I did not mean every one of them, I should have made that clear.
But I think it quite plausible that at least some people who otherwise appear healthy can have subtle long-term reductions in performance without noticing it.
One possibility here is that these apparently healthy people do have some, probably quite minor, adverse effects from the viral persistence, but that the way reduced health status is currently defined and screened for is not picking up these effects, including misattribution to other factors...
1. those who were harmed by or been through the GET and CBT generation and have had it eg decades need something different currently to newer diagnosed.
I think this is important.
“DS are maintained by a vicious circle of behavioural, cognitive, affective, physiological and social factors of which fear and avoidance are particularly salient.”
Yet they cannot offer any evidence for that utter certainty.
This is so far outside of widely recognised empirico-logical...
However, pacing is not as easy to achieve as we might think.
I think this is an important point that needs to be more prominent. Though it does also open the doors to hacks and opportunists everywhere to play the expert at 'teaching' patients how to do it.
Every relevant significant factor.
Not everything needs to be controlled. Figuring out which ones to control, and how, is the key skill here.
Yes, and yes.
Importantly, post-exertional malaise—the defining feature of ME/CFS—was equally as common, severe and frequent among pwPCC.
If this finding in particular holds up in then it is important.
Just confirms the view held by many from early on, including me, that even if they are not exactly the...
randomised controlled trials
It is the controlled bit that is the core. Randomisation is just one form of control, albeit an important one. On its own it is insufficient, however much the psychosomatic club may wish it to be sufficient.
In this traditional narrative literature review,
Off to a bad start. (I am not a fan of narrative reviews at the best of times, traditional or otherwise. They are mostly just pseudo-scientific manifestos promoting the authors' ideological prejudices, in my humble opinion.)
(Also, FBM is...
Poverty is the greatest cause of poor health and premature death.
Excusing society from dealing with it, and instead blaming the victims, is just sickening cruelty.
Conclusion
Family healthcare use, especially within the general practice, may play a role in the transgenerational transmission of FSS. Early-stage FSS identification and care might be improved through training aimed at GPs. Future research may identify vulnerable families at whom parent-focused...
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