A narrative review of the placebo effect: historical roots, current applications, and emerging insights
European Journal of Clinical Pharmacology, cilt.81, sa.5, ss.625-645, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 81 Sayı: 5
- Basım Tarihi: 2025
- Doi Numarası: 10.1007/s00228-025-03818-6
- Dergi Adı: European Journal of Clinical Pharmacology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, Chimica, CINAHL, EMBASE
- Sayfa Sayıları: ss.625-645
- Anahtar Kelimeler: Placebo, Nocebo, Placebo effect, Neuropsychiatric disorder, Conditioning, Expectation
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: Abstract: Placebo is a term to define physiologically inactive compounds used in treatment that causes physical and emotional changes. The placebo effect, driven by expectation and conditioning, plays a significant role in various conditions like pain, depression, and Parkinson’s disease, while the nocebo effect can hinder treatment outcomes. Understanding mechanisms such as neuromodulation and genetics has gained importance in modern medicine. This review aims to explore the clinical relevance of placebo responses, particularly in neuropsychiatric disorders, and their potential in personalized medicine. By integrating placebo research into healthcare, it highlights opportunities to enhance treatment efficacy, improve patient well-being, and reduce reliance on pharmacological interventions. Methods: A comprehensive literature search was conducted in PubMed, Scopus, and Google Scholar databases. Recent studies were reviewed to evaluate placebo effects, and the variability of the placebo response in neuropsychiatric disorders was summarized. Results: Placebo effects significantly impact treatment outcomes across various conditions, including Parkinson’s disease, depression, pain syndromes, and epilepsy. The mechanisms involve neurobiological and psychological factors, with evidence suggesting that placebo interventions can modulate neurotransmitter activity and improve patient well-being. Conclusion: Integrating placebo research into clinical practice may enhance treatment outcomes, reduce drug dependency, and support personalized medicine by tailoring interventions to individual placebo responsiveness. Understanding placebo and nocebo mechanisms can optimize therapeutic strategies while minimizing unnecessary pharmacological treatments.