
Since the publication in this Journal of a description of the effects of placebos in rheumatoid conditions (Traut and Passerelli, 1957), there has been a growing literature on the subject of placebo responses, but little has appeared in print regarding such effects in arthritis. During a recent intra-articular injection trial in which two steroid preparations and a placebo were compared, it became apparent that responses to the latter were frequent and well marked. It was decided, therefore, to make a parallel study of the whole question of placebo responses as these occurred during the trial. The results of injection of the two steroids have already been reported; one paper dealt with the effects on rheumatoid arthritics (Chandler, Wright, and Hartfall, 1958) and the other with the effects on osteo-arthritics (Wright, Chandler, Morison, and Hartfall, 1960). The present paper is concerned chiefly with a detailed examination of the responses to the placebo injections in the same trial. It also reports the results of a subsequent dummy tablet trial on the same group of patients. Finally, some of the implications of these findings as they apply to clinical trials are discussed.
Arthritis, Rheumatoid, Placebos, Arthritis, Humans
Arthritis, Rheumatoid, Placebos, Arthritis, Humans
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