Abstract
Annual Review of Pharmacology and Toxicology
Vol. 48:
33-60
(Volume publication date February 2008)
(doi:10.1146/annurev.pharmtox.48.113006.094711)
First published online as a Review in Advance on July 31, 2007Mechanisms of Placebo and Placebo-Related Effects Across Diseases and Treatments Fabrizio BenedettiDepartment of Neuroscience, University of Turin Medical School, and National Institute of Neuroscience, Turin, Italy; email: fabrizio.benedetti@unito.it The placebo effect has evolved from being thought of as a nuisance in clinical and pharmacological research to a biological phenomenon worthy of scientific investigation in its own right. It is now clear that the term placebo effect is too restrictive and, in fact, many placebo-related effects have recently been investigated. A placebo effect differs from a placebo-like effect in that the former follows the administration of a placebo, whereas in the latter no placebo is administered. However, in both cases, the psychosocial context around the treatment plays a key role. In recent years, placebo and placebo-related effects have been analyzed with sophisticated biological tools that have uncovered specific mechanisms at both the biochemical and cellular level. This recent research has revealed that these psychosocial-induced biochemical changes in a patient's brain and body in turn may affect the course of a disease and the response to a therapy. Acronyms and Definitions ACTH : adrenocorticotropic hormone Buprenorphine : opioid drug that is used to treat different types of pain CCK : cholecystokinin CR : conditioned response CS : conditioned stimulus Deep brain stimulation : therapeutic electrical stimulation of different regions of the brain, which is performed by implanting electrodes in the brain GH : growth hormone Hypothalamic-pituitary-adrenal (HPA) axis : endocrine system connecting the hypothalamus, the pituitary gland, and the adrenal glands, and which is generally hyperactive during stress and anxiety IFN-γ : interferon gamma Immunosuppressive drugs : pharmacological agents that inhibit immune responses IL-2 : interleukin 2 Natural history : the natural course of a symptom; if a symptom subsides naturally, this represents the spontaneous remission of the symptom Parkinson's disease : a movement disorder caused by the degeneration of the nigrostriatal dopaminergic pathway, whose main symptoms are tremor, muscle rigidity, and bradykinesia (movements slow down) Sumatriptan : agonist of serotonin 5-HT1B-1D receptors that is used in the treatment of migraine attacks, and whose hormonal effects are the increase of GH and a biphasic response (first increase, then decrease) of cortisol Top-down control : psychological (cognitive and emotional) modulation of incoming sensory inputs in brain regions US : unconditioned stimulus Most recent citing papers (via CrossRef)Outcome and length of stay in psychiatric hospitalization, the experience of the University Clinic of Turin Social Psychiatry and Psychiatric Epidemiology (2009) Reconsidering the Placebo Response from a Broad Anthropological Perspective Culture, Medicine, and Psychiatry 33(1):112-152 (2009) Efficacy of pregabalin and venlafaxine-XR in generalized anxiety disorder: results of a double-blind, placebo-controlled 8-week trial International Clinical Psychopharmacology 24(2):87-96 (2009)  Quantitative Disease, Drug, and Trial Models Annual Review of Pharmacology and Toxicology 49:291-301 (2009) Hidden Paradoxes in Generic Drug Substitution Affecting Pharmacotherapy Journal of Biomedicine and Biotechnology 2009:1-3 (2009)
|
|
|
Users who read this review also read:
| Donald D. Price, Damien G. Finniss, Fabrizio Benedetti Annual Review of Psychology. Volume 59, Page 565-590, Jan 2008 Abstract
| Full Text
| PDF (2355 KB)
|
Add to Favorites
| Related | |
| A.G. de Boer, P.J. Gaillard Annual Review of Pharmacology and Toxicology. Volume 47, Page 323-355, Feb 2007 Abstract
| Full Text
| PDF (295 KB)
|
Add to Favorites
| Related | |
| Neal L. Benowitz Annual Review of Pharmacology and Toxicology. Volume 49, Page 57-71, Feb 2009 Abstract
| Full Text
| PDF (139 KB)
|
Add to Favorites
| Related | |
| Antonella Viola, Andrew D. Luster Annual Review of Pharmacology and Toxicology. Volume 48, Page 171-197, Feb 2008 Abstract
| Full Text
| PDF (1037 KB)
|
Add to Favorites
| Related | |
|
|