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. 2025 Feb 6;13(2):392. doi: 10.3390/biomedicines13020392
Author (Year) Study Type Psychological Elements of the CAMs Population Outcomes and Limitations
Forer (1949) [115] Experimental Personal validation fallacy College students Outcomes:
        Demonstrated how people tend to accept vague, general personality descriptions as accurate.
Limitations:
        Limited sample, potential experimenter bias.
Beyerstein (2001) [124] Review Reasoning errors in alternative medicine General population Outcomes:
        Identified common logical fallacies in CAM beliefs.
Limitations:
        Lack of empirical data.
Kaptchuk (2002) [116] Review Placebo effect in CAM General population Outcomes:
        Discussed potential clinical significance of healing rituals.
Limitations:
        Lack of original data.
Winslow, Shapiro (2002) [108] Cross-sectional survey Physicians’ attitudes towards CAM education American physicians Outcomes:
        Physicians want more CAM education to better communicate with patients.
Limitations:
        Potential response bias.
Klein, Helweg-Larsen (2002) [111] Meta-analysis Perceived control and optimistic bias General population Outcomes:
        Positive correlation between perceived control and optimistic bias.
Limitations:
        Heterogeneity in included studies.
        The findings may not be generalizable to the use of CAM.
Honda et al. (2005) [99] Cross-sectional survey Personality, coping strategies, and social support in CAM use American adults Outcomes:
        Personality traits, coping strategies and social support influence CAM use.
Limitations:
        Self-reported data, potential recall bias.
Singh et al. (2005) [113] Qualitative study is based on in-person interviews Motivation for CAM use Men with prostate cancer Outcomes:
        Identified various motivations for CAM use, including hope and empowerment.
Limitations:
        Small sample size.
        Limited generalizability to musculoskeletal care.
Shih et al. (2009) [114] Cross-sectional survey CAM usage patterns Singaporean adult cancer patients Outcomes:
        High prevalence of CAM use, influenced by cultural factors.
Limitations:
        Single-center study.
        Potential selection bias.
        Limited generalizability to musculoskeletal care.
Sperber (2010) [120] Theoretical review The “Guru Effect” in alternative beliefs N/A Outcomes:
        Proposed mechanism for why people trust incomprehensible ideas from perceived authorities.
Limitations:
        Lack of empirical testing.
Wolfe, Michaud (2010) [122] Observational study Hawthorne effect in clinical trials Patients with rheumatoid arthritis (RA) Outcomes:
        Patients showed improved outcomes during the screening process before receiving any treatment.
        This effect led to an overestimation of treatment efficacy in clinical trials.
Limitations:
        Study based on observational data, which may limit causal inferences.
        Potential confounders are not fully controlled.
        Generalizability to other conditions or trial designs may be limited.
Berthelot et al. (2011) [121] Commentary Hawthorne effect vs placebo effect N/A Outcomes:
        Argued Hawthorne effect may be stronger than placebo in some cases.
Limitations:
        Limited empirical evidence presented.
Walach (2013) [90] Book chapter/review Placebo effects in CAM General population Outcomes:
        Discusses the role of placebo effects in CAM, suggesting that these effects may be particularly strong in CAM due to the holistic approach and strong therapeutic relationships.
        Proposes that CAM might trigger self-healing responses through various contextual and psychological factors.
Limitations:
        Not peer-reviewed research.
        May lack the rigorous methodology of a systematic review or meta-analysis.
        The generalizability of the conclusions may be limited due to the diverse nature of CAM practices.
Benedetti et al. (2013) [98] Experimental Pain perception and opioid/cannabinoid systems Healthy volunteers Outcomes:
        Changing pain meaning from negative to positive activates opioid and cannabinoid systems.
Limitations:
        Small sample size.
        laboratory setting.
Yarritu, Matute (2015) [104] Experimental Causal illusion in health beliefs University students Outcomes:
        Prior knowledge can induce an illusion of causality through biased behavior.
Limitations:
        Artificial laboratory task.
Blanco (2017) [102] Book chapter/Review Cognitive bias General population Outcomes:
        Defined and described various cognitive biases.
Limitations:
        Not original research.
        Not peer-reviewed research.
Stub et al. (2017) [118] Qualitative interviews Complementary therapists’ reflections on practice Norwegian CAM practitioners Outcomes:
        Therapists often refer to “patient healing power” as placebo effect.
Limitations:
        Small sample.
