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The placebo effect in reading performance: A cross-over experimental study
Sandro Franceschini1, Sara Bertoni2, Patrik Pluchino1
1Department of General Psychology, University of Padua, Padova, Italy.
Acta Psychologica
|April 8, 2026
Summary
Placebo effects, driven by positive expectations, can enhance reading speed for words and pseudowords. Negative expectations (nocebo) did not significantly impair performance in this study.
Area of Science:
- Cognitive Neuroscience
- Psychology
Background:
- Placebo and nocebo effects are known to influence perceptual and sensorimotor functions by altering brain chemistry and circuitry.
- The impact of these effects on higher-level cognitive processes like reading remains less understood.
Purpose of the Study:
- To investigate whether placebo and nocebo effects can modulate high-level cognitive functions, specifically single word reading and pseudoword decoding.
- To examine the role of explicit and implicit expectation induction on reading performance.
Main Methods:
- A within-subject experiment involving 102 young adults wearing sham glasses.
- Induction of positive and negative expectations through verbal instructions and computerized feedback.
- Measurement of subjective effects, personality traits (Big Five), pupil size, and heart rate.
Main Results:
- Explicit placebo expectations significantly enhanced word and pseudoword reading speed.
- Negative expectations did not show a significant impairment in reading speed within the study's task duration.
- No significant differences were found in heart rate or pupil size between placebo and nocebo conditions.
- Participant-reported subjective effects indicated perceived influence of the sham glasses on performance.
Conclusions:
- Placebo effects can positively modulate high-level cognitive tasks such as reading speed.
- The findings suggest a need to consider and harness placebo effects in clinical settings and reading interventions.
- Further research is needed to explore potential nocebo effects in tasks of longer duration.
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