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  1. Jonathan Edwards

    Cognitive behavioral therapy for treatment of chronic primary insomnia: a randomized controlled trial, 2001, Edinger et al.

    The slightly disappointing thing is that it might seem that one could use studies like this to show that if you design your study badly enough you can get amazing results with CBT for anything, but sadly the results are rather short of amazing.:(
  2. Jonathan Edwards

    The biology of coronavirus COVID-19 - including research and treatments

    To be honest I do not see any hype here. If anything I see people protecting research interests. Dr Racaniello may know the Wuhan lab director but that isn't relevant to the facts. We know that they were not using maximum security and I do not think it is necessary to suggest that Covid-19 was...
  3. Jonathan Edwards

    Central Sensitivity and Fibromyalgia, 2021, Mezhov et al

    This is the medical journal of the Australian RoyalCollege of Physicians.In the blurb it says: The Journal also plays a major role in continuing medical education through review articles relevant to physician education. The journal exists to oil the wheels of physicians careers, nothing else...
  4. Jonathan Edwards

    Central Sensitivity and Fibromyalgia, 2021, Mezhov et al

    Worth remembering that the first author is a newly qualified doctor doing a master's degree. This is not a paper. It is an essay for filling the CV. Do not expect it to be saying anything informed.
  5. Jonathan Edwards

    Misdirected attentional focus in functional tremor, 2021, Huys, Edwards et al

    No, I don't see any indication that they think that. They are studying the effects of focusing on control or action on tremor. Such effects are basic to diagnosis all sorts of tremor and known to all medical students. The intention tremor of cerebellar disease only appears with attempted...
  6. Jonathan Edwards

    Interventions that manipulate how patients report symptoms as a separate form of bias

    I thought you were serious- such good idea, although I was a bit shocked you admitted to it. But seriously, names for this bias: something like 'psychosocial bias'? or 'cognitive behavioural bias'? or even 'cognitive manipulation bias'? Or something more allegorical like 'Animal Farm bias'...
  7. Jonathan Edwards

    Interventions that manipulate how patients report symptoms as a separate form of bias

    I agree that this is another level of bias that does not appear to be taken into account. I am personally against any use of 'tools' though. It irrational and as long as it is considered OK the system will be manipulated. Using a tool works like this: 1. Gather reliable evidence for factors...
  8. Jonathan Edwards

    The pervasive problem with placebos in psychology: Why active control groups are not sufficient..., 2013, Boot et al.

    I think expectation bias is a useful term to cover a range of things including the problem addressed by this study. The patients were said to have as high expectations of APT as CBT or GET but once in the trial expectations would have been manipulated. I do agree that there is a sense that the...
  9. Jonathan Edwards

    The pervasive problem with placebos in psychology: Why active control groups are not sufficient..., 2013, Boot et al.

    This lays out the problem pretty well. The suggestions for alternative designs make sense but are maybe bit pedestrian. There is a suggestion that maybe somehow expectation bias could be 'factored out'y measuring it. That seems to me unlikely to be realistic. The whole problem with expectation...
  10. Jonathan Edwards

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    Ah, yes, that would be a different issue and a reason for people to whisper behind his back. But attacking the system and others' treasured dogmas is called standing up for what you believe in. Anyone with any backbone does that with pride and takes the backlash on the chin - I have been at it...
  11. Jonathan Edwards

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    From my perspective as someone in a similar job to Garner I really don't recognise this. Colleagues might have judged him for being careless enough to get infected - which in his case was unlikely to be from seeing sick people in A/E. But the medics I know with LongCovid are given huge sympathy...
  12. Jonathan Edwards

    Article in Guardian: I rested my way to recovery from ‘long-haul Covid’. I urge others to do the same | Fiona Lowenstein

    I would be happy to take this article a little tongue in cheek: So that's the nutty professor's N=Me This is my N=Me Nah-nah-na-nah-nah! Two can play at that game. And since you did it first you can't complain.
  13. Jonathan Edwards

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    Aren't people confusing empathy with sympathy. Empathy is the ability to understand and share the feelings of another. Really don't understand Garner's feelings. If I had Covid and remained ill, as a physician well familiar with the concept of post viral fatigue I would feel relieved that I had...
  14. Jonathan Edwards

    Nature - Chronic post-COVID-19 syndrome and chronic fatigue syndrome: Is there a role for extracorporeal apheresis?, 2021, Bornstein et al

    Simple answer to the title: No. Apheresis has an effect for a week or so - what's the point?
  15. Jonathan Edwards

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    I think Garner is LSTM - Liverpool School of Tropical Medicine - without the hygiene!
  16. Jonathan Edwards

    Are there any good studies proving that food sensitivities are a real thing?

    The study you quote looks quite good. From what I have read nobody has been able to demonstrate Kwok's MSG effect either, despite trying. If reasonable studies show nothing then maybe it isn't there?
  17. Jonathan Edwards

    UK: NICE Guideline: Shared decision making, published June 2021

    I think that depends on what sort of examples are considered. Shared risk taking is something doctors and patients have been doing in discussion for years in rheumatology, where most drugs are risky. Much of the time that is through explaining risks and the patient coming to a decision. For...
  18. Jonathan Edwards

    Availability and usefulness of peripheral nervous system tests

    In general I have a rule not to advise individual people on their health problems but I try not to follow that just for the sake of it. A general comment that comes to my mind is that swelling following stimulus is not a feature of allodynia, but of some sort of tissue sensitivity. Allodynia...
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