Personality Predicts Placebo Effect

People with certain personality traits are more likely to get pain relief from a placebo, a finding that could help improve clinical trials.

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Colored areas show regions of greater mu-opioid release during placebo administration in volunteers with high levels of resilience, straightforwardness and altruism, and low levels of angry hostility. Marta Pecina/University of MichiganIndividuals who are altruistic, resilient, and straightforward show greater activity in brain regions associated with reward and are more likely to enjoy pain relief when a placebo is administered during a painful experience, according to a study reported this week (November 15) in Neuropsychopharmacology. The findings suggest that simple personality tests could be used to improve the accuracy of clinical trials by identifying people likely to skew results with high placebo responses.

“This is interesting because it’s one of the first studies to look at how personality traits are associated with placebo analgesia not only in terms of subjective reports of pain relief, but also with quite solid objective measures in key parts of the brain,” said Tor Wager, a neuroscientist at the University of Boulder, Colorado, who was not involved in the study.

Placebos are known to have strong analgesic effects. In 2007, neuroscientist Jon-Kar Zubieta of the University of Michigan showed that such effects were associated with activity in the nucleus accumbens, a brain region involved in reward and pleasure. That suggested that placebo analgesia might occur in part because positive expectations of reward (pain relief) spike dopamine levels in the brain and stimulate the ...

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