Katja Wiech
My research focuses on the influence of beliefs on the perception of pain. These beliefs can be related to various aspects – pain itself, one’s ability to cope with it or conditions that can influence the two. A prime example of this influence is placebo analgesia, i.e. pain reduction following sham treatment that is induced by the expectation of pain relief.
Although the influence of beliefs on pain has been known for a long time, surprisingly little is known about its underlying mechanisms in the brain. Insights into the neural basis of this influence could aid in exploiting this powerful mechanism in a systematic way to open up new avenues for the prevention and treatment of pain, but also for a wider range of chronic health conditions, for which pain can be seen as a prototype.
In my research I use a multi-methods approach combining different non-invasive neuroimaging techniques including functional and structural magnetic resonance imaging (MRI) with behavioral and autonomic measures. In previous studies I have shown that beliefs can engage powerful brain mechanisms that can aggravate as well as alleviate pain. At present, I aim to characterize the process that integrates beliefs with incoming sensory information and the failure of optimal integration in biased perception. With my background in Experimental and Clinical Psychology I seeks to translate my basic research into clinical pain to make the findings available to the prevention and treatment of chronic pain.
Key publications
Cortico-Brainstem Mechanisms of Biased Perceptual Decision-Making in the Context of Pain.
Journal article
Wiech K. et al, (2022), J Pain, 23, 680 - 692
Deconstructing the sensation of pain: The influence of cognitive processes on pain perception.
Journal article
Wiech K., (2016), Science, 354, 584 - 587
The effect of treatment expectation on drug efficacy: imaging the analgesic benefit of the opioid remifentanil.
Journal article
Bingel U. et al, (2011), Sci Transl Med, 3
nterior insula integrates information about salience into perceptual decisions about pain.
Journal article
Wiech K. et al, (2010), J Neurosci, 30, 16324 - 16331
Recent publications
Nocebo effects are stronger and more persistent than placebo effects in healthy individuals.
Journal article
Kunkel A. et al, (2025), Elife, 14
Side-effects are often a curse. Can they also be a blessing?
Journal article
Wiech K. et al, (2024), Brain, 147, 2598 - 2600
n externally validated resting-state brain connectivity signature of pain-related learning.
Journal article
Kincses B. et al, (2024), Commun Biol, 7
Hydrocortisone Differentially Affects Reinstatement of Pain-related Responses in Patients With Chronic Back Pain and Healthy Volunteers.
Journal article
Schmidt K. et al, (2024), J Pain, 25, 1082 - 1093
lzheimer disease may compromise patients' ability for expectancy-based pain modulation. Now what?
Journal article
Wiech K. and Bingel U., (2024), Pain, 165, 256 - 257
