HOW SOUND IS THE DOUBLE-BLIND DESIGN FOR EVALUATING PSYCHOTROPIC-DRUGS

被引:94
作者
FISHER, S
GREENBERG, RP
机构
[1] Department, of Psychiatry, State University of New York Health Science Center, Syracuse, NY, 13210
关键词
D O I
10.1097/00005053-199306000-00002
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Sufficient data have accumulated to raise serious doubts about the integrity of the double-blind design that is presumed to shield psychotropic drug trials from bias and expectations. A major deficit in most drug trials has been the use of inert rather than active placebos. The deficiencies of the double-blind paradigm call for a questioning stance with respect to previous studies of psychotropic drug efficacy. Various possible ways of strengthening the double-blind paradigm are reviewed.
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收藏
页码:345 / 350
页数:6
相关论文
共 42 条
[1]   STIMULANT-DRUGS AND LEARNING-PROBLEMS [J].
ADELMAN, HS ;
COMPAS, BE .
JOURNAL OF SPECIAL EDUCATION, 1977, 11 (04) :377-416
[2]   PLACEBO RESPONSE [J].
BAKER, AA ;
THORPE, JG .
ARCHIVES OF NEUROLOGY AND PSYCHIATRY, 1957, 78 (JUL) :57-60
[3]  
DINNERSTEIN AJ, 1966, PERSPECT BIOL MED, V10, P103
[4]  
EASTMAN CI, 1990, PSYCHOPHARMACOL BULL, V26, P495
[5]  
ENGELHARDT DM, 1969, ARCH GEN PSYCHIAT, V20, P315
[6]  
ENGELHARDT DM, 1967, NEUROPSYCHOPHARMACOL, P543
[7]  
FISHER S, 1989, LIMITS BIOL TREATMEN
[8]   A METAANALYSIS OF ANTIDEPRESSANT OUTCOME UNDER BLINDER CONDITIONS [J].
GREENBERG, RP ;
BORNSTEIN, RF ;
GREENBERG, MD ;
FISHER, S .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1992, 60 (05) :664-669
[9]   AN ALTERNATIVE TO DOUBLE BLIND PROCEDURE [J].
GUY, W ;
GROSS, M ;
DENNIS, H .
AMERICAN JOURNAL OF PSYCHIATRY, 1967, 123 (12) :1505-&
[10]  
HAEGERSTAM G, 1982, METHOD FIND EXP CLIN, V4, P261