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  • Castelnuovo, GianlucaSan Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy.;Catholic Univ Milan, Dept Psychol, Milan, Italy. (author)

What Is the Role of the Placebo Effect for Pain Relief in Neurorehabilitation? : Clinical Implications From the Italian Consensus Conference on Pain in Neurorehabilitation

  • Article/chapterEnglish2018

Publisher, publication year, extent ...

  • 2018-05-18
  • Frontiers Media SA,2018
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-358130
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-358130URI
  • https://doi.org/10.3389/fneur.2018.00310DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:for swepub-publicationtype

Notes

  • Background: It is increasingly acknowledged that the outcomes of medical treatments are influenced by the context of the clinical encounter through the mechanisms of the placebo effect. The phenomenon of placebo analgesia might be exploited to maximize the efficacy of neurorehabilitation treatments. Since its intensity varies across neurological disorders, the Italian Consensus Conference on Pain in Neurorehabilitation (ICCP) summarized the studies on this field to provide guidance on its use.Methods: A review of the existing reviews and meta-analyses was performed to assess the magnitude of the placebo effect in disorders that may undergo neurorehabilitation treatment. The search was performed on Pubmed using placebo, pain, and the names of neurological disorders as keywords. Methodological quality was assessed using a pre-existing checklist. Data about the magnitude of the placebo effect were extracted from the included reviews and were commented in a narrative form.Results: 11 articles were included in this review. Placebo treatments showed weak effects in central neuropathic pain (pain reduction from 0.44 to 0.66 on a 0-10 scale) and moderate effects in postherpetic neuralgia (1.16), in diabetic peripheral neuropathy (1.45), and in pain associated to HIV (1.82). Moderate effects were also found on pain due to fibromyalgia and migraine; only weak short-term effects were found in complex regional pain syndrome. Confounding variables might have influenced these results.Clinical implications: These estimates should be interpreted with caution, but underscore that the placebo effect can be exploited in neurorehabilitation programs. It is not necessary to conceal its use from the patient. Knowledge of placebo mechanisms can be used to shape the doctor-patient relationship, to reduce the use of analgesic drugs and to train the patient to become an active agent of the therapy.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Giusti, Emanuele MariaSan Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy.;Catholic Univ Milan, Dept Psychol, Milan, Italy. (author)
  • Manzoni, Gian MauroSan Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy.;eCampus Univ, Fac Psychol, Novedrate, Italy. (author)
  • Saviola, DonatellaSanto Stefano Rehabil Ist, Cardinal Ferrari Rehabil Ctr, Fontanellato, Italy. (author)
  • Gabrielli, SamanthaSan Pio X Clin, Pain Med Ctr, Humanitas, Milan, Italy. (author)
  • Lacerenza, MarcoSan Pio X Clin, Pain Med Ctr, Humanitas, Milan, Italy. (author)
  • Pietrabissa, GiadaSan Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy.;Catholic Univ Milan, Dept Psychol, Milan, Italy. (author)
  • Cattivelli, RobertoSan Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy.;Catholic Univ Milan, Dept Psychol, Milan, Italy. (author)
  • Spatola, Chiara Anna MariaSan Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy.;Catholic Univ Milan, Dept Psychol, Milan, Italy. (author)
  • Rossi, AlessandroSan Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy. (author)
  • Varallo, GiorgiaSan Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy. (author)
  • Novelli, MargheritaSan Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy. (author)
  • Villa, ValentinaSan Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy. (author)
  • Luzzati, FrancescaIRCCS Galeazzi Orthoped Inst, Milan, Italy. (author)
