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Functional neurological disorder, physical activity and exercise: What we know and what we can learn from comorbid disorders https://www.sciencedirect.com/science/article/pii/S258998642400039X#b0285 Highlights Physical activity has not been studied in functional neurological disorder (FND)...

This mostly emphasizes how pointless creating another PROM really is. Most of the problems aren't with the questionnaires themselves, or even the questions, they're with acceptance and interpretation. They're so similar. The SF-36 is the most standard one used, or one of the, and results from...

Rarely has a bad idea survived for this long, to the point where it can arc between antiquity and the space age and the rise of AI. It's really impressive. In a bad way, but still.

Tweet from Dossier, which bills itself as investigative and data journalism: Features a predictable reaction from the German Wessely, Kleinshnitz, who is not outraged at the abuse patients get, but is at anyone who reports this abuse: Can't read what it says, I'm blocked by this account even...

Somewhat, but I don't think it makes it a useful definition. Mental effort is obviously subjective, mostly how much effort someone is putting into something, but it can be objectively measured. Not well, but it definitely can. The main problem is not here, it's in the notion of whether that...

It's the lies that bother me the most. That almost everything they say about us is either lies, or allusions to things that are also lies. If it were all true, I wouldn't mind any of it. But it's all false. And it reveals the lengths to which medical professionals can go in the promotion of...

Training with side effects ME/CFS and post-Covid are new territory for many medical professionals. This makes continuing education all the more important. But sometimes the content taught can be harmful to patients. https://www.dossier.at/dossiers/aktuelles/fortbildung-mit-nebenwirkungen/ For a...

Posted because this is essentially the PACE model applied to chronic back pain: fear avoidance, catastrophizing, self-efficacy, and so on. And this is really why there is so much pushback, why Cochrane can't retract the exercise review. The house of cards just keeps growing up, so the cards that...

Effectiveness of in-group versus individually administered pain neuroscience education on clinical and psychosocial outcomes in patients with chronic low back pain: randomized controlled study protocol https://peerj.com/articles/17507/ Objective (1) This trial will compare the clinical and...

Odds that it's all grabbed by biopsychosauruses and thus entirely wasted? I'd say 3:1. But, hey, we could get lucky, and they could only end up grabbing 3/4 of it, leaving a bit for real science.

But, really, exactly how many angels can dance on a hairpin? This is the true question of our time. Surpassing all other issues. If this is any indication of the state of self-reflection about randomized psychological trials, things are not going to change any time soon. And by that I mean that...

Since there will be better solutions on a regular basis, the most useful work IMO would be to build a vetted catalogue of documents and resources to serve as a base. This way if a new tool comes up that can be easily trained, all that would be required is to give it this list of resources and it...

It sure would be great if there was a better term, because it's a really important concept. I don't think it's common in English, but in French it's often used to mean a really bad medical event, most often a cardiac event. It's definitely sometimes used to refer to a state of intense weakness...

Sometimes questions just answer themselves: Mental health services aren't an option in most of those cases. They could be scarce, they could be plentiful, and it wouldn't change anything, because they have nothing to do with the problem. Solutions have to at least relate to the problem, to be...

There are two versions of the survey. It can be cut short after a few questions, or continued for a total of 40-60 minutes. But it's super easy to come back to it, I just kept a pinned tab (a bookmark would work) and it just loaded back to where I was last.

It's not the only option, but OpenAI has a system to train specialist models. I don't know what it involves but it should be possible to do something like this soon enough. So the idea already exists, I just don't know how much work would be involved and how much it would cost. And if it's...

I'd be surprised if it was less than 90%, probably up to 99%. Most of it depends on what mental illness even means, and this is where most of the problem lies. Probably by the middle of it the very concept will be unrecognizable, and different still by the end. Not sure if it's a hot take, but...

Most comments from and about MDs I see out there reflect that they do see it, but blame the tiktoks and the social medias and other newfangled brain-altering technologies. I guess they moved on from blaming Dungeons & Dragons and bicycles. Even though POTS is the easiest to diagnose of the...

Not sure if he said similar things to the senate health committee, but giving the same information to a different house committee may have some effect in making more elected officials aware of the problem. The more they hear it from different sources, the more it impresses on how significant the...