Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Curr Allergy Asthma Rep. 2014 Aug;14(8):456. doi: 10.1007/s11882-014-0456-2.
The placebo effect is a complex phenomenon occurring across a variety of clinical conditions. While much placebo research has been conducted in diseases defined by self-report such as depression, chronic pain, and irritable bowel syndrome (IBS), asthma has been proposed as a useful model because of its easily measured objective outcomes. Studies examining the placebo response in asthma have not only contributed to an understanding of the mechanisms behind the placebo response but also shed an interesting light on the current treatment and diagnosis of asthma. This paper will review current literature on placebos in general and specifically on the placebo response in asthma. It focuses on what we know about the mechanisms behind the placebo effect, whether there is a specific portion of the population who responds to placebos, which patient outcomes are influenced by the placebo effect, and whether the effect can be augmented.
安慰剂效应是一种广泛存在于各种临床情况下的复杂现象。虽然许多安慰剂研究都是在抑郁症、慢性疼痛和肠易激综合征(IBS)等自我报告定义的疾病中进行的,但哮喘被认为是一个有用的模型,因为它有易于测量的客观结果。研究哮喘中的安慰剂反应不仅有助于理解安慰剂反应背后的机制,也为哮喘的当前治疗和诊断提供了有趣的启示。本文将综述安慰剂的一般文献,以及哮喘中的安慰剂反应的具体文献。它重点介绍了我们对安慰剂效应背后机制的了解,是否有特定的人群对安慰剂有反应,哪些患者结果受到安慰剂效应的影响,以及这种效应是否可以增强。