Differential response to placebo among patients with social phobia, panic disorder, and obsessive-compulsive disorder

Am J Psychiatry. 2004 Aug;161(8):1485-7. doi: 10.1176/appi.ajp.161.8.1485.

Abstract

Objective: Placebo effects in treatment of three anxiety disorders were compared.

Method: Treatment response and patients' treatment expectancy were examined by using data from 70 patients with obsessive-compulsive disorder, social phobia, or panic disorder who received placebo in three randomized, controlled trials comparing cognitive behavior therapy, medication, and their combination to placebo.

Results: Patients with obsessive-compulsive disorder were less likely to respond to placebo than patients with generalized social phobia or panic disorder. Differential expectancy did not account for these findings.

Conclusions: Further examination of the placebo effect across the anxiety disorders may elucidate maintenance mechanisms of these disorders and have implications for development of more effective treatments.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Attitude to Health
  • Cognitive Behavioral Therapy
  • Combined Modality Therapy
  • Female
  • Humans
  • Male
  • Obsessive-Compulsive Disorder / diagnosis
  • Obsessive-Compulsive Disorder / psychology
  • Obsessive-Compulsive Disorder / therapy*
  • Panic Disorder / diagnosis
  • Panic Disorder / psychology
  • Panic Disorder / therapy*
  • Phobic Disorders / diagnosis
  • Phobic Disorders / psychology
  • Phobic Disorders / therapy*
  • Placebo Effect*
  • Placebos / therapeutic use
  • Psychiatric Status Rating Scales
  • Psychotropic Drugs / therapeutic use
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • Placebos
  • Psychotropic Drugs