Yes, attacking crap science is understandable and laudable. It was more calling people "gullible" if they get suckered into believing their...
And yet there are patients who manage to recover from that state using psychosocial tools. It's an assumption to say it "can't get to what's...
Some examples: no mention of stress as a precipitating factor. Saying that graded exercise has been "not shown to help", then talking about...
It started in 2006. Klimas is one of the authors of ICC, which was published in 2011.
But there is definitely an aversion (and/or misunderstandings) to psychology, not simply related to rigour, and that is pretty clear.
I agree regarding CBT and GET, but for different reasons. I think it is too simplistic and incorrect to boil everything down to fear avoidance or...
It's not the "wrong" criteria though. It's the criteria from the time of the study. Being hawkish is good. But there also seems to be a...
Yes, but that is a very simplistic example, very unlike the climate change example I gave. Yes, completely agree.
From Tomas: "Further, basal studies have also shown an attenuated diurnal variation [8, 24] particularly with a loss of the morning peak of ACTH...
It is what it is. It's a piece of evidence. Certain things are sufficient to junk a study (like lying about primary outcome). Other limitations...
No, that's not how science works. There is never definitive proof, just a growing body of evidence. Think about antidepressants: do they actually...
You can't say that there is insufficient evidence, and then say you don't want more studies because they've wasted money. It also doesn't make...
I would personally love to have better trials. It's a shame that patient organizations seem to be against them now, so I'm not sure we are going...
I'd prefer to discuss the evidence rather than my own views (which are really just based on the evidence). But my answer to all 3 questions above...
Yes, the hypoactive HPA is related to ME/CFS. It is one of the few mostly replicated findings in ME/CFS as mentioned above.
It depends what you mean by fruitful. If patients are using this information and recovering, then I would call it fruitful, and we should be doing...
Yes, but we can't predict who will develop PTSD, for example. It likely requires a certain level and duration of stress, possibly combined with...
The discussion on stress hormones wasn't related to ME/CFS. I was just responding to a comment that "stress hormones are not a thing". Yes, there...
They worry that their body is broken (e.g. damaged mitochondria). They struggle with people (family and doctors) not believing them. They struggle...
Actually, it looks like I posted the write article. The one I posted wasn't even a treatment trial, it just assessed stress management skills....
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