        Potential social desirability bias.
Galbraith et al. (2018) [112] Systematic review Traits and cognitions associated with CAM use/belief CAMs user Outcomes:
        Identified personality traits and cognitive styles linked to CAM use.
Limitations:
        Heterogeneity in included studies.
Garrett et al. (2019) [119] Mixed methods Perceptions of internet-based health scams UK adults Outcomes:
        Identified factors promoting engagement with online health scams.
Limitations:
        Potential selection bias in online sample.
Moreno Castro et al. (2019) [101] Qualitative research methods Influences on perception of pseudo-therapies Spanish population Outcomes:
        Media, social circles, and education influence pseudo-therapy beliefs.
Limitations:
        Self-reported data, potential social desirability bias.
Chow et al. (2021) [105] Experimental Causal relationships in pseudoscientific health beliefs University students Outcomes:
        Perceived frequency of causal relationships influences pseudoscientific beliefs.
Limitations:
        Artificial laboratory task.
Rodríguez-Ferreiro et al. (2021) [106] Experimental Evidential criteria in pseudoscience believers Spanish adults Outcomes:
        Pseudoscience believers have lower evidential criteria.
Limitations:
        The online sample may not be representative of the general population.
        Self-reported measurements may be subject to bias.
        The study’s correlational nature limits causal inferences about the relationship between evidential criteria and pseudoscientific beliefs.
Davies et al. (2022) [117] Systematic review Knowledge used in CAM consultations Physicians and patients Outcomes:
        Classified types of knowledge used in CAM practice.
Limitations:
        Heterogeneity in included studies.
Esteves et al. (2022) [100] Theoretical paper Osteopathic care as enactive inference General population Outcomes:
        Proposed theoretical framework for osteopathic practice.
Limitations:
        Lack of empirical testing.
Garcia-Arch et al. (2022) [107] Experimental Expert feedback on pseudoscientific beliefs Spanish adults Outcomes:
        Expert feedback can increase acceptance of health-related pseudoscientific beliefs.
Limitations:
        Online sample.
        Artificial task.
García-Arch et al. (2022) [109] Correlational Prediction of pseudoscience acceptance Spanish adults Outcomes:
        Information interpretation and individual differences predict pseudoscience acceptance.
Limitations:
        Cross-sectional design, self-reported data.
Piñeiro Pérez et al. (2022) [110] Cross-sectional survey Pediatricians’ knowledge and use of CAM Spanish pediatricians Outcomes:
        Identified gaps in CAM knowledge among pediatricians.
Limitations:
        Potential response bias.
Segovia et al. (2022) [9] Cross-sectional survey Trust and belief in pseudotherapies Spanish adults Outcomes:
        Pseudotherapy use is associated with trust in efficacy rather than belief in scientific validity.
Limitations:
        Self-reported data.
        Potential social desirability bias.
Torres et al. (2022) [103] Experimental Causal illusion in pseudoscientific beliefs Spanish university students Outcomes:
        Information interpretation and search strategies influence causal illusions.
Limitations:
        It does not allow us to know the causality between the illusions of causality and the tendency to maintain unjustified beliefs.
        There may be variables that are not controlled.
Vicente et al. (2023) [125] Experimental Prior beliefs’ influence on judgments of medicine effectiveness University students Outcomes:
        Prior beliefs influence judgments about both alternative and scientific medicine.
Limitations:
        The online sample may not be representative, which prevents generalization of the results.
        Potential social desirability bias.
        The correlational nature of the study limits causal inferences.
        The study is based on hypothetical scenarios, which may not fully reflect how people would make decisions in real health situations.
        The study cannot fully control for other factors that might influence judgments about the effectiveness of treatments.
Neogi, Colloca (2023) [123] Narrative review Placebo effects in osteoarthritis Patients with osteoarthritis Outcomes:
        Placebo effects contribute significantly to pain relief in osteoarthritis.
        These effects are mediated by psychological factors and neurobiological mechanisms.
        Placebo responses may be enhanced by several factors, including the therapeutic encounter, treatment characteristics, and individual patient factors.
        It is suggested that understanding and harnessing placebo effects could improve clinical outcomes and drug development in osteoarthritis.
Limitations:
        The review is based on existing literature, which may have variable quality and methodologies.
        Generalizability of the findings to all patients with osteoarthritis may be limited.
        The review does not provide new empirical data.
        The long-term effects of placebo responses in osteoarthritis are not well established.