November 2021 PMID 34732695

Expectancy effects on serotonin and dopamine transporters during SSRI treatment of social anxiety disorder: a randomized clinical trial.

Olof R Hjorth, Andreas Frick, Malin Gingnell, Johanna M Hoppe, Vanda Faria, Sara Hultberg, Iman Alaie, Kristoffer N T Månsson, Jörgen Rosén, Margareta Reis, Kurt Wahlstedt, My Jonasson, Mark Lubberink, Gunnar Antoni, Mats Fredrikson

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Mentions

38
Peak: 7 in Feb 2022
across 4 sources since Nov 2021

Extended reach

60,592
potential audience

Total likes

26

Video views

594

Mentions per month

Nov 2021 – Apr 2024

Where it's discussed

  • News21 articles
  • X / Twitter13 posts
  • YouTube2 videos
  • Reddit2 posts

AI synopsis

What people are saying

The discussions highlight the significance of expectancy effects on treatment outcomes, referencing results such as increased responder rates with overt treatment and the psychological influence on dopamine systems. The tone varies from supportive to curious, with some posts questioning the clinical relevance, which collectively shows a moderate influence on current understanding and interest in psychological factors during SSRI therapy.

AgreementModerate agreement

Most discussions recognize the study’s findings that expectancy influences dopaminergic activity and treatment response, indicating general support for the article’s conclusions.

InterestModerate interest

Posts show moderate interest, mentioning specific results like the difference between overt and covert SSRI treatments and the psychological effects involved.

EngagementModerate engagement

The discussions delve into the implications of expectancy effects and treatment efficacy, reflecting a decent level of engagement and analysis.

ImpactModerate impact

Participants consider the research findings impactful, discussing potential implications for clinical practices and understanding of SSRI mechanisms.

Abstract in brief

  • This clinical trial investigated how expectancy (what patients believe about their treatment) influences brain chemistry and symptom outcomes in social anxiety disorder patients taking SSRIs, specifically escitalopram.
  • The study found that actual serotonin transporter occupancy was similar regardless of expectancy, but changes in dopamine transporter activity varied depending on whether patients knew they were receiving active medication or a placebo, impacting symptom improvement.
  • These results suggest that the psychological aspect (expectancy) can affect dopamine systems involved in anxiety, indicating that SSRIs may work partly through psychological and dopaminergic mechanisms beyond just serotonin transporter blockade.

Top posts

Most liked on X and Bluesky
心療内科夜想曲
@cKvWsvTnZAoU8Yr · X

・SSRIの社会不安症のRCTに薬への期待がどう影響するか ・14人は社会不安症に効果があると説明し、SSRI投与。13人はプラセボだと説明し、SSRI投与 ・前者が4倍治療に反応 ・両群でセロトニントランスポーター占有率は同じ ・両群でドパミントランスポーター結合能に有意差あり https://t.co/7ZPhpZp3dD

Nov 9, 2021 · 6 likes · 3 shares · 393 followers View post →
Jesse Malkin
@JesseMalkin12 · X

@ChrisPalmerMD "Overt was superior to covert SSRI treatment, resulting in almost a fourfold higher rate of responders." https://t.co/IC7mVj0Uhx

Sep 12, 2022 · 6 likes · 2 shares · 44 followers View post →
NHS Maudsley
@MaudsleyNHS · X

RT @maudsleylearn: Watch the latest episode of Kaleidoscope Live where the team discussed: Size doesn't matter, but anticipation does: #Bi…

Feb 24, 2022 · 7 shares · 27,131 followers View post →
BJPsych Journals
@TheBJPsych · X

RT @maudsleylearn: Watch the latest episode of Kaleidoscope Live where the team discussed: Size doesn't matter, but anticipation does: #Bi…

Feb 24, 2022 · 7 shares · 13,379 followers View post →
Derek Tracy
@Derektracy1 · X

RT @maudsleylearn: Watch the latest episode of Kaleidoscope Live where the team discussed: Size doesn't matter, but anticipation does: #Bi…

Feb 24, 2022 · 7 shares · 9,924 followers View post →
Don Robinson
@greentechdon · X

RT @maudsleylearn: Watch the latest episode of Kaleidoscope Live where the team discussed: Size doesn't matter, but anticipation does: #Bi…