  • Cottini, AndreaIRCCS Galeazzi Orthoped Inst, Milan, Italy. (author)
  • Lai, CarloSapienza Univ Rome, Dept Dynam & Clin Psychol, Rome, Italy. (author)
  • Volpato, EleonoraCatholic Univ Milan, Dept Psychol, Milan, Italy.;IRCCS Fdn Don Carlo Gnocchi, HD Resp Rehabil Unit, Milan, Italy. (author)
  • Cavalera, CesareCatholic Univ Milan, Dept Psychol, Milan, Italy. (author)
  • Pagnini, FrancescoCatholic Univ Milan, Dept Psychol, Milan, Italy.;Harvard Univ, Dept Psychol, 33 Kirkland St, Cambridge, MA 02138 USA. (author)
  • Tesio, ValentinaUniv Turin, Dept Psychol, Turin, Italy. (author)
  • Castelli, LorysUniv Turin, Dept Psychol, Turin, Italy. (author)
  • Tavola, MarioASST Lecco, Anesthesia & Intens Care, Lecce, Italy. (author)
  • Torta, RiccardoUniv Turin, Dept Neurosci Rita Levi Montalcini, Turin, Italy. (author)
  • Arreghini, MarcoSan Giuseppe Hosp, Rehabil Unit, Ist Auxol Italiano IRCCS, Verbania, Italy. (author)
  • Zanini, LoredanaSan Giuseppe Hosp, Rehabil Unit, Ist Auxol Italiano IRCCS, Verbania, Italy. (author)
  • Brunani, AmeliaSan Giuseppe Hosp, Rehabil Unit, Ist Auxol Italiano IRCCS, Verbania, Italy. (author)
  • Seitanidis, IonathanSan Giuseppe Hosp, Rehabil Unit, Ist Auxol Italiano IRCCS, Verbania, Italy. (author)
  • Ventura, GiuseppeSan Giuseppe Hosp, Rehabil Unit, Ist Auxol Italiano IRCCS, Verbania, Italy. (author)
  • Capodaglio, PaoloSan Giuseppe Hosp, Rehabil Unit, Ist Auxol Italiano IRCCS, Verbania, Italy. (author)
  • D'Aniello, Guido EdoardoSan Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy.;Catholic Univ Milan, Dept Psychol, Milan, Italy. (author)
  • Scarpina, FedericaSan Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy. (author)
  • Brioschi, AndreaSan Giuseppe Hosp, Dept Neurol & Neurorehabil, Ist Auxol Italiano IRCCS, Verbania, Italy. (author)
  • Bigoni, MatteoSan Giuseppe Hosp, Dept Neurol & Neurorehabil, Ist Auxol Italiano IRCCS, Verbania, Italy. (author)
  • Priano, LorenzoUniv Turin, Dept Neurosci Rita Levi Montalcini, Turin, Italy.;San Giuseppe Hosp, Dept Neurol & Neurorehabil, Ist Auxol Italiano IRCCS, Verbania, Italy. (author)
  • Mauro, AlessandroUniv Turin, Dept Neurosci Rita Levi Montalcini, Turin, Italy.;San Giuseppe Hosp, Dept Neurol & Neurorehabil, Ist Auxol Italiano IRCCS, Verbania, Italy. (author)
  • Riva, GiuseppeSan Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy.;Catholic Univ Milan, Dept Psychol, Milan, Italy. (author)
  • Di Lernia, DanieleCatholic Univ Milan, Dept Psychol, Milan, Italy. (author)
  • Repetto, ClaudiaCatholic Univ Milan, Dept Psychol, Milan, Italy. (author)
  • Regalia, CamilloCatholic Univ Milan, Dept Psychol, Milan, Italy. (author)
  • Molinari, EnricoSan Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy.;Catholic Univ Milan, Dept Psychol, Milan, Italy. (author)
  • Notaro, PaoloAO Osped Niguarda Ca Granda, Anesthesiol Dept, Pain Med, Milan, Italy. (author)
  • Paolucci, StefanoFdn Santa Lucia IRCCS, Rome, Italy. (author)
  • Sandrini, GiorgioC Mondino Natl Neurol Inst, Pavia, Italy.;Univ Pavia, Dept Brain & Behav Sci, Pavia, Italy. (author)
  • Simpson, SusanUniv South Australia, Adelaide, SA, Australia.;NHS Lothian, Reg Eating Disorders Unit, Livingston, Scotland. (author)
  • Wiederhold, Brenda KayVirtual Real Med Inst, Brussels, Belgium. (author)
  • Gaudio, SantinoUppsala universitet,Funktionell farmakologi(Swepub:uu)sanga517 (author)
  • Jackson, Jeffrey B.Virginia Tech, Falls Church, VA USA. (author)
  • Tamburin, StefanoUniv Verona, Dept Neurosci Biomed & Movement Sci, Verona, Italy. (author)
  • Benedetti, FabrizioUniv Turin, Dept Neurosci Rita Levi Montalcini, Turin, Italy. (author)
  • San Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy.;Catholic Univ Milan, Dept Psychol, Milan, Italy.San Giuseppe Hosp, Psychol Res Lab, Ist Auxol Italiano IRCCS, Verbania, Italy.;eCampus Univ, Fac Psychol, Novedrate, Italy. (creator_code:org_t)

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  • In:Frontiers in Neurology: Frontiers Media SA91664-2295

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