社会学习对nocebo效应的影响:系统审查和元分析,并为未来提出建议
Cosette Saunders1, Winston Tan1, Kate Faasse2
1School of Psychology, University of Sydney, Camperdown, Australia.
Health psychology review
|August 29, 2024
概括
社会学习显著诱导负面的健康期望,称为nocebo效应,与经典的条件化相比. 针对社会学习途径的干预措施可以减轻nocebo效应.
科学领域:
- 心理学 心理学 心理学
- 行为科学 行为科学
- 健康科学 卫生科学 卫生科学
背景情况:
- 个人经常根据观察他人而修改信仰和行为.
- 社会学习可以无意中创造负面的健康期望,导致nocebo效应.
- 诺塞博效应可以使健康状况恶化.
研究的目的:
- 为了确定社会学习是否可以诱导nocebo效应.
- 为了比较社会学习的nocebo效应诱导与经典的条件化和明确的指令.
- 为了确定影响社会诱导的nocebo效应的因素.
主要方法:
- 20项研究的系统综述和元分析,共1388名参与者.
- 量化了社会学习在诱导nocebo效应中的效果大小.
- 与没有治疗,中性建模,古典条件化和明确指令相比较的社会学习效应.
主要成果:
- 与没有治疗相比,社会学习显示出中大效果大小 (Hedges' g = .74).
- 社会学习的效应 (g = .42) 比古典条件化更小,但比明确指令 (g = .46) 更大.
- 面对面建模,更长时间的曝光和观察者同情心等因素放大了效应.
结论:
- 社会学习是诱导nocebo效应的重要途径.
- 社会学习的影响相当于经典的条件化,超越了明确的指令.
- 针对社会学习机制提供了一个有希望的干预途径,以减少nocebo效应负担.
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