No evidence for an acute placebo effect on emotional processing in healthy volunteers

Placebo-controlled trials are the gold standard measure of efficacy in the development of new treatments for depression. However, the large placebo effects associated with standard measures of subjective symptoms reduce the sensitivity of such trials to detect antidepressant effects. There is a need...

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Main Authors: Huneke, NTM, Walsh, AEL, Brown, R, Browning, M, Harmer, CJ
Format: Journal article
Published: SAGE Publications 2017
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author Huneke, NTM
Walsh, AEL
Brown, R
Browning, M
Harmer, CJ
author_facet Huneke, NTM
Walsh, AEL
Brown, R
Browning, M
Harmer, CJ
author_sort Huneke, NTM
collection OXFORD
description Placebo-controlled trials are the gold standard measure of efficacy in the development of new treatments for depression. However, the large placebo effects associated with standard measures of subjective symptoms reduce the sensitivity of such trials to detect antidepressant effects. There is a need to develop novel efficacy markers that are resistant to placebo effects. Measures of emotional processing, known to be sensitive to antidepressant treatment, may be such a marker, although the effect of an acute placebo treatment on these measures remains unclear. We assessed the influence of placebo on a validated battery of emotional processing tasks, the Emotional Test Battery (ETB), in healthy participants. Participants were informed they might receive the antidepressant drug bupropion, placebo or no treatment, with placebo effect being estimated as the difference between the placebo and no treatment groups. We found no significant difference between these groups on measures of emotional processing. There was also no effect of subjective treatment expectancy on performance in the tasks. This suggests that the ETB might be a useful tool for Phase I trials assessing novel antidepressant agents against placebo.
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spelling oxford-uuid:dc92b9ac-fbc3-43ab-b2d8-ee001f9928c82022-03-27T09:18:43ZNo evidence for an acute placebo effect on emotional processing in healthy volunteersJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:dc92b9ac-fbc3-43ab-b2d8-ee001f9928c8Symplectic Elements at OxfordSAGE Publications2017Huneke, NTMWalsh, AELBrown, RBrowning, MHarmer, CJPlacebo-controlled trials are the gold standard measure of efficacy in the development of new treatments for depression. However, the large placebo effects associated with standard measures of subjective symptoms reduce the sensitivity of such trials to detect antidepressant effects. There is a need to develop novel efficacy markers that are resistant to placebo effects. Measures of emotional processing, known to be sensitive to antidepressant treatment, may be such a marker, although the effect of an acute placebo treatment on these measures remains unclear. We assessed the influence of placebo on a validated battery of emotional processing tasks, the Emotional Test Battery (ETB), in healthy participants. Participants were informed they might receive the antidepressant drug bupropion, placebo or no treatment, with placebo effect being estimated as the difference between the placebo and no treatment groups. We found no significant difference between these groups on measures of emotional processing. There was also no effect of subjective treatment expectancy on performance in the tasks. This suggests that the ETB might be a useful tool for Phase I trials assessing novel antidepressant agents against placebo.
spellingShingle Huneke, NTM
Walsh, AEL
Brown, R
Browning, M
Harmer, CJ
No evidence for an acute placebo effect on emotional processing in healthy volunteers
title No evidence for an acute placebo effect on emotional processing in healthy volunteers
title_full No evidence for an acute placebo effect on emotional processing in healthy volunteers
title_fullStr No evidence for an acute placebo effect on emotional processing in healthy volunteers
title_full_unstemmed No evidence for an acute placebo effect on emotional processing in healthy volunteers
title_short No evidence for an acute placebo effect on emotional processing in healthy volunteers
title_sort no evidence for an acute placebo effect on emotional processing in healthy volunteers
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AT browningm noevidenceforanacuteplaceboeffectonemotionalprocessinginhealthyvolunteers
AT harmercj noevidenceforanacuteplaceboeffectonemotionalprocessinginhealthyvolunteers