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Letter to Editor
ARTICLE IN PRESS
doi:
10.25259/JMSR_331_2024

The drucebo effect in sports: A new perspective on athletic performance

Department of Biomedical and Neuromotor Sciences, Alma Mater Studioru, University of Bologna, Bologna, Italy.

*Corresponding author: Roberto Tedeschi, Department of Biomedical and Neuromotor Sciences, Alma Mater Studioru, University of Bologna, Bologna, Italy. roberto.tedeschi2@unibo.it

Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms

How to cite this article: Tedeschi R. The drucebo effect in sports: A new perspective on athletic performance. J Musculoskelet Surg Res. doi: 10.25259/JMSR_331_2024.

Dear Editor,

I am writing to delve deeper into a topic that is increasingly prominent in the field of sports science: The influence of placebo and nocebo effects, which I have chosen to collectively name the “Drucebo effect” on athletic performance.[1] This terminology aims to capture the complex interaction between positive and negative expectations and their direct impact on sports performance. Understanding and practically applying these psychological concepts could revolutionize the approach to athletes’ mental and physical preparation, offering new strategies for optimizing performance and managing competitive pressures.[2]

SCIENTIFIC FOUNDATIONS OF THE PLACEBO AND NOCEBO EFFECTS

The placebo and nocebo effects have been extensively documented in medical literature, where a placebo is defined as an intervention without intrinsic therapeutic efficacy that, nevertheless, produces beneficial effects in some patients, solely based on positive expectations toward the treatment.[3] Similarly, the nocebo effect occurs when negative expectations lead to adverse outcomes. These phenomena are mediated by complex psychobiological mechanisms, including the release of endorphins and other neurotransmitters, which can alter pain perception and influence physical and psychological well-being.[4,5]

APPLICATION IN THE SPORTS FIELD

In sports, the perceived efficacy of a nutritional supplement, a particular training technique, or equipment can significantly improve athletic performance, regardless of their actual efficacy. This phenomenon is based on modulating the athlete’s expectations and confidence in the treatment or technique adopted. Similarly, a negative expectation, such as the conviction of being disadvantaged by unfavorable environmental conditions or inadequate preparation, can deteriorate performance.[6,7]

Scientific literature suggests that the placebo effect can improve performance by increasing fatigue resistance and decreasing the perception of effort, while the nocebo effect can limit these abilities. This highlights the importance of self-perception and mental attitude in optimizing sports performance. This application underlines the significance of mental preparation as an integral component of athletes’ overall performance strategy.

THE DRUCEBO EFFECT: A SYNTHESIS

The introduction of the term “Drucebo effect” aims to emphasize the duality and interdependence of the placebo and nocebo effects in sports. The drucebo effect was analyzed using innovative training methods emphasizing psychological strengthening techniques. Athletes underwent mental flexibility strategies designed to cultivate resilience against negative expectations while reinforcing positive cognitive frameworks. These techniques included mindfulness-based interventions and cognitive-behavioral therapies aimed at enhancing the athletes’ ability to control their mental state, ultimately improving both their mental and physical performance outcomes. Recognizing and understanding this phenomenon paves the way for innovative training methodologies that incorporate psychological strengthening techniques and mental resilience strategies, aiming to maximize positive effects and minimize negative ones on athletic performance.[1]

PRACTICAL IMPLICATIONS AND CONCLUSIONS

Research on the drucebo effect in sports offers promising perspectives for developing training protocols that combine the physical and psychological aspects, underscoring the importance of a holistic approach to athletes’ preparation. Awareness and management of expectations become fundamental tools in the modern athlete’s toolkit, allowing not only for improved performance but also for more effective coping with stress and competition pressures.[8,9]

Although no specific trials on the drucebo effect have been conducted with large athlete populations, existing research on placebo and nocebo effects in sports performance provides a strong foundation for this concept. Studies have shown that psychological interventions, such as managing expectations, can influence athletic outcomes by enhancing fatigue resistance and reducing perceived exertion.[3,4] Similar methods involving pre- and post-intervention assessments, such as the Profile of Mood States[10] and endurance tests, could be applied to explore the drucebo effect. Previous placebo studies in sports have demonstrated performance improvements of up to 15%, suggesting that integrating drucebo-based mental training into athletic preparation may yield comparable results in future trials.

In concluding this analysis, I invite the scientific and sports community to assess the importance of the drucebo effect as a critical factor in athletic success, promoting further research and debate on the subject. The synthesis of these concepts can provide a solid foundation for future training strategies and a better understanding of the mind’s influence on physical performance.

ETHICAL APPROVAL

The Institutional Review Board approval is not required.

DECLARATION OF PATIENT CONSENT

Patient’s consent was not required, as there are no patients in this study.

USE OF ARTIFICIAL INTELLIGENCE (AI)-ASSISTED TECHNOLOGY FOR MANUSCRIPT PREPARATION

The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.

CONFLICTS OF INTEREST

There are no conflicting relationships or activities.

FINANCIAL SUPPORT AND SPONSORSHIP

This study did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

References

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