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Placebo effects on cutaneous pain and itch: a systematic review and meta-analysis of experimental results and methodology.
Blythe, Joseph S; Thomaidou, Mia A; Peerdeman, Kaya J; van Laarhoven, Antoinette I M; van Schothorst, Myrthe M E; Veldhuijzen, Dieuwke S; Evers, Andrea W M.
Afiliação
  • Blythe JS; Health, Medical and Neuropsychology Unit, Leiden University, Leiden, the Netherlands.
  • Thomaidou MA; Leiden Institute for Brain and Cognition, Leiden, the Netherlands.
  • Peerdeman KJ; Health, Medical and Neuropsychology Unit, Leiden University, Leiden, the Netherlands.
  • van Laarhoven AIM; Leiden Institute for Brain and Cognition, Leiden, the Netherlands.
  • van Schothorst MME; Health, Medical and Neuropsychology Unit, Leiden University, Leiden, the Netherlands.
  • Veldhuijzen DS; Leiden Institute for Brain and Cognition, Leiden, the Netherlands.
  • Evers AWM; Health, Medical and Neuropsychology Unit, Leiden University, Leiden, the Netherlands.
Pain ; 164(6): 1181-1199, 2023 06 01.
Article em En | MEDLINE | ID: mdl-36718994
ABSTRACT: Placebo effects, positive treatment outcomes that go beyond treatment processes, can alter sensations through learning mechanisms. Understanding how methodological factors contribute to the magnitude of placebo effects will help define the mechanisms by which these effects occur. We conducted a systematic review and meta-analysis of experimental placebo studies in cutaneous pain and itch in healthy samples, focused on how differences in methodology contribute to the resulting placebo effect magnitude. We conducted meta-analyses by learning mechanism and sensation, namely, for classical conditioning with verbal suggestion, verbal suggestion alone, and observational learning, separately for pain and itch. We conducted subgroup analyses and meta-regression on the type of sensory stimuli, placebo treatment, number of acquisition and evocation trials, differences in calibrated intensities for placebo and control stimuli during acquisition, age, and sex. We replicated findings showing that a combination of classical conditioning with verbal suggestion induced larger placebo effects on pain ( k = 68, g = 0 . 59) than verbal suggestion alone ( k = 39, g = 0.38) and found a smaller effect for itch with verbal suggestion alone ( k = 7, g = 0.14). Using sham electrodes as placebo treatments corresponded with larger placebo effects on pain than when topical gels were used. Other methodological and demographic factors did not significantly affect placebo magnitudes. Placebo effects on pain and itch reliably occur in experimental settings with varied methods, and conditioning with verbal suggestion produced the strongest effects. Although methods may shape the placebo effect to some extent, these effects appear robust overall, and their underlying learning mechanisms may be harnessed for applications outside the laboratory.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor / Efeito Placebo Tipo de estudo: Clinical_trials / Systematic_reviews Limite: Humans Idioma: En Revista: Pain Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Holanda País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor / Efeito Placebo Tipo de estudo: Clinical_trials / Systematic_reviews Limite: Humans Idioma: En Revista: Pain Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Holanda País de publicação: Estados Unidos