{"id":177,"date":"2017-01-20T12:49:47","date_gmt":"2017-01-20T09:49:47","guid":{"rendered":"http:\/\/www.findmecure.com\/blog\/?p=177"},"modified":"2017-01-25T19:08:49","modified_gmt":"2017-01-25T16:08:49","slug":"the-secret-of-the-placebo-effect-in-research-infographic","status":"publish","type":"post","link":"https:\/\/www.findmecure.com\/blog\/the-secret-of-the-placebo-effect-in-research-infographic\/","title":{"rendered":"The Secret of The Placebo Effect in Research (Infographic)"},"content":{"rendered":"<p id=\"0d8a\" class=\"graf graf--p graf--hasDropCapModel graf--hasDropCap graf-after--figure\">The placebo effect has been widely discussed basically ever since it had been discovered by the American doctor Henry Beecher, who was taking care of wounded soldiers during the World War II. One day Henry runs out of the vital pain-killing morphine. At that point he doesn\u2019t have much of a choice but to continue telling patients that he is giving them morphine, although he was actually treating them with a saline solution.<\/p>\n<p id=\"4f8a\" class=\"graf graf--p graf-after--p\">Unbelievingly, about 40% of the wounded soldiers felt the pain relieved.<\/p>\n<p id=\"c902\" class=\"graf graf--p graf-after--p\">And this is how the first placebo was discovered.<\/p>\n<h4 id=\"bf11\" class=\"graf graf--h4 graf-after--p\"><strong class=\"markup--strong markup--h4-strong\">What exactly is the placebo\u00a0effect?<\/strong><\/h4>\n<p id=\"226d\" class=\"graf graf--p graf-after--h4\">Well, I\u2019m sorry to disappoint, but no one knows how exactly the placebo works. Yet, here is what\u2019s known.<\/p>\n<p id=\"c3c6\" class=\"graf graf--p graf-after--p\">Placebo is a substance that may look as a real drug, but it doesn\u2019t contain any active ingredients. It\u2019s often called the \u201csugar pill\u201d\u00a0because sometimes it\u2019s made of just sugar and glucose. Placebos can be also devices, procedures or injections\u00a0if the patients believe they are effective and will make them feel better.<\/p>\n<p id=\"5599\" class=\"graf graf--p graf-after--p\">Placebos may be pharmacologically <strong class=\"markup--strong markup--p-strong\">inert. <\/strong>That means that they contain no active ingredients (the sugar pill). However, medications that do have active ingredients but aren\u2019t proven to work on the patient\u2019s particular condition can also be placebos. A surgery can be claimed a placebo too. Some people believe that homeopathy and alternative medicine are placebos as well.<\/p>\n<p id=\"4b64\" class=\"graf graf--p graf-after--p\">As it was already mentioned, the phenomenon is still not clear to the neuroscientists, but yet few things have been revealed. For example, the placebo helps the brain to release natural chemicals like endorphins \u2014 the hormone of happiness. This is why placebos are extremely effective on treating post-operative pain, depression, and anxiety.<\/p>\n<p id=\"234f\" class=\"graf graf--p graf-after--p\">One of the theories behind the placebo effect is the <strong class=\"markup--strong markup--p-strong\">subject-expectancy effect<\/strong>.<\/p>\n<p id=\"eea5\" class=\"graf graf--p graf-after--p\">This theory postulates that people unconsciously change their reaction to bring a positive result when taking a pill that is supposed to be helpful.<\/p>\n<p id=\"be81\" class=\"graf graf--p graf-after--p\">Another theory says that people who experience the placebo effect have become <strong class=\"markup--strong markup--p-strong\">classically conditioned<\/strong> to expect relief.<\/p>\n<p id=\"5990\" class=\"graf graf--p graf-after--p\">Both theories are rather similar as far as in both of them the patient has a <em class=\"markup--em markup--p-em\">built-in<\/em> expectation of the result.<\/p>\n<p id=\"04f5\" class=\"graf graf--p graf-after--p\">Another interesting attempt to understand the placebo effect is a study from 2002, conducted at UCLA Neuropsychiatric Institute. The researchers there designed two groups of patients to test experimental antidepressants. The first group has been given the actually tested drug and the second one has been receiving a placebo for their depression. After a couple of weeks, each group\u2019s brain activity was measured. The good news is that both groups had shown positive effects.<\/p>\n<p id=\"b691\" class=\"graf graf--p graf-after--p\">The researchers registered, though, that the placebo group had a significant increase of the brain activity compared to those who were taking the drug. Something more, a different part of the brain was active \u2014 the prefrontal cortex which is related to planning, cognitive behavior, personality expression and decision making.<\/p>\n<p id=\"8ad7\" class=\"graf graf--p graf-after--p\">On the other hand, placebos are not simply \u201cin your head\u201d. They can cause physical reactions too \u2014 to relieve pain, but also bring it as well as to relax your muscles.<\/p>\n<p id=\"f6bb\" class=\"graf graf--p graf-after--p\">The next infographic, that we have prepared, will add some more knowledge about the placebo effect in facts and figures.<\/p>\n<p id=\"a641\" class=\"graf graf--p graf-after--p\">Well, if you are still interested to learn about the use of placebo in <a class=\"markup--anchor markup--p-anchor\" href=\"http:\/\/www.findmecure.com\/\" target=\"_blank\" data-href=\"http:\/\/www.findmecure.com\/\">Clinical Trials<\/a>, don\u2019t stop till here.