Placebo and nocebo in the treatment of migraine: How much does real world effectiveness depend on contextual effects?
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Placebo and nocebo in the treatment of migraine: How much does real world effectiveness depend on contextual effects? / Basedau, Hauke; Ornello, Raffaele; Matteis, Eleonora De; Davaasuren, Bolortsetseg; Kadyrova, Begimai; Vuralli, Doga; Bozhenko, Myroslav; Azizova, Ilaha; Bitsadze, Natia; Eralieva, Elnura; Ashina, Messoud; Mitsikostas, Dimos; Puledda, Francesca.
In: CEPHALALGIA, Vol. 43, No. 12, 2023, p. 03331024231218392.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Placebo and nocebo in the treatment of migraine: How much does real world effectiveness depend on contextual effects?
AU - Basedau, Hauke
AU - Ornello, Raffaele
AU - Matteis, Eleonora De
AU - Davaasuren, Bolortsetseg
AU - Kadyrova, Begimai
AU - Vuralli, Doga
AU - Bozhenko, Myroslav
AU - Azizova, Ilaha
AU - Bitsadze, Natia
AU - Eralieva, Elnura
AU - Ashina, Messoud
AU - Mitsikostas, Dimos
AU - Puledda, Francesca
N1 - doi: 10.1177/03331024231218392
PY - 2023
Y1 - 2023
N2 - PurposeTreatments in medicine impact individuals beyond their intended effects, due to phenomena such as the placebo and nocebo effects. The placebo effect arises from the positive expectation of a treatment being beneficial, while the nocebo effect stems from the negative expectation of a treatment causing harm. Both in real-world practice and clinical trials, treatments can lead to outcomes unrelated to their intended mechanism of action, which we categorize as placebo and nocebo responses. These responses, combined with the inherent fluctuation in a condition's natural progression, regression to the mean, and random comorbidities, make up a significant part of the therapeutic experience. Particularly in pain management, placebo and nocebo effects play a substantial role. By addressing modifiable contextual factors such as patient expectations, lifestyle choices, and the therapeutic relationship, healthcare providers can enhance the effectiveness of migraine treatments, paving the way for a more comprehensive, individualized approach to patient care. We must also consider non-modifiable factors like personal experiences, beliefs, and information from social media and the internet.ConclusionThis review offers a summary of our current understanding of the placebo and nocebo effects in migraine management.
AB - PurposeTreatments in medicine impact individuals beyond their intended effects, due to phenomena such as the placebo and nocebo effects. The placebo effect arises from the positive expectation of a treatment being beneficial, while the nocebo effect stems from the negative expectation of a treatment causing harm. Both in real-world practice and clinical trials, treatments can lead to outcomes unrelated to their intended mechanism of action, which we categorize as placebo and nocebo responses. These responses, combined with the inherent fluctuation in a condition's natural progression, regression to the mean, and random comorbidities, make up a significant part of the therapeutic experience. Particularly in pain management, placebo and nocebo effects play a substantial role. By addressing modifiable contextual factors such as patient expectations, lifestyle choices, and the therapeutic relationship, healthcare providers can enhance the effectiveness of migraine treatments, paving the way for a more comprehensive, individualized approach to patient care. We must also consider non-modifiable factors like personal experiences, beliefs, and information from social media and the internet.ConclusionThis review offers a summary of our current understanding of the placebo and nocebo effects in migraine management.
U2 - 10.1177/03331024231218392
DO - 10.1177/03331024231218392
M3 - SCORING: Review
VL - 43
SP - 03331024231218392
JO - CEPHALALGIA
JF - CEPHALALGIA
SN - 0333-1024
IS - 12
ER -