Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/21853
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Nocebo and the potential harm of 'high risk' labelling: A scoping review
Authors: Symon, Andrew
Williams, Brian
Adelasoye, Qadir A
Cheyne, Helen
Contact Email: h.l.cheyne@stir.ac.uk
Keywords: biopsychosocial model of health and illness
conceptual model
negative placebo
nocebo
nursing theory
psychosocial correlates
Issue Date: Jul-2015
Publisher: Wiley-Blackwell
Citation: Symon A, Williams B, Adelasoye QA & Cheyne H (2015) Nocebo and the potential harm of 'high risk' labelling: A scoping review, Journal of Advanced Nursing, 71 (7), pp. 1518-1529.
Abstract: Aims: A discussion of the existence, prevalence and characteristics of the nocebo effect in health care. Background: There is increasing but inconsistent evidence for nocebo effects (the opposite of placebo). Causal mechanisms are believed to be similar to placebo (negative effects result from suggestions of negative clinical outcomes). Risk screening in health care may produce this unintended effect through labelling some patients as high risk. Given health care's almost universal coverage this potentially affects many people. Design: Discussion paper following a scoping review of the existence and frequency of nocebo. Data sources: Literature databases (PsycINFO, MEDLINE, CCTR, CINAHL and EMBASE) searched from inception dates to 2013. Implications for nursing: Significant empirical evidence indicates that negative beliefs may impact on health outcomes (incidence estimates range from 3-27%). The nocebo effect, rooted in the complex interplay between physiological functioning and social factors, appears significantly more common among women and where prior negative knowledge or expectations exist. Pre-existing psychological characteristics (anxiety, neuroses, panic disorder or pessimism) exacerbate it. Conclusion: While the placebo effect is well documented, there has been no systematic attempt to synthesize primary empirical research on the role of nocebo. It is possible that nocebo outcomes may be preventable through careful consideration of information provision and the prior identification of potentially high risk individuals. This paper summarizes the scale and importance of the nocebo effect, its distribution according to a range of social and clinical variables and its known relation to psychological precursors. It identifies important gaps in the research literature.
Type: Journal Article
URI: http://hdl.handle.net/1893/21853
DOI Link: http://dx.doi.org/10.1111/jan.12637
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of Dundee
NMAHP Research
King's College London
NMAHP Research

Files in This Item:
File Description SizeFormat 
Symon_et_al-2015-Journal_of_Advanced_Nursing.pdf172.62 kBAdobe PDFUnder Embargo until 31/12/2999     Request a copy

Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependant on the depositor still being contactable at their original email address.

This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.