将关于安慰剂和无效果效应的知识转化为临床实践
Elif Buse Caliskan1, Ulrike Bingel1, Angelika Kunkel1
1Department of Neurology, Center for Translational Neuro- and Behavioral Sciences (C-TNBS), University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Pain reports
|March 27, 2024
概括
治疗期望,包括安慰剂和无效疗法效应,显著影响健康结果. 通过情境因素调整这些期望可以优化治疗干预措施并改善患者和临床医生的互动.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 临床医学 临床医学
背景情况:
- 治疗期望,包括安慰剂和无效疗法效应,是健康和治疗结果的强大调节者.
- 治疗成功的很大一部分归因于影响患者期望的情境因素.
研究的目的:
- 探索治疗期望的神经生物学基础.
- 提出调节上下文因素的策略,以提高临床实践中的治疗结果.
主要方法:
- 选择性审查当前的证据和临床实践.
- 与2022年IASP全球年倡议的结合,将疼痛知识转化为实践.
主要成果:
- 在各种疾病中观察到预期效应,对疼痛管理做出了重大贡献.
- 安慰剂镇痛模式表明,治疗效果可以源于预期,而不是仅仅是干预.
- 个人对预期的反应变化需要进一步研究个性化策略.
结论:
- 患者的经验和期望极大地影响治疗的有效性,耐受性和坚持性.
- 本综述为临床医生和研究人员提供了洞察力,通过理解期望调制来增强患者与临床医生的互动.
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