Refreshingly honest.
I am sure a representative from the psycho-behavioural lobby will be along shortly to describe their findings as 'therapeutic nihilism'.
These are not mutually exclusive.
There probably is a significant reduction in CR from the start or very early on. But also a longer-term additional cumulative burden coming from poor quality sleep.
My sleep quality crashed in the very early stages of being sick, and has not improved in the...
My 'CR' has drastically declined over the 40 years I have had ME/CFS, despite doing all the things you are supposed to do (as best I can) to keep the mind working.
I don't think that can be put down to just normal ageing.
Conclusions
Findings from this review indicate the potential of mindfulness and CBT
How many years and studies has it taken to get to this non-conclusion?
Variables with significant (p <0.2) associations to the outcome
That is not what I understand to be the threshold for (statistically) significant.
About the purported aims of the study? Very little. About the competence and integrity of the authors of the study? Possibly quite a bit.
And that non-result was after 8 weeks of intervention.
They got nothing. Another rehab study fails to deliver any meaningful benefit.
Credit to them for using an objective primary outcome measure.
Broadly it is quite good, basically on the right path. But quite a few details are problematic.
It is a major channel, so that is helpful in spreading a more realistic story about ME/CFS.
Somebody should send the authors a link to that appalling Reddit Medicine thread that was posted a couple of days back.
I mean, if they are looking for the primary source of ignorance and the Dunning-Kruger effect among the general population on LC (and ME/CFS), and also for the first place to...
Which is why the BPS club have been concentrating more on 'perpetuating' factors. Almost any post-onset features (real or imagined) can be spun as contributing to perpetuating health problems.
the exact etiopathogenesis and pathophysiology of FI in DGBI remain unclear.
So why such definitive "gut-brain" framing and therapeutic recommendations?
This is just marketing fluff for the psycho-behavioural rehab industry.
Doctors like to consider themselves some of the biggest smartest toughest truth tellers in this world. And in fairness they often do have to deal with and tell patients some pretty harsh truths.
But they also squeal and whine louder than anybody when they get told some hard truths about...
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