精神分裂症谱系障碍中的安慰剂和nocebo现象:关于当前知识和潜在的未来方向的叙述性综述
James A Waltz1, Sherry D Pujji1, Luana Colloca2
1Maryland Psychiatric Research Center (MPRC), Department of Psychiatry, https://ror.org/055yg0521University of Maryland School of Medicine, Baltimore, MD, USA.
Psychological medicine
|July 18, 2025
概括
了解精神病中的安慰剂效应对于开发新的精神分裂症治疗方法至关重要. 本综述探讨了信念和试验设计如何影响这些影响,指导未来的研究.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
背景情况:
- 精神分裂症谱系障碍中的精神病会导致严重的痛苦和功能障碍.
- 抗精神病药物是标准治疗方法,但反应不同,试验中的安慰剂效应正在增加.
- 与其他疾病相比,人们对精神病中安慰剂和安慰剂现象的机制知之甚少.
研究的目的:
- 审查心理病中安慰剂/安慰剂效应的预测因素和信念形成过程.
- 检查随机对照试验的特征,症状异质性和背景如何影响这些效应.
- 探索理论解释,包括预测编码和异常突出,用于精神病中的安慰剂效应.
主要方法:
- 对现有文献关于精神病中安慰剂和nocebo效应的叙述性综述.
- 对抗精神病药物的随机对照试验的分析.
- 讨论与激励和认知增强药物相关的发现.
- 考虑理论框架,如预测编码和异常突出.
主要成果:
- 精神病中的安慰剂反应受到个人信念,先前经历和试验设计的影响.
- 精神病症状的异质性和情境因素在安慰剂效应中起作用.
- 结果预期和奖励处理与安慰剂反应有关.
结论:
- 需要进一步的研究来理解在精神病中安慰剂效应的多种机制.
- 建议包括在未来的研究中解决评估,文化因素和方法方面的问题.
- 多学科方法对于阐明精神分裂症谱系障碍中的安慰剂效应至关重要.
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