Efficacy of open-label placebos for premenstrual syndrome: a randomised controlled trial

BMJ Evidence-based Medicine, 30(5), 295-304

DOI 10.1136/bmjebm-2024-112875 PMID 40132912

Abstract

Objective

To investigate the efficacy and safety of open-label placebos (OLP) in premenstrual syndrome (PMS).

Design

Randomised controlled trial.

Setting

Switzerland, 2018-2020.

Participants

150 women (18-45 years of age) with PMS or premenstrual dysphoric disorder.

Intervention

Random assignment (1:1:1) to treatment as usual (TAU), OLP without treatment rationale (OLP-), or OLP with treatment rationale (OLP+). OLP consisted of two placebo pills per day for 6 weeks.

Main Outcome Measures

Primary outcomes were PMS symptom intensity and interference between groups across three menstrual cycles (MC1-MC3); adverse events (ie, safety) were measured at weeks 3 and 6 after the start of the intervention. Secondary outcomes were psychological and somatic subscales of PMS symptom intensity, and adherence.

Results

From 2 August 2018 to 3 December 2020,

Topics

open-label placebo premenstrual syndrome RCT, placebo effect PMS symptom reduction randomized trial, Frey Nascimento Gaab open-label placebo PMS, non-deceptive placebo premenstrual syndrome treatment, placebo without deception menstrual symptom relief, BMJ Evidence-based Medicine PMS placebo trial 2025, premenstrual syndrome non-pharmacological treatment, open-label placebo mind-body intervention PMS, psychological intervention premenstrual distress
PMID 40132912 40132912 DOI 10.1136/bmjebm-2024-112875 10.1136/bmjebm-2024-112875

Cite this article

Frey Nascimento, A., Gaab, J., Degen, B., Rytz M, Holder, A., Sezer, D., Buergler, S., Meyer, A. H., Kirsch, I., Kossowsky, J., & Locher, C. (2025). Efficacy of open-label placebos for premenstrual syndrome: a randomised controlled trial. *BMJ evidence-based medicine*, *30*(5), 295-304. https://doi.org/10.1136/bmjebm-2024-112875

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