心理治疗研究中安慰剂的设置和效应(综述)  

Setting and effects of placebos in psychotherapy researches: A review

作　　者：朱智佩 李春波[1] 

机构地区：[1]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《中国心理卫生杂志》2014年第12期881-885,共5页Chinese Mental Health Journal

基　　金："十二五"国家科技支撑计划(2012BAI01B04);上海申康医院发展中心(SHDC12012203);上海市卫生系统优秀学科带头人培养计划(XBR2011005)

摘　　要：安慰剂的心理治疗作用在其概念的理解和临床操作上颇有争议。近年来研究者关注安慰剂效应和心理治疗疗效的比较。心理治疗曾被认为是一种安慰剂,虽然良好设计的对照研究证实心理治疗疗效优于安慰剂作用,但安慰剂在很多时候可以通过心理暗示和积极观念等发挥治疗作用。临床实践中,重视心理治疗研究中安慰剂的设计,尤其是安慰剂的设置,关注心理治疗中的共同因素,可使安慰剂效应发挥到最大。Placebo psychotherapy has been widely used in clinical studies.It is controversial about the understanding of its concept as well as its clinical effect.Recently,researches about the comparison between effects of psychotherapy and placebo have been accumulated.Psychotherapy has been thought of as a placebo,the evidence from systematical review and meta-analysis,it still tends to meet the consensus that effect size of psychotherapy is larger than that of placebos in well-designed psychotherapy trials,but the placebo could play an active role through the psychological suggestion and forward thinking mostly.We should pay more attention to the study design in psychotherapy studies,especially the setting of the placebo,focusing on the common factors of psychological treatment,which could make the placebo effect to the maximum.

关 键 词：心理治疗 安慰剂 安慰剂效应 临床疗效 综述 

分 类 号：R749.055[医药卫生—神经病学与精神病学]