Mechanisms of the placebo response
Abstract
The concept of placebo response has evolved in the past few years from the clinical trial setting and medical practice to a psychobiological model that gives us important information on how the patient's brain is modified by the psychosocial context around the therapy. In this review, some examples will be given where physiological or pathological conditions are altered following the administration of an inert substance along with verbal instructions tailored to induce expectation of a change, and explanations will be presented with details on neurotransmitter changes and neural pathways activated. Although nothing is known about the biological underpinnings of the placebo response in the respiratory system, this review may help extending the neurobiological investigation of placebos from conditions such as pain and Parkinson's disease to respiratory disorders and symptoms such as cough.
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Specific psychosocial characteristics increase risk for transition from acute to persistent pain or for pain-related disability when pain persists.
“specific psychosocial characteristics place individuals at elevated risk for the transition from acute to persistent pain, or for the development of pain-related disability in the context of a persisting pain condition 15, 22, 28, 29.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [29]
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- Authors
- Benedetti, F., & Amanzio, M.
- Affiliations
- University of Turin (IT)
- Corresponding author
- Benedetti, Fabrizio
- Venue
- Pulmonary Pharmacology & Therapeutics
- Publisher
- Elsevier BV
- Published
- 2013-10
- Volume
- 26
- Issue
- 5
- Pages
- 520-523
- ISSN
- 1094-5539 (ISSN-L)
- OpenAlex
- W2035918520
- Cited by
- 93
- References
- 72
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 8 · 2022: 3 · 2021: 7 · 2020: 4 · 2019: 7 · 2018: 8 · 2017: 14 · 2016: 6 · 2015: 12 · 2014: 14 · 2013: 1
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pulmonary Pharmacology & Therapeutics (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
- Funders
- Regione Piemonte
- Volkswagen Foundation
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- placebo response, psychobiological model, expectations, verbal instructions, neurotransmitter changes, neural pathways, psychosocial environment, respiratory diseases, cough, pain, Parkinson's disease
- MeSH terms
- Brain, Clinical Trials as Topic, Cough, Humans, Models, Biological, Models, Psychological, Pain, Parkinson Disease, Respiratory Tract Diseases, Placebo Effect
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