We warmly invite you to this great online patient forum (in German) on 29.9.2024 from 17:30 – 19:15 where Ulrike Bingel, Helena Hartmann, and Sven Benson will talk about the power of expectations. Click here to download the flyer and here to register for the Zoom webinar.

At the WTZ-Aktionstag organized by the Westdeutsches Tumorzentrum, some of the Bingellab’s members showed patients and colleagues what and how we are researching treatment expectations and their effects on pain. Thanks to all people who were interested in our work!

A CRC/TRR 289 research team from the Universities of Marburg, Giessen and Essen (including the Bingellab) investigated how treatment expectations influence treatment success and how homeopathy uses these effects. Homeopathy is often presented as having no effect at all because no effect beyond the placebo effect has been proven. Globules do not contain any pharmacologically active ingredients that could rationally explain an effect, yet both patients and homeopaths report positive effects for various disorders. How can this be explained? Read the original publication here.

Interdisciplinary multimodal pain treatment (IMPT) represents an effective treatment option for chronic pain. Alas, it is also a very expensive and personnel-intensive intervention. Although IMPT could be accomplished in a resource-saving day hospital setting, there is no general insurance coverage for it and thus, IMPT is usually conducted in an in-patient setting. In this study, members of the CRC compared the differences in treatment outcome between, an otherwise identical, ambulatory and in-patient IMPT, at the back pain center Essen, in a matched cohort. Our data provide novel insights by suggesting at least equal effectiveness of ambulatory compared with in-patient IMPT for patients with chronic back pain. Moreover, ambulatory treatment seemed partly superior, with greater improvements in pain-related disability 3 months and in pain intensity 6 months post treatment. This advantage could have been driven by a larger gain in pain-related self-efficacy, which was already present, directly post-treatment for ambulatory patients. Read the english publication led by Dustin Maser and Ulrike Bingel in the journal Pain here.

The therapeutic effect of medicines is determined by more than their pharmacological properties. Factors such as the colour of a tablet, its taste and even its price have been found to significantly influence efficacy. This insight has sparked optimism about the potential to enhance drug effects by tweaking these and other features to optimize therapeutic outcomes. In a new article published in Brain, Schenk and colleagues add a somewhat counter-intuitive factor to the list of features that could be targeted to boost the efficacy of a drug: side effects. Read the english commentary by Katja Wiech, Helena Hartmann, and Ulrike Bingel in the journal Brain here. You can find the original study here.

In a collaboration with Tamas Spisak’s lab, we show a predictive model based on brain connectivity that explains individual differences in pain learning and shows promise as a biomarker in translational pain research. Read the full article here.

Become a part of the Bingellab: We are looking for a motivated Postdoc in Essen! Topic: Cognitive modulators of pain and analgesia in health and chronic pain as part of the CRC/TRR 289. Methods: Functional/structural MRI and pharmacology. More information here.

On the 25th of April, two boys interested in science spent the day in the lab for Boys Day. We had lots of fun with the rubberhand illusion, information about studying medicine and doing science at the same time, talking about transcranial magnetic stimulation, crafting brain helmets out of paper, and measuring pain with the cold pressor task.

Receiving touch is of critical importance, as many studies have shown that touch promotes mental and physical well-being. But what is the current status quo of research? Which moderators contribute to positive effects of touch on mental and physical health? Helena Hartmann, together with collaborators from Amsterdam and Bochum, published a systematic review and multivariate meta-analysis of the physical and mental health benefits of touch interventions. Read the study published in Nature Human Behaviour here.

Treatment outcome is strongly influenced by treatment expectations. Modifying expectations by targeting contextual factors can substantially improve therapy success, making them a valuable focus for therapeutic interventions. Elif Buse Caliskan, Ulrike Bingel and Angelika Kunkel highlight the neurobiological underpinnings of treatment expectations as well as strategies to modulate contextual factors to optimize treatment outcomes in daily clinical settings. Their article was published in Pain Reports and can be read here.