title: [The practical use of placebo effect in psychotherapeutic treatment of patients with substance use disorders: therapeutic and ethic consequences].
abstract: The article discusses therapeutic potential of placebo and nocebo effects in treatment of substance use disorders. The authors review the background of the issue, describe neurobiological and psychological mechanisms of placebo effects and demonstrate their impact on psychotherapy of patients with substance use disorders. Attention is drawn to the clinical and ethical issues of practical use of placebo effects including that in terms of placebo-therapy, indirect suggestion psychotherapy, motivational interventions and cognitive-behavioral psychotherapy, psychotherapy with the use of disulfiram, psychopharmacotherapy with opioid antagonists. The authors conclude that the ethical use of placebo-effects in treatment of substance use disorders may improve its overall efficiency.
authors.affiliation: Peoples' Friendship University of Russia, Moscow, Russia.
authors.forename: O D
authors.initials: OD
authors.lastname: Tuchina
authors.affiliation: Peoples' Friendship University of Russia, Moscow, Russia; Serbsky Federal Medical Research Center for Psychiatry and Narcology, Ministry of Health of the Russian Federation, Moscow, Russia.
authors.forename: T V
authors.initials: TV
authors.lastname: Agibalova
authors.affiliation: Academician Pavlov Ryazan State Medical University, Ryazan, Russia.
authors.forename: D I
authors.initials: DI
authors.lastname: Shustov
authors.affiliation: Academician Pavlov Ryazan State Medical University, Ryazan, Russia.
authors.forename: S A
authors.initials: SA
authors.lastname: Shustova
authors.affiliation: Peoples' Friendship University of Russia, Moscow, Russia.
authors.forename: О G
authors.initials: ОG
authors.lastname: Buzik
authors.affiliation: Peoples' Friendship University of Russia, Moscow, Russia.
authors.forename: Yu E
authors.initials: YE
authors.lastname: Petrosyan
mesh_terms: D015928:Cognitive Behavioral Therapy; D004221:Disulfiram / Q000627:therapeutic use; D006801:Humans; D015990:Placebo Effect; D011613:Psychotherapy; D011619:Psychotropic Drugs / Q000627:therapeutic use; D019966:Substance-Related Disorders / Q000188:drug therapy*
chemical_list: D011619:Psychotropic Drugs; D004221:Disulfiram