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The most prevalent symptom, fatigue, was moderately related to participants’ ADL ability. Yet another reason not to concentrate too much on fatigue for research or therapeutic purposes. Nor to rely heavily on defining conditions entirely by symptoms.

In contrast to the biological factors influencing FND development, our study can provide less insight into the role of psychosocial influences, although these were likely contributors. How the hell can they draw that conclusion?

Chronic fatigue syndrome (CFS) is a chronic illness marked by severe, medically unexplained fatigue. Cognitive behavioural therapy (CBT) moderately improves fatigue and functioning. Starts badly and quickly degenerates from there in an entirely predictable manner. That it has Chalder's name on...

And @ME/CFS Science Blog ?

Just another 'How to better lie to patients (and ourselves)' marketing product.

Especially for those wishing to twist whatever we say to their own ends. And those good at convincing others they should be running things, but who are not actually any good at running things.

Cause or consequence?

I was asked by a neurologist once in a hospital about using cannabis. Turns out what he was interested in was not so much if I used it but if I did then was I buying it or growing my own, and if buying it then what kind was I using. Apparently some of the commercial products, and especially the...

Typically in these kinds of papers the closer you look the worse they get.

What is more, and highly relevant, is that when those negative results came out patients accepted them because the trial methodology was robust, despite it being a disappointing result. Whatever else we might be, @22MrMan, hypocrites we are not. We hold all claims and hypotheses, including our...

A previous randomized controlled trial (RCT) showed the efficacy of cognitive behavioural therapy for fatigue (CBT-F) in relieving severe fatigue in a subgroup of post-COVID-19 patients as compared to care as usual (CAU). That would be the ReCOVer study, which used subjective self-report...

Do it! That kind of money would buy a lot of high quality research. :sneaky:

I will continue to judge the claims from Paul Garner, and everybody else, on the strength of the evidence and the logic of the arguments they present, and how they handle legit criticism of it. Garner has persistently and grossly failed on all counts, more than a little dishonestly (e.g. NICE...

Life Tips 1) It's never that simple.

I like the idea of dueling acronyms. Two can play that game. :devilish: advice about how to make best use of the energy a person have without making their symptoms worse cognitive behavioural therapy (CBT) medicine to control symptoms such as pain and sleeping problems 1. Leaving aside the...

plain gaslighting Bordering on plain old abusive bullying by somebody with immense power over patients.

In the abstract it sounds good. But the devil, as we have learned the very hard way, is in the detail. What kind of services? Run by? Based on what 'models'? Etc.

Bordering on habitual criminal negligence, IMO.

My view is that health care workers/researchers should get the same treatment from the system that non-HCW patients get. Might sound harsh, but I can't think of a better way to wake them up to how bad and desperate is the situation for us. Don't enjoy saying that, I wish it were not so. But if...

Exactly the sort of stuff that needs a lot more attention by researchers, IMHO. I think there is a whole zoo of basic sensory-motor-cognitive clues hiding in plain sight, just waiting to to be objectively measured, and which they can be with current technology and understanding.