Feb 24, 2022 · 7 shares · 4,937 followers View post →

All mentions

BillOckham
@BillOccham0 · X

RT @JesseMalkin12: @ChrisPalmerMD "Overt was superior to covert SSRI treatment, resulting in almost a fourfold higher rate of responders."…

Apr 4, 2024 · 2 shares · 582 followers View post →
Vladimir Heiskanen
@ValtsuH · X

RT @JesseMalkin12: @ChrisPalmerMD "Overt was superior to covert SSRI treatment, resulting in almost a fourfold higher rate of responders."…

Sep 12, 2022 · 2 shares · 813 followers View post →
Jesse Malkin
@JesseMalkin12 · X

@ChrisPalmerMD "Overt was superior to covert SSRI treatment, resulting in almost a fourfold higher rate of responders." https://t.co/IC7mVj0Uhx

Sep 12, 2022 · 6 likes · 2 shares · 44 followers View post →
CSI Lab
@CSI_Lab_ · X

RT @maudsleylearn: Watch the latest episode of Kaleidoscope Live where the team discussed: Size doesn't matter, but anticipation does: #Bi…

Feb 24, 2022 · 7 shares · 629 followers View post →
Derek Tracy
@Derektracy1 · X

RT @maudsleylearn: Watch the latest episode of Kaleidoscope Live where the team discussed: Size doesn't matter, but anticipation does: #Bi…

Feb 24, 2022 · 7 shares · 9,924 followers View post →
ڈاکٹر قاسم حنیف ڈار
@DiscoMaulana · X

RT @maudsleylearn: Watch the latest episode of Kaleidoscope Live where the team discussed: Size doesn't matter, but anticipation does: #Bi…

Feb 24, 2022 · 7 shares · 239 followers View post →
NHS Maudsley
@MaudsleyNHS · X

RT @maudsleylearn: Watch the latest episode of Kaleidoscope Live where the team discussed: Size doesn't matter, but anticipation does: #Bi…

Feb 24, 2022 · 7 shares · 27,131 followers View post →
Don Robinson
@greentechdon · X

RT @maudsleylearn: Watch the latest episode of Kaleidoscope Live where the team discussed: Size doesn't matter, but anticipation does: #Bi…

Feb 24, 2022 · 7 shares · 4,937 followers View post →
BJPsych Journals
@TheBJPsych · X

RT @maudsleylearn: Watch the latest episode of Kaleidoscope Live where the team discussed: Size doesn't matter, but anticipation does: #Bi…

Feb 24, 2022 · 7 shares · 13,379 followers View post →
リョウザキ
@Ryozakisan · X

RT @cKvWsvTnZAoU8Yr: ・SSRIの社会不安症のRCTに薬への期待がどう影響するか ・14人は社会不安症に効果があると説明し、SSRI投与。13人はプラセボだと説明し、SSRI投与 ・前者が4倍治療に反応 ・両群でセロトニントランスポーター占有率は同じ ・両群…

Nov 9, 2021 · 3 shares · 621 followers View post →
Kei Matoba
@mkei_psycho · X

RT @cKvWsvTnZAoU8Yr: ・SSRIの社会不安症のRCTに薬への期待がどう影響するか ・14人は社会不安症に効果があると説明し、SSRI投与。13人はプラセボだと説明し、SSRI投与 ・前者が4倍治療に反応 ・両群でセロトニントランスポーター占有率は同じ ・両群…

Nov 9, 2021 · 3 shares · 194 followers View post →
Ryuhei So
@RyuheiSo · X

RT @cKvWsvTnZAoU8Yr: ・SSRIの社会不安症のRCTに薬への期待がどう影響するか ・14人は社会不安症に効果があると説明し、SSRI投与。13人はプラセボだと説明し、SSRI投与 ・前者が4倍治療に反応 ・両群でセロトニントランスポーター占有率は同じ ・両群…

Nov 9, 2021 · 3 shares · 993 followers View post →
心療内科夜想曲
@cKvWsvTnZAoU8Yr · X

・SSRIの社会不安症のRCTに薬への期待がどう影響するか ・14人は社会不安症に効果があると説明し、SSRI投与。13人はプラセボだと説明し、SSRI投与 ・前者が4倍治療に反応 ・両群でセロトニントランスポーター占有率は同じ ・両群でドパミントランスポーター結合能に有意差あり https://t.co/7ZPhpZp3dD

Nov 9, 2021 · 6 likes · 3 shares · 393 followers View post →