Placebo and nocebo effects in the neurological practice

Knowledge of placebo and nocebo effects is essential to identify their influence on the results in clinical practice and clinical trials, and thereby properly interpret their results. It is known that the gold standard of clinical trials re...

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Main Authors: Caroline Bittar, Osvaldo J.M. Nascimento
Format: Article
Language:English
Published: Thieme Revinter Publicações 2015-01-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000100058&lng=en&tlng=en
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author Caroline Bittar
Osvaldo J.M. Nascimento
author_facet Caroline Bittar
Osvaldo J.M. Nascimento
author_sort Caroline Bittar
collection DOAJ
description Knowledge of placebo and nocebo effects is essential to identify their influence on the results in clinical practice and clinical trials, and thereby properly interpret their results. It is known that the gold standard of clinical trials research is the double-blind, placebo-controlled, randomized clinical study. The objective of this review is to distinguish specific from non-specific effects, so that the presence of positive effects in the group that received placebo (placebo effect) and the presence of adverse effects in the group receiving placebo (nocebo effect) lead to confounding in interpreting the results. Placebo and nocebo effects have been considered in neurological diseases such as depression, pain, headache, multiple sclerosis, epilepsy. As placebo and nocebo effects are also present in clinical practice, the purpose of this review is to draw attention to their influence on neurological practice, calling attention to the development of measures that can minimize them.
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-1c98684b01aa42adb5f2d6fa85f60cb62025-08-20T03:54:37ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272015-01-01731586310.1590/0004-282X20140180S0004-282X2015000100058Placebo and nocebo effects in the neurological practiceCaroline BittarOsvaldo J.M. NascimentoKnowledge of placebo and nocebo effects is essential to identify their influence on the results in clinical practice and clinical trials, and thereby properly interpret their results. It is known that the gold standard of clinical trials research is the double-blind, placebo-controlled, randomized clinical study. The objective of this review is to distinguish specific from non-specific effects, so that the presence of positive effects in the group that received placebo (placebo effect) and the presence of adverse effects in the group receiving placebo (nocebo effect) lead to confounding in interpreting the results. Placebo and nocebo effects have been considered in neurological diseases such as depression, pain, headache, multiple sclerosis, epilepsy. As placebo and nocebo effects are also present in clinical practice, the purpose of this review is to draw attention to their influence on neurological practice, calling attention to the development of measures that can minimize them.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000100058&lng=en&tlng=enplacebonocebodor neuropáticacefaleiaesclerose múltiplaepilepsiaensaios clínicos
spellingShingle Caroline Bittar
Osvaldo J.M. Nascimento
Placebo and nocebo effects in the neurological practice
Arquivos de Neuro-Psiquiatria
placebo
nocebo
dor neuropática
cefaleia
esclerose múltipla
epilepsia
ensaios clínicos
title Placebo and nocebo effects in the neurological practice
title_full Placebo and nocebo effects in the neurological practice
title_fullStr Placebo and nocebo effects in the neurological practice
title_full_unstemmed Placebo and nocebo effects in the neurological practice
title_short Placebo and nocebo effects in the neurological practice
title_sort placebo and nocebo effects in the neurological practice
topic placebo
nocebo
dor neuropática
cefaleia
esclerose múltipla
epilepsia
ensaios clínicos
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000100058&lng=en&tlng=en
work_keys_str_mv AT carolinebittar placeboandnoceboeffectsintheneurologicalpractice
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