placebo Flashcards
what is placebo not subject to
patient’s education levelm socioeconomic state, race, gender or sexuality
factors affecting perception of pain
cognition, context, sensitization, emotion, chemical/structural, genetics
what controls motivational responses
orbitofrontal cortex
influences on pain responses
cognitive and emotional mechanisms influence pain experiences via prefrontal-limbic-brainstem interactions
expectancy
associated with dopamine-mediated expectancy reward system. individuals showing strong responses to monetary rewards also showed stronger placebo responses
motivation
stronger placebo effects with more invasive treatments; req cognition and interpretation
conditioning
prior exposure and associations (largely unconscious)
discuss impact of crossover studies
people receive active drug or placebo
initial treatment period followed by washout interval and treatments are switched
how does this impact expectancy, conditioning and motivation