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They are suggesting depression causes school absence and social functioning problems. But the direction of causality could be in the other direction i.e. missing school and time with friends causes depression. Or both could correlate with severity.

One of the big findings for me is how poor the match between the anxiety scales and structured diagnostic interview was: ---

At least one person had a SF-36 physical functioning score of 100 which would cause me to question the diagnosis (but who knows how they read the questions)

Judging by the numbers, I think there is an error here and they were rated 0-3

Here are the questions that make up the Work and Social Adjustment Scale

They didn't use the gold standard psychiatric interview:

Biased sample? There were two centres used South London and Maudsley NHS Trust service is run by psychologists and psychiatrists. I think it is in the mental section of the hospital. If a child/teenager, their parents or their doctor didn't think a psychiatric issue is involved they might be...

It's not clear from the CFS study but these sorts of assessments are usually done soon after attending a service when people could be distressed about what is happening. Or somebody might get referred when most distressed so over time there could be a sort of regression to the mean effect. Also...

Can some people not see tweets if the URL is posted in like above?

http://www.tandfonline.com/doi/abs/10.1080/09638288.2017.1383518 Original Article Defining and measuring recovery from myalgic encephalomyelitis and chronic fatigue syndrome: the physician perspective Andrew R. Devendorf ,Carly T. Jackson,Madison Sunnquist &Leonard A. Jason Pages 1-8 |...

The author plugged the book on a Facebook group I'm on like this.

No, I'm afraid it's not a joke. Marc quite regularly makes such posts now and not in a joking manner.

Personally from following events relating to (socialised) medicine and ME, mental health seems like it could be a bottomless pit. Lots of people could feel a bit down and/or anxious a lot of the time. Large chunks of a health budget could be spent on this with little money for biomedical...

Yes, Marc has some odd views. But he does lots of trawls of the Internet and shares them on lists and websites and sometimes finds interesting stuff. I was just giving him credit for finding this by giving his name.

https://www.fac ebook.com/events/1942954942586261

For What It Is Worth: From: Dr. Marc-Alexander Fluks Subject: URL: Exercise as it relates to Disease - ME/CFS/FM Fact Sheets 2017 Source: WikiBooks / 2017 Wiki Fact Sheets Date: September 23, 2017 URL: https://en.wikibooks.org/wiki/Exercise_as_it_relates_to_Disease...

Points I'm not fully convinced about: