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The Placebo Effect

Unit 5 : Asynchronous 9
Session #109
K Benker MD MPH

Learning objective:
1. To define the placebo effect

Placebo: a harmless pill, medicine, or procedure prescribed more for


the psychological benefit to the patient than for any physiological
effect.
Placebo effect: Does it exist or not?

Randomized Controlled Trials

May or may not be placebo

RCT with placebo and nothing

Placebo

Nothing

Measuring the Placebo Effect


DRUG

Effect of drug

PLACEBO
Effect of placebo

NOTHING

Measuring the Placebo Effect* (cont)


No effect

Smoking
Dementia
Obesity
Hypertension
Insomnia
Anxiety

Larger effect
Patient not told control =
placebo
Physical intervention
(e.g. sham acupuncture)

Response bias?
Outcome measured by
patient report
Outcome measured by
interview

*Hrbjartsson A, Gtzsche PC, Cochrane Collaboration, 2010

Test yourself
Which of the following best defines placebo
effect?
A. The difference in outcomes between an
intervention being tested and a placebo
B. The difference in outcomes between a
placebo and no intervention
C. A psychological impact on a physiologic
outcome
D. A physiologic change based on a belief

Test yourself
Which of the following best defines placebo
effect?
A. The difference in outcomes between an
intervention being tested and a placebo
B. The difference in outcomes between a
placebo and no intervention
C. A psychological impact on a physiologic
outcome
D. A physiologic change based on a belief

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