LEADER 03572nam 22005535 450 001 9910337526103321 005 20200705122821.0 010 $a3-030-02976-X 024 7 $a10.1007/978-3-030-02976-0 035 $a(CKB)4100000007610990 035 $a(DE-He213)978-3-030-02976-0 035 $a(MiAaPQ)EBC5702836 035 $a(PPN)235005487 035 $a(EXLCZ)994100000007610990 100 $a20190211d2019 u| 0 101 0 $aeng 135 $aurnn|008mamaa 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aPlacebos and Nocebos in Headaches /$fedited by Dimos D. Mitsikostas, Fabrizio Benedetti 205 $a1st ed. 2019. 210 1$aCham :$cSpringer International Publishing :$cImprint: Springer,$d2019. 215 $a1 online resource (IX, 142 p. 5 illus., 3 illus. in color.) 225 1 $aHeadache,$x2197-652X 311 $a3-030-02975-1 327 $a1 Headache Classification and Diagnosis -- 2 The burden of headache -- 3 Patient centred approach in headaches -- 4 Unmet needs in headache management -- 5 Mechanisms of pain and headache -- 6 The reward system -- 7 Mechanisms of placebo -- 8 Mechanisms of nocebo -- 9 Placebo in headache treatment -- 10 Nocebo in headache treatment. . 330 $aThis book discusses the role of placebos and nocebos in the treatment of headache disorders. These disorders are usually treatable, but safety and tolerability issues mean that available preventive treatments have often limited success, even in the right hands ? one in five patients treated with a migraine preventive pharmaceutical agent discontinues treatment for those reasons. The nocebo effect plays a role here, with patients? negative expectation and previous unpleasant treatment experiences creating negative belief in the treatment?s benefits and safety, which in turn limits treatment outcomes and adherence significantly. In RCTs on migraine prevention, one in 20 patients treated with a placebo discontinued treatment because of adverse events, indicating a considerable nocebo effect; the fewer potential adverse events described in the consent form, the smaller the nocebo effect. As such, physicians treating headache sufferers should acknowledge nocebo as a significant cofactor for treatment adherence and failure, and plan techniques to limit the effects, such as patient education and close follow-up. This highly informative and painstakingly presented book provides scientific insights for professionals and scholars with an interest in internal medicine, neurology and pain medicine. . 410 0$aHeadache,$x2197-652X 606 $aInternal medicine 606 $aNeurology  606 $aPain medicine 606 $aInternal Medicine$3https://scigraph.springernature.com/ontologies/product-market-codes/H33002 606 $aNeurology$3https://scigraph.springernature.com/ontologies/product-market-codes/H36001 606 $aPain Medicine$3https://scigraph.springernature.com/ontologies/product-market-codes/H47003 615 0$aInternal medicine. 615 0$aNeurology . 615 0$aPain medicine. 615 14$aInternal Medicine. 615 24$aNeurology. 615 24$aPain Medicine. 676 $a616 676 $a616.8491 702 $aMitsikostas$b Dimos D$4edt$4http://id.loc.gov/vocabulary/relators/edt 702 $aBenedetti$b Fabrizio$4edt$4http://id.loc.gov/vocabulary/relators/edt 906 $aBOOK 912 $a9910337526103321 996 $aPlacebos and Nocebos in Headaches$91742356 997 $aUNINA