Given where this study comes from, at first I thought "integrated care" must be just another euphemism for psychiatry. But apparently it is a thing - devised to free up GP time by referrals to "other roles such as pharmacists, counsellors, physiotherapists and nurse practitioners"...
They seem to be moving slowly towards that. From the discussion section in the paper:
It remains important to recognise the uncertainties inherent in statistical estimates of treatment differences, and the need to distinguish between ‘no evidence of a difference/effect’ and ‘evidence of no...
Definitely.
'No difference/no effect' was claimed in the abstracts of 36 (7.8%) of 460 Cochrane reviews and in the abstracts of 13 (6.0%) of 218 other systematic reviews.
However
Incorrect claims of no difference/no effect of treatments were substantially less common in Cochrane reviews...
Yep, they set the bar high with Positive Attitudes Change Everything. Though they did have some trouble getting the actual components to fit: Pacing, graded exercise therapy Activity, and Cognitive behaviour therapy; a randomised trial Evaluation.
Claire Willis works at the Chronic Fatigue Research and Treatment Unit, London, UK
I gave up after reading about the "good evidence base" for CBT especially in CFS (ref PACE).
Some recent info about the King’s Centre for Military Health Research where Wessely is co-director.
https://www.dailymaverick.co.za/article/2020-10-02-revealed-key-assange-prosecution-witness-is-part-of-academic-cluster-which-has-received-millions-of-pounds-from-uk-and-us-militaries/
"He discovered that by combining cognitive behavioural therapy and light exercise a third of patients make a full recovery."
https://meassociation.org.uk/2011/08/interview-with-professor-simon-wessely-the-times-6-august-2011/
"So we have no idea at all what happened to almost a third of the...
"one third of our patients made a complete recovery ... a third made an improvement ... a third did not recover.”
Is there a "rule of thirds" for making up health claims that sound "reasonable"?
Robert Dantzer, author of The Psychosomatic Delusion, started his career trying to reduce stress in farm animals, which meant he didn't fall for patient-blaming in humans. He found a long time ago "that immune influences on brain functions were much more potent than brain influences on...
A useful checklist for specifying the nature and intent of trial placebos alongside the TIDieR Template for Intervention Description and Replication
https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003294
One of the lead authors posted a Covid-related discussion here...
The late 1940s through 1960s were the psychoanalytic high water mark in the USA. Were Wolff and others using (consciously or not) Freudian assumptions that were in the air? I don't go a bundle on Nabokov (famous for Lolita), but he was on the money about Freud, "the Viennese witchdoctor". One of...
No need for another RCT, Trish, as PACE wasn't yet published. GET was just a convenient example of the uncertainty that lies within the JLA remit. Overall I was proposing a PSP to re-evaluate diagnosis and treatment, post-NICE.
It was 2009 or 2010 when I suggested a PSP was needed to establish potential harms from GET, given the disparity between evidence from trials and from patient surveys. Iain told me it was not required.
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