Vigencia del efecto placebo: su biología desde la genética a la conducta

The placebo effect has been seldom studied in the history of medicine. However, during the last decades, the great impact of this phenomenon in clinical practice, ranging from surgical to psychiatric field, has been revealed. Research elucidated both the psychological mechanisms and genetic polymorp...

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Autores principales: Aceituno V.,Diana, Santander,Jaime
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2017
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000600775
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spelling oai:scielo:S0034-988720170006007752017-11-17Vigencia del efecto placebo: su biología desde la genética a la conductaAceituno V.,DianaSantander,Jaime Genetics Neurobiology Nocebo Effect Placebo Effect The placebo effect has been seldom studied in the history of medicine. However, during the last decades, the great impact of this phenomenon in clinical practice, ranging from surgical to psychiatric field, has been revealed. Research elucidated both the psychological mechanisms and genetic polymorphisms that affect the susceptibility of individuals to express this phenomenon. We herein review the psychological mechanisms, brain structures (anterior cingulate cortex, nucleus accumbens, dorsolateral prefrontal cortex, insular cortex, thalamus) and neurotransmission systems involved (opioid, dopaminergic, cannabinoid, serotoninergic, cholecystokinin). These are the clue to recognize the polymorphisms that have been identified so far. The biological basis of both the placebo effect and its alter ego, the nocebo effect, are well recognized, and related to corresponding psychological processes. Finally, the implications of the findings in clinical practice and medical training are discussed.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.145 n.6 20172017-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000600775es10.4067/s0034-98872017000600775
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Genetics
Neurobiology
Nocebo Effect
Placebo Effect
spellingShingle Genetics
Neurobiology
Nocebo Effect
Placebo Effect
Aceituno V.,Diana
Santander,Jaime
Vigencia del efecto placebo: su biología desde la genética a la conducta
description The placebo effect has been seldom studied in the history of medicine. However, during the last decades, the great impact of this phenomenon in clinical practice, ranging from surgical to psychiatric field, has been revealed. Research elucidated both the psychological mechanisms and genetic polymorphisms that affect the susceptibility of individuals to express this phenomenon. We herein review the psychological mechanisms, brain structures (anterior cingulate cortex, nucleus accumbens, dorsolateral prefrontal cortex, insular cortex, thalamus) and neurotransmission systems involved (opioid, dopaminergic, cannabinoid, serotoninergic, cholecystokinin). These are the clue to recognize the polymorphisms that have been identified so far. The biological basis of both the placebo effect and its alter ego, the nocebo effect, are well recognized, and related to corresponding psychological processes. Finally, the implications of the findings in clinical practice and medical training are discussed.
author Aceituno V.,Diana
Santander,Jaime
author_facet Aceituno V.,Diana
Santander,Jaime
author_sort Aceituno V.,Diana
title Vigencia del efecto placebo: su biología desde la genética a la conducta
title_short Vigencia del efecto placebo: su biología desde la genética a la conducta
title_full Vigencia del efecto placebo: su biología desde la genética a la conducta
title_fullStr Vigencia del efecto placebo: su biología desde la genética a la conducta
title_full_unstemmed Vigencia del efecto placebo: su biología desde la genética a la conducta
title_sort vigencia del efecto placebo: su biología desde la genética a la conducta
publisher Sociedad Médica de Santiago
publishDate 2017
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000600775
work_keys_str_mv AT aceitunovdiana vigenciadelefectoplacebosubiologiadesdelageneticaalaconducta
AT santanderjaime vigenciadelefectoplacebosubiologiadesdelageneticaalaconducta
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