this post was submitted on 07 Jul 2023
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Science

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[–] atzanteol 1 points 1 year ago (5 children)

In addition to placebo effects, patients might be motivated to report they have gotten better, even when they haven’t.

Isn't "patients reporting they've gotten better when they haven't" pretty much the definition of "placebo effect?"

[–] [email protected] 5 points 1 year ago (4 children)

Nope. The placebo effect is when there's actual measurable benefit from the placebo. Misreporting is something else.

[–] atzanteol 1 points 1 year ago (3 children)

How do you figure? We're talking about somebody reporting a positive health outcome, despite not actually being any better, because they expect to feel better. How is that not placebo?

[–] [email protected] 1 points 1 year ago

The difference is that placebo is an objectively measureable benefit, regardless of whether they report being better or not.

Misreporting is a reported benefit, regardless lf whether they are objectively measureably better or not.

E.g. joint inflammation could be an example. Measurable reduction in inflammation with a calipers could be induced by placebo, even if patient doesn't report feeling better. But reporting feeling better may not come with any measured reduction in swelling.

Placebo is not (just) in the mind, it is in the entire body!

I acknowledge it is less clear-cut in mental health, but I just wanted to answer the general question outside of this specific context.

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