. Participants in both the placebo and oxytocin conditions will be informed that they are receiving oxytocin, described as a potent agent for pain relief. During functional MRI scanning, all participants will view naturalistic pain-related videos and provide ratings of perceived subjective pain. The study aims to examine how cognitive beliefs and neuromodulatory interventions alter subjective pain experience and brain activity, including changes in brain network communication.

Detailed description

This study examines how belief-driven expectations modulate empathic pain at both behavioral and neural levels. Healthy adult participants will be randomly assigned to one of three groups: no-treatment control, placebo nasal spray, oxytocin-containing nasal spray. Participants in both the placebo and oxytocin conditions will be informed that they are receiving oxytocin, described as a potent agent for pain relief. During fMRI scanning, participants will complete a naturalistic empathic pain task by viewing videos depicting others in pain and rating their perceived pain on a standardized scale. Behavioral data will be transformed into analgesia-weighted scores to capture individual sensitivity to expectation-driven analgesia. Neural data will include whole-brain voxel-wise activity, multivariate predictive patterns derived from partial least squares regression (PLSR), and directed functional connectivity assessed using lagged partial-correlation directionality analysis (LPC-DA) to evaluate top-down and bottom-up information flow. The primary objectives are to (1) assess the behavioral effects of expectation-driven analgesia, (2) identify brain regions predictive of pain modulation, and (3) characterize hierarchical network reorganization under different interventions.

Interventions

Administer oxytocin (24 IU) intranasally, 6 individual 0.1 ml puffs (4 IU/0. 1ml), three puffs per nostril one every 30 seconds. The participants will be informed that they are receiving oxytocin, described as a potent agent for pain relief.

Administer placebo intranasally, 6 individual 0.1 ml puffs, three puffs per nostril one every 30 seconds. The participants will be informed that they are receiving oxytocin, described as a potent agent for pain relief.

Sponsors

University of Electronic Science and Technology of China
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
DOUBLE (Investigator, Outcomes Assessor)

Masking description

The placebo (PLC) and oxytocin (OXT) spray conditions were conducted under a single-blind design due to all participants in both the placebo and oxytocin conditions will be informed that they are receiving oxytocin, described as a potent agent for pain relief.

Intervention model description

The placebo (PLC) and oxytocin (OXT) spray conditions were conducted under a single-blind design due to all participants in both the placebo and oxytocin conditions will be informed that they are receiving oxytocin, described as a potent agent for pain relief.

Eligibility

Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
Yes

Inclusion criteria

* (1) Healthy subjects without any past or present psychiatric or neurological disorders; (2) Healthy subjects without any current psychotherapeutic medication.

Exclusion criteria

* (1) Participant with any past or present psychiatric or neurological disorders; (2)Participant with any current psychotherapeutic medication.

Design outcomes

Primary

MeasureTime frameDescription
Analgesia-weighted empathic pain ratings (R')During fMRI scanning (45 minutes follollowing treament adminstration), for each video stimulus presentationSubjective pain ratings for each stimulus adjusted for treatment-specific baseline and analgesia-dependent gain to capture individual sensitivity to expectation-driven analgesia.
Whole-brain multivariate predictive patternsDuring fMRI scanning (45 minutes follollowing treament adminstration), analyzed post-sessionPartial least squares regression (PLSR) will be applied to voxel-wise fMRI contrast maps to identify latent components that predict analgesia-weighted pain scores under different interventions.
Directed functional connectivity and network hierarchyDuring fMRI scanning (45 minutes follollowing treament adminstration), analyzed post-sessionLagged partial-correlation directionality analysis (LPC-DA) among key regions identified by PLSR will quantify top-down and bottom-up information flow in empathic pain circuits.

Countries

China

Contacts

CONTACTWeihua Zhao
zarazhao@uestc.edu.cn+8618780247797
CONTACTKeith Kendrick
k.kendrick.uestc@gmail.com+86-28-61830811
STUDY_CHAIRSiying Wang

University of Electronic Science and Technology of China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026