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Establishing Specificity in Psychotherapy: A Meta-Analysis of Structural Equivalence of Placebo Controls.
Authors:Baskin  Thomas W; Tierney  Sandy Callen; Minami  Takuya; Wampold  Bruce E
Abstract:Placebo treatments in psychotherapy cannot adequately control for all common factors, which thereby attenuates their effects vis-à-vis active treatments. In this study, the authors used meta-analytic procedures to test one possible factor contributing to the attenuation of effects: structural inequalities between placebo and active treatments. Structural aspects of the placebo included number and duration of sessions, training of therapist, format of therapy, and restriction of topics. Results indicate that comparisons between active treatments and structurally inequivalent placebos produced larger effects than comparisons between active treatments and structurally equivalent placebos: moreover, the latter comparison produced negligible effects, indicating that active treatments were not demonstrably superior to well-designed placebos. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Keywords:psychotherapy  placebo treatments  structural equivalence  structural inequalities  treatment outcomes  active treatments  placebo controls  research designs  specificity
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