| 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. |