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Academia Mexicana de Neurología, A.C.

2018, Número 4

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Rev Mex Neuroci 2018; 19 (4)


Placebo, nocebo y ningún tratamiento

Grisold W, Grisold S

Idioma: Ingles.
Referencias bibliográficas: 48
Paginas: 4-15
Archivo PDF: 306.26 Kb.


RESUMEN

El significado de gran alcance de los efectos placebo y nocebo a menudo se subestiman o son ignorados en la práctica clínica. Actualmente, el término placebo se usa: (1) en el contexto de ensayos clínicos controlados aleatorizados (RCTs, por sus siglas en inglés); (2) para describir un tratamiento simulado en varios matices y (3) describe los efectos a menudo atribuidos a los curanderos. Esto difiere del “no tratamiento”, que tiene implicaciones completamente diferentes. Aún menos aceptado es el término nocebo, que literalmente significa “que dañará”. Como placebo, este término puede ser ambiguo y puede aparecer de muchas maneras ocultas. La investigación en los últimos años se ha basado en experimentos, estudios elaborados y en estudios de imágenes. El placebo y nocebo también tienen antecedentes empíricos y científicos. Además, aspectos éticos conciernen a los conceptos placebo y nocebo, en particular con respecto a las relaciones cambiantes de la relación médico-paciente, que afecta a ambos términos. Con base en dicho conocimiento, cada vez más médicos y pacientes son conscientes de estos fenómenos, y será importante concientizar no solo a los médicos, sino también al personal de atención médica involucrado en el tratamiento de los pacientes.


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