A social affective neuroscience lens on placebo analgesia

Trends Cogn Sci. 2021 Nov;25(11):992-1005. doi: 10.1016/j.tics.2021.07.016. Epub 2021 Sep 16.

Abstract

Pain is a fundamental experience that promotes survival. In humans, pain stands at the intersection of multiple health crises: chronic pain, the opioid epidemic, and health disparities. The study of placebo analgesia highlights how social, cognitive, and affective processes can directly shape pain, and identifies potential paths for mitigating these crises. This review examines recent progress in the study of placebo analgesia through affective science. It focuses on how placebo effects are shaped by expectations, affect, and the social context surrounding treatment, and discusses neurobiological mechanisms of placebo, highlighting unanswered questions and implications for health. Collaborations between clinicians and social and affective scientists can address outstanding questions and leverage placebo to reduce pain and improve human health.

Keywords: affect; analgesia; pain; placebo; social.

Publication types

  • Research Support, N.I.H., Intramural
  • Review

MeSH terms

  • Analgesia* / psychology
  • Cognitive Neuroscience*
  • Humans
  • Pain / psychology
  • Pain Management
  • Placebo Effect