Skip to main content
Log in

Placebo response, placebo effect, and two attributes

  • Original Investigations
  • Published:
Psychopharmacology Aims and scope Submit manuscript

Abstract

Two putative predictors of placebo response were studied in three samples of psychiatric outpatients. Two groups, 73 university medical center patients and 56 college health service patients, underwent 1 week of placebo treatment. A quasi-control group of 112 patients receiving no medication waited about 1 week before beginning psychotherapy. One attribute, acquiescence or traditionalism, predicted placebo response, thereby replicating prior findings. Acquiescence was unrelated to change in controls indicating that it may represent a correlate of true placebo effect under some conditions. Additonal findings suggested qualifications as to the generality of the relationship. The second attribute, autonomic awareness, was associated with change in all three samples. It appeared to predict nonspecific improvement unrelated to placebo probably due to its relationship to intensity of somatization.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Bass, B.: Development and evaluation of a scale for measuring social acquiescence. J. Abnorm. Soc. Psychol. 53, 296–299 (1956)

    Google Scholar 

  • Batterman, R. C.: Placebo and nonreactors to analgesics. Fed. Proc. 16, 280, Abstract No. 1197 (1957)

    Google Scholar 

  • Blalock, H. M.: Causal inferences in nonexperimental research. North Carolina: University of North Carolina Press 1964

    Google Scholar 

  • Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., Covi, L.: The Hopkins symptom checklist (HSCL). In: Psychological measurements in psychopharmacology P. Pichot, ed., pp. 79–110. Basle: Karger 1974

    Google Scholar 

  • Fisher, S.: The placebo reactor: Thesis, antithesis, synthesis and hypothesis. Dis. Nerv. Syst. 28, 510–515 (1967)

    Google Scholar 

  • Fisher, S., Fisher, R. L.: Placebo response and acquiescence. Psychopharmacologia 4, 298–301 (1963)

    Google Scholar 

  • Galway, R.: Autonomic awareness and tolerance of ischemic pain. Ph. D. dissertation, Boston University 1971

  • Honigfeld, G.: Non-specific factors in treatment Dis. Nerv. Syst. 25, 145–156, 225–239 (1964)

    Google Scholar 

  • Joyce, C. R. B.: Consistent differences in individual reactions to drugs and dummies. Br. J. Pharmacol. 14, 512–521 (1959)

    Google Scholar 

  • Lasagna, L., Mosteller, F., von Felsinger, J. M., Beecher, H. K.: A study of the placebo response. Am. J. Med. 16, 770–779 (1954)

    Google Scholar 

  • Liberman, R.: An experimental study of the placebo response under three different situations of pain. J. Psychiatr. Res. 2, 233–246 (1964)

    Google Scholar 

  • Mandler, G., Mandler, J. M., Uviller, E. T.: Autonomic feedback: The perception of autonomic activity. J. Abnorm. Soc. Psychol. 56, 367–373 (1958)

    Google Scholar 

  • McNair, D. M., Fisher, S., Kahn, R. J., Droppleman, L. F.: Drugpersonality interaction in intensive outpatient treatment. Arch. Gen. Psychiatry 22, 128–135 (1970)

    Google Scholar 

  • McNair, D. M., Kahn, R. J., Droppleman, L. F., Fisher, S.: Patient acquiescence and drug effects. In: Non-specific factors in drug therapy K. Rickels, ed., pp. 59–71 Springfield, Ill: Thomas 1968

    Google Scholar 

  • McNair, D. M., Lorr, M., Droppleman, L. F.: Profile of mood states. California: Educational and Industrial Testing Service 1971

    Google Scholar 

  • Raab, E., Rickels, K., Moore, E.: A double-blind evaluation of tybamate in anxious neurotic medical clinic patients. Am. J. Psychiatry 120, 1005–1007 (1964)

    Google Scholar 

  • Shapiro, A. K., Mike, V., Barten, H., Shapiro, E.: Study of the placebo effect with a self-administered placebo test. Compr. Psychiatry 14, 535–548 (1973)

    Google Scholar 

  • Schutz, R. E., Foster, R. J.: A factor analytic study of acquiescent and extreme response set. Educ. Psychol. Meas. 23, 435–447 (1963)

    Google Scholar 

  • Uhlenhuth, E. H., Covi, L., Lipman, R. S. Indications for minor tranquilizers in anxious outpatients. In: Drugs and the brain P. Black, ed., pp. 203–221. Baltimore: Hopkins 1969

    Google Scholar 

  • Wolf, S., Doering, C. R., Clark, M. L., Hagans, J. A.: Chance distribution and the placebo “reactor” J. Lab. Clin. Med 49, 837–841 (1957)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

McNair, D.M., Gardos, G., Haskell, D.S. et al. Placebo response, placebo effect, and two attributes. Psychopharmacology 63, 245–250 (1979). https://doi.org/10.1007/BF00433557

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00433557

Key words

Navigation