Page No 283-290
Bincy Cherian, Manjula R, Ashfa Anjum
Baba Ghulam Shah Badshah University, Rajouri, Jammu & Kashmir, India
The nocebo effect refers to negative symptoms or adverse outcomes that arise from
negative expectations rather than from a harmful medical intervention. Developmental
factors, increased suggestibility, emotional dependence on caregivers, and sensitivity
to communication cues make children particularly susceptible to nocebo responses.
This narrative review describes the concept of the nocebo effect in children, underlying
psychological and neurobiological mechanisms, the role of parental influence and
healthcare communication, and implications for pediatric nursing practice. Recognition
and action against the nocebo effect are imperative to minimize unnecessary distress,
enhance treatment adherence, and provide child-centered, ethical healthcare