Mia Thomaidou

74 Thomaidou and colleagues (2021a) studied electrophysiological processes underlying nocebo hyperalgesia, aiming to identify EEG biomarkers of nocebo-augmented pain. Nocebo effects on thermal pain were induced through conditioning and negative suggestions regarding the pain increasing effects of an inert gel. Nocebo hyperalgesia led to widespread pre- to post-acquisition increases in resting-state long-range temporal correlations of brain oscillations, which were negatively associated with nocebo magnitudes. Individuals with strong long-range temporal correlations of brain oscillations during pre-acquisition rest showed larger nocebo responses than those with weak long-range temporal correlations. Moreover, increases in alpha and decreases in beta and gamma oscillations were found during nocebo-augmented pain in the evocation phase. This study highlighted the role of increased cognitive processing of pain at the electrophysiological level, under nocebo-hyperalgesic conditions. Pazzaglia and colleagues (2016) used laser pulses to measure laserevoked potentials (LEPs), aiming to investigate potentials related to cognitive control, such as the N2 and P2 components. In two groups, either negative suggestions in combination with conditioning or negative suggestions alone about a nocebo cream were used to induce nocebo effects. A neutral cream was used as the control stimulus. Post-treatment pain ratings were compared to baseline and between the cream-treated hand and the untreated hand. The authors demonstrated reduced habituation to pain as a result of the nocebo manipulations. Diminished N2/P2 LEP amplitudes in central scalp regions paralleled the diminished habituation. Piedimonte and colleagues (2017) aimed to differentiate between specific sensory-anticipatory and motor components of electrically induced nocebo hyperalgesia. To this end, the authors examined contingent negative variation (CNV) amplitudes. Early CNV is considered an event-related potential related to the anticipation of an

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