Essentially the position they appear to be trying to take is that bad trial design is OK because patients are upset and call them names on Twitter.
Nevermind that maybe patients are upset because of bad trial design and refusal to acknowledge the problems.
Yes PACE was just a trial, but...
We haven't yet had a study that has examined this with good methodology and we need one. It is possible that the IOM criteria are worse than existing criteria (I'm assuming that all are flawed in one way or another and will be until more about the underlying biology is known).
A similar study using NorCAPITAL data was carried out for the Canadian criteria and also concluded that the diagnostic criteria make almost no difference:
https://onlinelibrary.wiley.com/doi/abs/10.1111/apa.12950
The diagnostic criteria for NorCAPITAL
I'm not sure I'm ready to accept these...
One can make the guess that SEID is being attacked because it's attached to the IOM report which states that the illness is not psychological in origin. If that paradigm were fully accepted, Wyller would find it harder to do the studies he has planned.
There is a link to the NorCAPITAL study here.
https://clinicaltrials.gov/ct2/show/NCT01040429
I do not see any attempt to detect PEM. If they did not assess for PEM, they cannot possibly apply the SEID criteria since they require PEM to be present for a diagnosis.
Maybe that we cannot make any sense of their mind and body are one philosophy is because the value of it lies not in being an accurate framework for understanding illness but in advancing careers and financial interests. A political statement that justifies things like the existence of...
In my view the militant activist narrative is meant to discourage patients from speaking out. It is an attempt to manipulate our behaviour. They fear an uprising and that is exactly what is happening in some limited fashion. This uprising has still room to grow.
The public sympathizes with...
I still believe in the hypometabolism hypothesis, even though this study suggests that (if it plays a role) it's not easily treatable.
The study also suggests that a stimulant doesn't really work either.
The PACE trial used the Oxford criteria for diagnosis which suggests GET is generally ineffective even when broad criteria centering around unexplained significant chronic fatigue are used.
Someone seems to think this confirms CBT is better than medication.
I have not read more than a few lines from this article and it's interesting that two opposed and incompatible interpretations are being made, much like in the PACE trial.
The CBT proponents seem rather nervous these days. They can see the end approaching.
As Valentijn says in her comment, they have nobody but themselves to blame if the end of CBT for ME/CFS is rather unpleasant and embarassing.
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