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| Natura: | Artículo Open Access |
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Wiley
2025
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| Accesso online: | https://compass.onlinelibrary.wiley.com/doi/10.1111/spc3.70094 |
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Sommario:
- Development and Evaluation of Cognitive and Behavioral Strategies to Improve Interventions in Reducing Nocebo Effects Emily K. Spotts Andrew L. Geers Social and Personality Psychology Compass ABSTRACT Nocebo side‐effects are adverse health events that can occur when one becomes aware of the potential for negative side‐effects, which can increase treatment non‐adherence and reduce quality of life, making it valuable to identify techniques to decrease the effects. One method for combating nocebo effects that has gained empirical support is nocebo education, in which a person is informed about nocebo effects. Educating individuals about nocebo effects has reduced side‐effects in past studies; however, the evidence is limited, and the effect has often been modest in magnitude. Building from Protection Motivation Theory and other health behavior theories, we propose that nocebo education interventions can be improved by explicitly providing patients clear, actionable cognitive and behavioral regulatory strategies for preventing and diminishing nocebo effects. To this end, we review the literature and develop five specific nocebo reduction strategies that, based on current evidence, individuals may be able to enact. We also present initial data from an online pre‐registered survey in which participants learned about and evaluated each of the five strategies. Participants ( N = 101) perceived the five strategies as likely to be effective in reducing nocebo side‐effects and were motivated to enact the strategies. Individual difference factors were also explored, with, for example, those self‐reporting better health perceiving greater self‐efficacy in their ability to use several of the proposed nocebo reduction strategies. This present paper lays theoretical groundwork for new patient‐enacted approaches for nocebo effect reduction. 10.1111/spc3.70094 http://creativecommons.org/licenses/by/4.0/