Document Detail


Why medication in involuntary treatment may be less effective: The placebo/nocebo effect.
MedLine Citation:
PMID:  21907499     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Involuntary medication is one of the coercive measures used in psychiatry. We argue that direct extrapolation of placebo and nocebo effects of psychiatric medication in the voluntary setting to the situation of coercive treatment is probably not justified. Both placebo and nocebo effects are based upon patient expectations about the medication, but, in general, patient expectations in settings of involuntary medication tend to be less positive than in voluntary settings. As a consequence, placebo effects are likely to be diminished in coercive treatment, while nocebo effects are probably increased. This may result in an overall decreased effectiveness of medication in coercive settings.
Authors:
Gerben Meynen; Dick F Swaab
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-8
Journal Detail:
Title:  Medical hypotheses     Volume:  -     ISSN:  1532-2777     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505668     Medline TA:  Med Hypotheses     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Ltd. All rights reserved.
Affiliation:
GGZ inGeest, Partner of VU University Medical Center, Amsterdam, The Netherlands.
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