Biomaterial Database

[The status of placebo treatment in a psychiatric hospital (author's transl)]. 1981

H U Lange

The placebo treatments at the Rheinische Landes- und Hochschulklinik für Psychiatrie Essen were registered during one year. With interviews and nurses' reports indication, situation, and supposed effect were inquired. A questionnaire investigated the therapists' and nursing staff's attitudes towards the therapy with placebos. 3,9% of the masculine and 6,1% of the feminine patients were treated with placebos without preference of an age or a group of diagnoses. Placebos were predominantly prescribed for concomitant symptoms of psychiatric diseases (especially complaints of sleep disorders or pain). Mostly placebos were taken in case of abuse, forceful lamentation, and assumption of physical complaints without an organic basis. The nursing staff often administered placebos without agreement of the doctor to avoid calling him at night. Between and within the professional groups there were marked differences in the attitudes towards placebos. Besides these results some problems of the use and outcome control of placebos are discussed. On the whole reserve in the medication of placebos is recommended.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D010043	Outcome and Process Assessment, Health Care	Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.	Outcome and Process Assessment (Health Care),Donabedian Model,Donabedian Triad,Outcome and Process Assessment,Structure Process Outcome Triad,Model, Donabedian,Triad, Donabedian
D010919	Placebos	Any dummy medication or treatment. Although placebos originally were medicinal preparations having no specific pharmacological activity against a targeted condition, the concept has been extended to include treatments or procedures, especially those administered to control groups in clinical trials in order to provide baseline measurements for the experimental protocol.	Sham Treatment
D005260	Female		Females
D006778	Hospitals, Psychiatric	Special hospitals which provide care to the mentally ill patient.	Mental Hospitals,Hospitals, Mental,Mental Institutions,Psychiatric Hospitals,Hospital, Mental,Hospital, Psychiatric,Institution, Mental,Institutions, Mental,Mental Hospital,Mental Institution,Psychiatric Hospital
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D001291	Attitude of Health Personnel	Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.	Staff Attitude,Attitude, Staff,Attitudes, Staff,Health Personnel Attitude,Health Personnel Attitudes,Staff Attitudes
D001523	Mental Disorders	Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function.	Mental Illness,Psychiatric Diseases,Psychiatric Disorders,Psychiatric Illness,Behavior Disorders,Diagnosis, Psychiatric,Mental Disorders, Severe,Psychiatric Diagnosis,Illness, Mental,Mental Disorder,Mental Disorder, Severe,Mental Illnesses,Psychiatric Disease,Psychiatric Disorder,Psychiatric Illnesses,Severe Mental Disorder,Severe Mental Disorders