疼痛预期的变化,但没有开放标签的安慰剂止痛:使用热痛范式的实验研究
Thilo Friehs1, Christopher Milde1, Julia Anna Glombiewski1
1Pain and Psychotherapy Research Lab, Department for Adult Clinical Psychology and Psychotherapy, University of Kaiserslautern-Landau (RPTU), Landau, Germany.
European journal of pain (London, England)
|December 18, 2023
概括
提供合理的开放标签安慰剂 (OLP) 并没有提高疼痛耐受性或减少经历的疼痛强度. 虽然理性改善了疼痛预期,但它们在这个热痛实验中没有引起显著的OLP效应.
科学领域:
- 疼痛研究 疼痛研究
- 心理神经免疫学 心理神经免疫学
- 试验中使用安慰剂的研究.
背景情况:
- 开放标签安慰剂 (OLP),没有欺骗地使用,可以产生显著的治疗效果.
- 患者的期望被认为是调解安慰剂反应的大小.
研究的目的:
- 调查OLP的两种不同的理由是否会影响疼痛耐受性和感知到的疼痛强度/不愉快感.
- 为了比较个人情感和科学事实理性的推理与接受安慰剂而没有特定理由的对照组的影响.
主要方法:
- 71名患有复发性疼痛的参与者被随机分为三个组:两个具有不同理由的OLP组和一个对照组.
- OLP的推理建议消毒和改善疼痛应对,而对照安慰剂则作为测量辅助剂.
- 主要结局包括疼痛耐受性的变化,预期的疼痛,以及经历的疼痛强度和不愉快感.
主要成果:
- 这两种OLP理性导致预期疼痛强度的降低,但没有预期疼痛不愉快.
- 两组之间没有观察到疼痛耐受性或经历疼痛强度和不愉快感的显著差异.
结论:
- 仅仅是积极的治疗期望可能不足以产生疼痛的开放性安慰剂效应.
- 在这项研究中,预期变化的幅度可能不足以引起OLP效应.
- 与之前的一些研究相反,OLP对疼痛的影响可能不仅仅取决于积极的治疗期望.
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