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. 2021 Nov 19;240(2):381–394. doi: 10.1007/s00221-021-06265-8

Table.1.

Overview of studies assessing autosuggestion and related phenomena

Phenomena measured Definitions Sample size Dependent variables Control group Methods Results References
Autosuggestion Not given N total = 60, aged ≥ 60, 30 per gr

Quality of life ratings

Levels of serum cortisol concentration

Levels of immunity markers

Yes

A tapes

QoL chart

Measurements in cortisol level and psycho-neuroendocrine immunology markers by magnetic resonance spectroscopy

Higher QoL scores in A group

Serum cortisol reaching healthy norms in A gr.

Increase in immunity markers in A group

Sari et al. (2017)
Posthypnotic suggestion, autosuggestion ‘Autosuggestion refers to the process of implementing a mental change in oneself (e.g. by repeating suggestions to oneself and by engaging in goal-directed imagery).’ N total = 32, 16 per gr Number of bids for sweet/salty snacks No

fMRI

Questionnaire

Behavioural: decision making

Snack devaluation by both H and A

Effects stronger in hypnosis

Decreased BOLD signal in the vmPFC

Ludwig et al. (2014)
First three autosuggestive phases of AT, motor imagery Not given N total = 38, 19 per gr BOLD signal levels in experimental tasks and resting state Yes

fMRI

Questionnaires

Motor imagery

Left parietal cortex activation during the first two steps of AT in contrast to resting state in controls

Higher activation of prefrontal and insular cortices in AT group

Higher activation in sensory-motor areas (*) during imagery task in AT group as compared to controls

Schlamann et al. (2010)
Verbal suggestion/placebo ‘Placebos—a set of ‘words, rituals, symbols and meanings’ that can change the brains of the patients’ (Benedetti et al. 2011) N = 24, 14 in placebo-like gr, 10 in control gr Amplitude measurements of late SEPs (N140 and P 200) before and after treatment Yes

Electrical stimulation

Baseline session, experimental manipulation and final recording

No increase of tactile sensation after the treatment

No modification in late SEPs

Fiorio et al. (2014)
Positive and negative Suggestion/Placebo effects Not given N = 36, 13 per gr Pain threshold, pain tolerance and pain endurance measures Yes Hand immersion in ice cold water Higher pain thresholds, greater pain tolerance and greater pain endurance in PP gr compared to other groups Staats et al. (1998)
Placebo analgesia effects Not given N = 24 (exp 1) N = 23 (exp 2)

BOLD signal on placebo analgesia

PFC activation during pain anticipation

Subjective pain ratings

Yes

fMRI

Painful stimulation

Placebo analgesia

Reduced activity in the thalamus, insula, and ACC after placebo analgesia

Increased activity during anticipation of pain in PFC and midbrain

Greater reported pain for control than placebo condition

Wager et al. (2004)
Autogenic training (AT), cognitive selfhypnosis (CSH) Not given N = 156, 58 outpatient neurological patients, 48 community members, 40 students

Treatment outcomes for chronic headaches

Relations of level of hypnotizability to treatment outcome

Subject recruitment on treatment outcome

Use of analgesic medication

Yes Pretreatment, post-treatment (week 8) and follow-up (week 35)

Reduction in HI scores in experimental groups compared to controls during treatment

Reduction in HI scores in AT gr at post treatment differed sig. from WLC gr

No sig. differences between treatment conditions at follow-up

No sig. reduction in analgesics use between all groups

Ter Kulie et al. (1994)
Imagery Not given N = 40 Pressure pain thresholds Yes Pressure pain (induced by other, self, or other while imagining the pressure to be self-induced) Elevated pain thresholds in self and imagery conditions (sig. differences between all conditions) Lalouni et al. (2021)
Hypnosis ‘Ideomotor movement’—hypnotic phenomenon in which self-produced actions are attributed to an external source N = 6 highly hypnotisable Neural correlates of active movements correctly attributed to the self or misattributed to an external source Yes

PET

Hypnotic induction

Deepening induction

Sig. higher activations in the PC in active movements attributed to an external source compared to identical movements attributed to the self Blakemore et al. (2003)
Spiritual meditation, secular meditation, muscle relaxation Not given N = 83

Pain tolerance

Headache frequency

Mental and spiritual health variables

Yes Cold pressor task

Greater decreases in the headache frequency in spiritual meditation gr compared to other groups

Greater increases in pain tolerance, headacherelated self-efficacy, daily spiritual experiences and existential well-being in spiritual meditation gr compared to other groups

Wachholtz and Pargament (2005)

A autosuggestion, ACC anterior cingulate cortex, AT autogenic training, BOLD blood oxygen level-dependent, exp experiment, gr group, H hypnosis, HI headache index, NP negative placebo, PP positive placebo, PC parietal cortex, PET Positron Emission Tomography, PFC prefrontal cortex, vmPFC ventromedial prefrontal cortex, SEPs somatosensory evoked potentials, QoL quality of life, WLC waiting list control

*AT: postcentral BA 7 and BA 5, sup. frontal BA 6, inf. parietal (BA 40); controls: postcentral BA 5, sup. frontal BA 6, inf. parietal (BA 40)