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Placebos help, even when patients know about them

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A pharmacist counts pills in a pharmacy in Toronto in this January 31, 2008 file photo. REUTERS/Mark Blinch/Files

A pharmacist counts pills in a pharmacy in Toronto in this January 31, 2008 file photo.

Credit: Reuters/Mark Blinch/Files

WASHINGTON | Wed Dec 22, 2010 5:50pm EST

WASHINGTON (Reuters) - Placebos can help patients feel better, even if they are fully aware they are taking a sugar pill, researchers reported on Wednesday on an unusual experiment aimed to better understand the "placebo effect."

Nearly 60 percent of patients with irritable bowel syndrome reported they felt better after knowingly taking placebos twice a day, compared to 35 percent of patients who did not get any new treatment, they report in the Public Library of Science journal PLoS ONE.

"Not only did we make it absolutely clear that these pills had no active ingredient and were made from inert substances, but we actually had 'placebo' printed on the bottle," Ted Kaptchuk of Harvard Medical School and Beth Israel Deaconess Medical Center in Boston, who led the study, said in a statement.

The placebo effect has been documented almost since the beginning of medicine.

Placebos are also vital to research on new drugs or treatments, and in general scientists have documented that 30 percent to 40 percent of patients will report feeling better or will show documented improvement of symptoms even when unknowingly taking a placebo.

But it is considered unethical to give a patient a placebo as part of standard medical treatment and not tell them that it is just a sugar pill. Most people have assumed that a placebo will not work if the patient knows it is a placebo.

To test this common wisdom, Kaptchuk and colleagues enrolled 80 patients with irritable bowel syndrome or IBS, a chronic condition characterized by abdominal pain.

The volunteers were recruited for a "mind-body" study, given placebo or nothing for three weeks and carefully monitored. Those given placebos were reminded they were taking inert pills.

"I felt awkward asking patients to literally take a placebo. But to my surprise, it seemed to work for many of them," Anthony Lembo, an IBS expert who worked on the study, said.

The study was funded by the National Center for Complementary and Alternative Medicine.

(Reporting by Maggie Fox; Editing by Jackie Frank)

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Comments (4)
OrneryOldMan wrote:
How about some details on the study, or a link to the study? How were the participants chosen, and how was the selection made on which would get the placebo or not? If the participants were involved in chosing whether or not they would accept a placebo treatment, then the difference in how many felt better after a time could be attributed to the difference in attitude, personality, and mental states of those given the placebos vice those not given placebos, and be totally independent of the placebo effect. If they had not given placebos to any of them, but simply monitored based on the group that would have accepted the placebo trial vs the group that did not, the same effect may have been observed.

Dec 23, 2010 2:12pm EST  --  Report as abuse
Schawking wrote:
They conveniently left out the fact that they told the patients the placebos have been shown to have a powerful effect the ones mind. And they picked people for the experiment from a mind/body program that the patients were participating in. They also didn’t perform it double blind, or equally separate the groups of patients. This of course negates the whole experiment. Just another way to get people to buy into their pseudoscience.

Dec 23, 2010 10:54pm EST  --  Report as abuse
garilou wrote:
There is certainly a lot of criticism that one could express.
Still this research shows clearly that no matter the drug, people will get better if they receive any kind of professional attention!
Placebos DO have a powerful effect, and when a patient gets better with a placebo, that should not mean that he/she had nothing but a psychosomatic problem.

Too many pharmaceutical when selecting their patients for clinical trials, eliminate first, in pretrials, all patients who have positive reactions to placebos, in order to boost their product efficiency rates.

I think specifically at anti-depressants drugs that can do more harm then good, if they do anything.

More research on placebo is highly needed, and clinical trials results should explain very thoroughly how the participants were chosen.

Dec 29, 2010 3:41am EST  --  Report as abuse
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