The effect of confinement on the self-annihilation rate of positronium is studied in three levels of approximation. Artificial restriction of the electron-positron separation leads to an increase in the annihilation rate over its vacuum value; this increase is found to diminish exponentially as the maximum separation is increased. Confinement in a hard-wall spherical cavity with the center of mass free to move throughout the cavity also increases the annihilation rate over its vacuum value; the increase depends weakly on the position of the center of mass, being larger when the center of mass is near the cavity wall. Finally, to model confinement in a pore of a microporous material, the hard wall is replaced by physically motivated electron- and positron-wall potentials; it is found that the annihilation rate is larger than its vacuum value, in contradiction to calculations of Marlotti Tanzi et al. [Phys. Rev. Lett. 116, 033401 (2016)] that assumed hard-wall confinement for the electrons, and experimental data.
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