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  1. A. Rosén, M. Lekander, K. Jensen et al., “The effects of positive or neutral communication during acupuncture for relaxing effects: a sham-controlled randomized trial,” Evidence-based Complementary and Alternative Medicine, vol. 2016, Article ID 3925878, 11 pages, 2016.
Evidence-Based Complementary and Alternative Medicine
Volume 2016, Article ID 3925878, 11 pages
Research Article

The Effects of Positive or Neutral Communication during Acupuncture for Relaxing Effects: A Sham-Controlled Randomized Trial

1Department of Clinical Neuroscience, Osher Centre for Integrative Medicine, Karolinska Institute, 171 77 Stockholm, Sweden
2Stress Research Institute, Stockholm University, 106 91 Stockholm, Sweden
3Department of Medical and Health Sciences, Division of Physiotherapy, Linköping University, 581 83 Linköping, Sweden

Received 16 December 2015; Accepted 12 January 2016

Academic Editor: Panos Barlas

Copyright © 2016 Annelie Rosén et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. The link between patient-clinician communication and its effect on clinical outcomes is an important clinical issue that is yet to be elucidated. Objective. Investigating if communication type (positive or neutral) about the expected treatment outcome affected (i) participants’ expectations and (ii) short-term relaxation effects in response to genuine or sham acupuncture and investigating if expectations were related to outcome. Methods. Healthy volunteers (, mean age of 42) were randomized to one treatment with genuine or sham acupuncture. Within groups, participants were randomized to positive or neutral communication, regarding expected treatment effects. Visual Analogue Scales (0–100 millimeters) were used to measure treatment expectations and relaxation, directly before and after treatment. Results. Participants in the positive communication group reported higher treatment expectancy, compared to the neutral communication group (md 12 versus 6 mm, ). There was no difference in relaxation effects between acupuncture groups or between communication groups. Participants with high baseline expectancy perceived greater improvement in relaxation, compared to participants with low baseline levels (md 27 versus 15 mm, ). Conclusion. Our data highlights the importance of expectations for treatment outcome and demonstrates that expectations can be effectively manipulated using a standardized protocol that in future research may be implemented in clinical trials.