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Placebos in pediatrics: A cross-sectional survey investigating physicians' perspectives.
Faria, Vanda; Talbert, Cameron; Goturi, Nathan; Borsook, David; Lebel, Alyssa; Kaptchuk, Ted J; Kirsch, Irving; Kelley, John M; Moulton, Eric A.
Afiliación
  • Faria V; Brain and Eye Pain Imaging Lab, Pain and Affective Neuroscience Center, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA; Department of Psychology, Uppsala University, Uppsala, Sweden; Department of Otorhinolaryngology
  • Talbert C; Brain and Eye Pain Imaging Lab, Pain and Affective Neuroscience Center, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
  • Goturi N; Brain and Eye Pain Imaging Lab, Pain and Affective Neuroscience Center, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
  • Borsook D; Departments of Psychiatry and Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
  • Lebel A; Division of Pain Medicine, Department of Anesthesiology, Boston Children's Hospital, Boston, MA, USA.
  • Kaptchuk TJ; Program in Placebo Studies, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
  • Kirsch I; Program in Placebo Studies, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
  • Kelley JM; Program in Placebo Studies, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA; Department of Psychology, Endicott College, Beverly, MA, USA.
  • Moulton EA; Brain and Eye Pain Imaging Lab, Pain and Affective Neuroscience Center, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA; Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA
J Psychosom Res ; 172: 111421, 2023 09.
Article en En | MEDLINE | ID: mdl-37354748
OBJECTIVE: Placebo responses are significantly higher in children than in adults, suggesting a potential underused treatment option in pediatric care. To facilitate the clinical translation of these beneficial effects, we explored physicians' current practice, opinions, knowledge, and likelihood of recommending placebos in the future. METHODS: A cross-sectional web-based survey administered by REDCap was conducted at Boston Children's Hospital between October 2021 and March 2022. Physicians (n = 1157) were invited to participate through an email containing a link to a 23-item survey designed to assess physicians' attitudes and perceptions towards the clinical use of placebo in pediatrics. RESULTS: From 207 (18%) returned surveys, 109 (9%) were fully completed. Most respondents (79%) believed that enhancing the therapeutic components that contribute to the placebo response may be a way of improving pediatric care. However, whereas most (62%) found placebo treatments permissible, only one-third reported recommending them. In pediatrics, placebos are typically introduced as a medicine that "might help" (43%). The most common treatments recommended to enhance placebo effects are physical therapy, vitamins, and over-the-counter analgesics. Physicians most frequently recommend placebos for occasional pain, headaches, and anxiety disorders. Finally, the great majority of physicians (87%) stated they would be more likely to recommend placebo treatments if there were safety and ethical guidelines for open-label placebos. CONCLUSIONS: Placebo treatments seem permissible to physicians in pediatric care, but the development of safety and ethical guidelines may be necessary before physicians systematically incorporate the benefits of the placebo effect in pediatrics.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pediatría / Médicos Tipo de estudio: Clinical_trials / Guideline / Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Aspecto: Ethics Límite: Child / Humans Idioma: En Revista: J Psychosom Res Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pediatría / Médicos Tipo de estudio: Clinical_trials / Guideline / Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Aspecto: Ethics Límite: Child / Humans Idioma: En Revista: J Psychosom Res Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido