Role of placebo effects in pain and neuropsychiatric disorders.

Role of placebo effects in pain and neuropsychiatric disorders.
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DOI:
10.1016/j.pnpbp.2017.06.003
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发表时间:
2018-12-20
影响因子:
5.6
通讯作者:
Colloca L
Colloca L
中科院分区:
医学2区
文献类型:
--
作者:
Belcher AM;Ferré S;Martinez PE;Colloca L

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在临床疾病治疗和管理中,安慰剂(和非安慰剂)效应是健康结果的强大决定因素。随着越来越多的研究人员将这些无法控制的安慰剂效应纳入临床治疗策略的潜在益处,完全消除安慰剂效应的努力发生了动态变化。在这篇综述中,我们重点介绍了安慰剂研究的主要发现,阐明了安慰剂现象的主要神经生物学系统和候选决定因素,并阐明了一个能够有效地框架未来该主题研究的视角。最后,我们呼吁增加对包含安慰剂“工具”的治疗策略的有效性的研究,并认为在神经精神疾病和障碍中进行安慰剂反应的临床试验具有重要和深远的翻译和临床意义。
The placebo (and the nocebo) effect is a powerful determinant of health outcomes in clinical disease treatment and management. Efforts to completely eradicate placebo effects have shifted dynamically, as increasingly more researchers are tuned to the potentially beneficial effects of incorporating those uncontrollable placebo effects into clinical therapeutic strategies. In this review, we highlight the major findings from placebo research, elucidating the main neurobiological systems and candidate determinants of the placebo phenomenon, and illustrate a perspective that can effectively frame future research on the topic. Finally, we issue a call for increased research on the efficacy of therapeutic strategies that incorporate placebo “tools,” and argue that clinical trials of the placebo response in neuropsychiatric diseases and disorders has important and far-reaching translational and clinical relevance.
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