The role of expectation in the therapeutic outcomes of alcohol and drug addiction treatments

Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism
Primavera A SpagnoloMarkus Heilig

Abstract

Throughout history, patient-physician relationships have been acknowledged as an important component of the therapeutic effects of any pharmacological treatment. Here, we discuss the role of physicians' expectations in influencing the therapeutic outcomes of alcohol and drug addiction pharmacological treatments. As largely demonstrated, such expectations and attitudes may contribute to produce placebo and nocebo effects that in turn affect the course of the disease and the response to the therapy. This article is aimed at discussing the current insights into expectations, placebo and nocebo mechanisms and their impact on the therapeutic outcomes of alcohol and drug addiction treatments; with the goal of informing physicians and other health care providers about the potentially widespread implications for clinical practice and for a successful treatment regimen.

References

Jun 1, 1973·Journal of Abnormal Psychology·G A MarlattJ B Reid
Oct 4, 2000·JAMA : the Journal of the American Medical Association·A T McLellanH D Kleber
Mar 21, 2003·Journal of Substance Abuse Treatment·Cindy Parks ThomasRobert Swift
Mar 22, 2003·Science·Christopher D FiorilloWolfram Schultz
May 22, 2003·Trends in Cognitive Sciences·Alexander PloghausDavid Borsook
Dec 14, 2004·Science·A David Redish
Mar 24, 2005·Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors·Ronda L DearingKimberly S Walitzer
Dec 2, 2005·Annual Review of Psychology·Wolfram Schultz
Aug 1, 2008·Neuron·Paul EnckManfred Schedlowski
Aug 1, 2008·The Journal of Behavioral Health Services & Research·Stanley S WallackSharon Reif
Aug 24, 2010·BioEssays : News and Reviews in Molecular, Cellular and Developmental Biology·Nora D VolkowRuben Baler
Jan 21, 2011·Current Opinion in Psychiatry·Luana Colloca, Franklin G Miller
Mar 2, 2011·Journal of Addiction Medicine·Hannah K KnudsenPaul M Roman

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Citations

Jan 14, 2020·Expert Opinion on Pharmacotherapy·Shane W KrausMarc N Potenza
Jan 14, 2017·Brain : a Journal of Neurology·Primavera A Spagnolo, David Goldman
Jun 10, 2017·Progress in Neuro-psychopharmacology & Biological Psychiatry·Annabelle M BelcherLuana Colloca

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