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临床安慰剂使用的伦理问题:非专业人士是怎么想的?

Ethical aspects of clinical placebo use: what do laypeople think?

机构信息

Institute for Health Promotion and Sport Sciences, Eötvös Loránd University, Budapest, Hungary.

出版信息

Eval Health Prof. 2012 Dec;35(4):462-76. doi: 10.1177/0163278712453993. Epub 2012 Jul 24.

Abstract

The study aimed to assess the attitudes of laypeople toward clinical placebo use. One of three imaginary stories was presented randomly in a popular news portal and participants (6,404 individuals) were asked to rate nine statements about it. In the stories, placebo therapy was used in a deceptive way. Following the success of the treatment, the patient was informed that the remedy contained no active substances. Along with self-report of attitudes, questionnaires measuring dispositional optimism, somatosensory amplification and beliefs about the scientific validity of complementary and alternative medicine and holistic health were also completed. According to participants' ratings, helping patients is more important than avoiding deception. They did not think that they would have felt deceived in the described situation or that treatment would have been successful in a fully informed case. Patients' attitude toward deceptive placebo use appears to be more pragmatic than has been previously supposed.

摘要

本研究旨在评估非专业人士对临床安慰剂使用的态度。三种虚构故事中的一种被随机呈现在一个热门新闻门户网站上,参与者(6404 人)被要求对其中的九个陈述进行评价。在这些故事中,安慰剂疗法以欺骗的方式使用。在治疗成功后,患者被告知该疗法不含任何活性物质。除了对态度的自我报告外,参与者还完成了测量性格乐观、躯体感觉放大和对补充与替代医学以及整体健康的科学有效性的信念的问卷。根据参与者的评分,帮助患者比避免欺骗更为重要。他们认为自己在描述的情况下不会感到受骗,或者在完全知情的情况下治疗会成功。与之前的假设相比,患者对欺骗性安慰剂使用的态度似乎更为务实。

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