Efecto placebo y contexto terapéutico: un reto en investigación clínica
Abstract
When we apply a physical or pharmacological treatment, there are many things that may explain the clinical improvement experienced by a patient. The drugs or physical agents applied are important, but we must also add other elements in the context of the patient-therapist relationship. Scientific evidence has proven that the placebo effect exists. This is a true biopsychosocial phenomenon produced by the context in which an intervention is carried out. Biases aside, placebo and nocebo responses are changes in patients' symptoms, due to their participation at the therapeutic meeting, with its rituals, symbols and interactions. This multitude of signals inherent in any intervention, is perceived and interpreted by patients and can create positive or negative expectations.
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The effect of a technique may be overestimated when it is compared with no intervention.
“The effect of a technique may be overestimated when we compare it with no intervention [26].”
From Behavior Modification Techniques on Patients with Chronic Pain in the Context of COVID-19 Telerehabilitation: An Umbrella Review (2022) · cites this paper as [26]
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- Authors
- Morral, A., Urrutia, G., & Bonfill, X.
- Affiliations
- Fundació Blanquerna (ES)
- Universitat Autònoma de Barcelona (ES)
- Corresponding author
- Morral, Antoni
- Venue
- Medicina Clínica
- Publisher
- Elsevier BV
- Published
- 2017-07
- Volume
- 149
- Issue
- 1
- Pages
- 26-31
- ISSN
- 0025-7753 (ISSN-L)
- OpenAlex
- W2615363307
- Cited by
- 19
- References
- 60
- Citations by year
- 2025: 1 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 2 · 2019: 4 · 2018: 1
- FWCI
- 0.21
- Type
- journal article
- Language
- es
- Open access
- closed
- Locations
- Medicina Clínica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Keywords
- placebo effect, nocebo effect, therapeutic context, therapeutic relationship, biopsychosocial model, expectations, clinical improvement
- MeSH terms
- Attitude to Health, Ceremonial Behavior, Humans, Professional-Patient Relations, Symbolism, Placebo Effect, Nocebo Effect
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