\u00a0\ud83d\ude42<\/p>\n<p class=\"graf graf--p graf-after--p\"><img loading=\"lazy\" class=\"aligncenter size-full wp-image-178\" src=\"http:\/\/www.findmecure.com\/blog\/wp-content\/uploads\/2017\/01\/Placebo-Info.jpeg\" alt=\"\" width=\"1000\" height=\"569\" srcset=\"https:\/\/www.findmecure.com\/blog\/wp-content\/uploads\/2017\/01\/Placebo-Info.jpeg 1000w, https:\/\/www.findmecure.com\/blog\/wp-content\/uploads\/2017\/01\/Placebo-Info-300x171.jpeg 300w, https:\/\/www.findmecure.com\/blog\/wp-content\/uploads\/2017\/01\/Placebo-Info-768x437.jpeg 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<h4 id=\"b7c3\" class=\"graf graf--h4 graf-after--figure\"><strong class=\"markup--strong markup--h4-strong\">Placebos in\u00a0research<\/strong><\/h4>\n<p id=\"fa9b\" class=\"graf graf--p graf-after--h4\">Placebos are often used in clinical research to determine how well a tested drug fulfills its intended purpose. To explain how exactly it is used, we can say the following: A placebo-controlled trial usually involves 2 groups of participants. The first one receives the actual drug or treatment tested and the second \u2014 a placebo. This type of trials are blind (the participants don\u2019t know about the possibility of taking placebo) and most often \u2014 double-blind, which means that even the researchers don\u2019t know whether a placebo is given. All of this is to avoid potential bias.<\/p>\n<p id=\"76cc\" class=\"graf graf--p graf-after--p\">There are many people who fear clinical trials because they believe receiving a placebo might be dangerous, especially when it comes to serious conditions like cancer, for example. Although\u00a0these might be reasonable concerns from patient\u2019s point of view, clinical research has developed a lot in the last several decades.<\/p>\n<p id=\"0f4a\" class=\"graf graf--p graf-after--p\">Patient\u2019s safety is one of the areas where has been worked a lot on. The decision about whether to use a placebo in a clinical trial is based on how serious the illness is, whether an existing treatment is available, and other considerations that ensure high standard of ethics.<\/p>\n<p id=\"c42f\" class=\"graf graf--p graf-after--p\">For instance, if an experiment drug is been tested for a very serious disease while there is already an existing drug, the available treatment is usually used instead of placebo. As it comes for new cancer treatments, drugs are tested against placebo when the best supportive care is the standard treatment option.<\/p>\n<p id=\"a367\" class=\"graf graf--p graf-after--p\"><strong class=\"markup--strong markup--p-strong\">Obecalp<\/strong><\/p>\n<p id=\"acb8\" class=\"graf graf--p graf-after--p\">Not only the Clinical Research is a sensitive area when it comes to placebo usage. Let\u2019s taka the Obecalp case. If you try to read the word backwards, you will notice that we still speak about the placebo effect. The case of a mother, named Jen Buettner, become famous in 2008, when she trademarked the name Obecalp (Placebo read backward) and started selling placebo pills for children. The tablets were made mainly of dextrose (simple sugar chemically identical to glucose that is made from corn).<\/p>\n<p id=\"1acf\" class=\"graf graf--p graf-after--p\">Since then there have been literally thousands of mixed responses towards Obecalp, some of them calling that although the pills can\u2019t harm physically the children, they teach them always look for a reliever in a pill.<\/p>\n<p id=\"460b\" class=\"graf graf--p graf-after--p\"><strong class=\"markup--strong markup--p-strong\">Instead of a conclusion<\/strong><\/p>\n<p id=\"8c85\" class=\"graf graf--p graf-after--p\">The placebo effect is a vast topic for discussion that few blog posts can cover entirely. But if you have anything to add, please do so in the comments!<\/p>\n<p id=\"3925\" class=\"graf graf--p graf-after--p\">We will be happy to hear about any topic you would like to know more and to write an article. Drop us a line!<\/p>\n<p id=\"f703\" class=\"graf graf--p graf-after--p\">And last but not least, if you think this reading was useful to you, don\u2019t hesitate to press the little red heart at the top of the page.<\/p>\n<p id=\"543d\" class=\"graf graf--p graf-after--p\">We, at FindMeCure, are getting extremely happy with every response!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The placebo effect has been widely discussed basically ever since it had been discovered by the American doctor Henry Beecher, who was taking care of wounded soldiers during the World War II. One day Henry runs out of the vital pain-killing morphine. At that point he doesn\u2019t have much of a choice but to continue [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":179,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4,5],"tags":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.findmecure.com\/blog\/wp-json\/wp\/v2\/posts\/177"}],"collection":[{"href":"https:\/\/www.findmecure.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.findmecure.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.findmecure.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.findmecure.com\/blog\/wp-json\/wp\/v2\/comments?post=177"}],"version-history":[{"count":4,"href":"https:\/\/www.findmecure.com\/blog\/wp-json\/wp\/v2\/posts\/177\/revisions"}],"predecessor-version":[{"id":192,"href":"https:\/\/www.findmecure.com\/blog\/wp-json\/wp\/v2\/posts\/177\/revisions\/192"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.findmecure.com\/blog\/wp-json\/wp\/v2\/media\/179"}],"wp:attachment":[{"href":"https:\/\/www.findmecure.com\/blog\/wp-json\/wp\/v2\/media?parent=177"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.findmecure.com\/blog\/wp-json\/wp\/v2\/categories?post=177"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.findmecure.com\/blog\/wp-json\/wp\/v2\/tags?post=177"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}