Amygdala and Insula Retraining (AIR) Significantly Reduces Fatigue and Increases Energy in People with Long COVID 2023,Toussaint et al

Discussion in 'Psychosomatic research - ME/CFS and Long Covid' started by Sly Saint, Jul 18, 2023.

  1. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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    Abstract
    Long COVID affects approximately 10–30% of individuals after an acute COVID-19 infection (Ceban, Ling, et al. 2022; Ortona and Malorni, 2022). Numerous symptoms, including extreme fatigue, can persist for months, resulting in social and economic hardship for individuals and their families (Ortona and Malorni 2022). Therefore, approaches that offer some relief from Long COVID are urgently needed.

    Research suggests that Long COVID symptoms are akin to those of chronic conditions, such as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and are likely caused by inflammation and immune dysfunction (Scordo et al., 2021).

    Amygdala and Insula Retraining (AIR), a neuroplasticity program, has successfully alleviated chronic conditions (Gupta 2010; Sanabria-Mazo et al. 2020; Toussaint et al. 2012). In this randomized controlled trial, AIR was tested against a structurally equivalent health and wellness intervention for its effectiveness in treating the symptom of fatigue among Long COVID sufferers. Results showed a significant decrease in participants’ fatigue and a significant increase in their energy after the 3-month AIR intervention. Additionally, the AIR group experienced more significant outcomes than the active control group. The AIR group demonstrated a fatigue reduction effect size four times that of the active control group, and the absolute reduction in mean scores for the AIR group was more than double that of the control group. Furthermore, the AIR group showed an effect size in energy enhancement twice that of the active control group, and the absolute increase in energy mean scores for the AIR group was almost double that of the control group.

    These novel findings suggest AIR is a viable means of reducing fatigue and increasing energy among Long COVID patients. Limitations and future research are discussed.

    https://www.hindawi.com/journals/ecam/2023/7068326/
     
  2. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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    a lot of 'hot air'?
     
  3. Hoopoe

    Hoopoe Senior Member (Voting Rights)

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    The difference between the intervention and controls on General Fatigue (MFI) is so small that one wonders whether it would be clinically significant.

    The intervention was associated with −3.38 point decrease on that scale, and the control group with a −1.40 point decrease.
     
  4. Trish

    Trish Moderator Staff Member

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    Published in an alt med journal.

    p value just over 0.05, so not statistically significant.

    Huge droppout rate. Started with 50 in each group. After 3 months when final data was collected they were down to 25 in the AIR group and 17 in the control group. And the control group were promised free access to AIR after the trial. In the AIR group most of the so called effectiveness on fatigue happened in the first month, then levelled out. What that says I have no idea.

    It was all done online with recruitment from online Long Covid support groups, and the outcome measures were subjective questionniares.

    The so called treatment involves a mix of meditation, breathing exercises and an LP like 'retraining'.
     
  5. Hoopoe

    Hoopoe Senior Member (Voting Rights)

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    Clearly it was too active of a control group. ;)
     
  6. Grigor

    Grigor Senior Member (Voting Rights)

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  7. CRG

    CRG Senior Member (Voting Rights)

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    The 2nd author: https://www.alexbratty.com/


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  8. NelliePledge

    NelliePledge Moderator Staff Member

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    Marketing innit
     
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  9. rvallee

    rvallee Senior Member (Voting Rights)

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    Literally anything can pass a randomized trial when those running it are biased. We've seen more than evidence of this to invalidate most of this type of evidence.
     
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