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Published on: December 14, 2014
Harnessing the placebo effect: the need for translational research
Luana Colloca1, Franklin G Miller
1National Center for Complementary and Alternative Medicine (NCCAM), National Institutes of Health, Bethesda, MD, USA. luana.colloca@nih.gov
Recent lab research clarifies placebo and nocebo effects, but clinical application lags. This review highlights knowledge gaps and proposes translational strategies to help physicians optimize placebo responses and reduce nocebo effects in patient care.
Area of Science:
- Neuroscience and Medicine
- Translational Research
Background:
- Laboratory studies have advanced understanding of placebo and nocebo effects, identifying key neuromodulators and brain regions.
- Despite scientific progress, translating this knowledge into practical clinical applications for patient benefit remains a significant challenge.
Purpose of the Study:
- To discuss current limitations in understanding placebo and nocebo effects.
- To emphasize the critical need for translational research to bridge the gap between laboratory findings and clinical practice.
- To guide physicians in effectively maximizing beneficial placebo effects and minimizing detrimental nocebo effects in routine patient care.
Main Methods:
- Review and synthesis of existing laboratory and clinical research on placebo and nocebo phenomena.
- Discussion of knowledge gaps and barriers to translational application.
- Proposal of strategic interventions for clinical implementation.
Main Results:
- Significant advancements in identifying the neurobiological underpinnings of placebo and nocebo effects.
- Identification of a critical gap between basic science understanding and clinical utility.
- Development of potential strategies for clinical application of placebo/nocebo knowledge.
Conclusions:
- Translational research is essential to effectively utilize knowledge of placebo and nocebo effects in patient care.
- Physicians require guidance on implementing strategies to harness placebo responses and mitigate nocebo effects.
- Further research and practical application are needed to improve patient outcomes through better management of these psychobiological phenomena.
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