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The Influence of Side Effect Information Framing on Nocebo Effects
Kate Faasse1, Anna Huynh1, Sarah Pearson1
1School of Psychology, University of New South Wales, Sydney, Australia.
Summary
Positive framing of side effect information may temporarily reduce nocebo effects, but this benefit does not last. Nocebo effects can also spread to unrelated symptoms over time.
Area of Science:
- Psychology
- Medical Research
- Clinical Trials
Background:
- Nocebo effects, or negative health outcomes from negative expectations, are influenced by information about potential side effects.
- Balancing the disclosure of side effect information is crucial, as both over- and under-disclosure can be problematic.
Purpose of the Study:
- To investigate if positively framed information about side effects (emphasizing low likelihood) can mitigate nocebo effects compared to negatively framed information (emphasizing high likelihood).
Main Methods:
- 112 participants received sham capsules and were randomized into positive framing, negative framing, or no-treatment control groups.
- Side effect expectations were measured post-information, and actual symptoms (framed and unframed) were assessed during the session and at 24-hour follow-up.
Main Results:
- Nocebo effects were observed for framed side effects and, at follow-up, for other unmentioned symptoms.
- Positive framing initially reduced side effect symptoms compared to negative framing, but this effect diminished by the 24-hour follow-up.
- Participant expectations regarding side effects did not significantly differ between positive and negative framing conditions.
Conclusions:
- While positive framing offers short-term relief from side effects, its long-term efficacy in reducing nocebo effects is limited.
- Nocebo effects demonstrated a tendency to generalize to unmentioned symptoms within 24 hours.
- Further research is required to explore strategies for sustaining the positive impact of framing over extended periods.
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