Do adolescents with CFS/ME & co-morbid anxiety +/or depressive symptoms think differently to those w/o co-morbid psychopathology?, 2020, Crawley et al

Dolphin

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https://www.sciencedirect.com/science/article/abs/pii/S0165032719334561

Journal of Affective Disorders
Available online 22 May 2020
In Press, Journal Pre-proofWhat are Journal Pre-proof articles?

Research paper
Do adolescents with Chronic Fatigue Syndrome (CFS/ME) and co-morbid anxiety and/or depressive symptoms think differently to those who do not have co-morbid psychopathology?

Dr Maria ELoadesab
Prof PaulStallardc
Prof RichardMorrisb
Prof DavidKesslerb
Prof EstherCrawleyb

a
Department of Psychology, University of Bath, United Kingdom
b
Bristol Medical School, University of Bristol, United Kingdom
c
Department of Health, University of Bath, United Kingdom
Received 15 January 2020, Revised 25 March 2020, Accepted 17 May 2020, Available online 22 May 2020.

https://doi.org/10.1016/j.jad.2020.05.113

Highlights



Adolescents with CFS with co-morbid anxiety and/or depression symptoms more strongly endorsed general negative cognitive errors.


They also more strongly endorsed fatigue-specific damage beliefs, embarrassment avoidance, catastrophising and symptom focusing thinking patterns.


Adolescents with CFS with co-morbid psychopathology did not differ significantly on fatigue-specific fear avoidance responses from those without co-morbid psychopathology.


Both negative cognitive errors and unhelpful responses to symptoms made independent contributions to the variance in psychopathology.


This may have implications for the sequencing of cognitive and behavioural strategies to address both general and fatigue specific negative thinking for those with co-morbid psychopathology.

Abstract
Background
Co-morbid anxiety and/or depression is common in adolescents with Chronic Fatigue Syndrome (CFS/ME). Adolescents with psychopathology typically endorse more negative cognitive errors. We don't know whether they make negative cognitive errors in response to fatigue. We examined the thinking patterns of adolescents with CFS/ME and co-morbid psychopathology compared to those without this co-morbidity.

Methods
This cross-sectional study recruited 205 adolescents (age 11-18) with CFS/ME, who completed measures of anxiety and depression, information processing biases and responses to fatigue. We grouped participants as having co-morbid psychopathology (or not) by applying a threshold score. We compared groups’ thinking pattern subscale scores using independent samples T tests. We examined the association between psychopathology and general negative thinking and specific responses to fatigue symptoms.

Results
Adolescents with CFS/ME with co-morbid psychopathology more strongly endorsed general negative cognitive errors (d = 0.61-1.31). They also more strongly endorsed damage beliefs (d = 0.49), embarrassment avoidance (d = 1.05), catastrophising (d = 0.97) and symptom focusing (d = 0.75) in response to fatigue but did not differ significantly on fear avoidance from those without co-morbid psychopathology. Both negative cognitive errors and unhelpful responses to symptoms explained 43% of the variance in psychopathology.

Conclusions
Adolescents with CFS/ME with co-morbid psychopathology tend to be negatively biased in their thinking, both generally and about their symptoms of fatigue specifically. This may have implications for the sequencing of cognitive and behavioural strategies to address both fatigue and psychopathology.

Keywords
Paediatric
CFS/ME
Mood
depression
Anxiety
Cognitions
Psychopathology
 
I couldn't understand the purpose of this as research as it seems self-evident that co-morbid anxiety and or depressive symptoms would indicate that those who have these conditions will think in an anxious or depressive way therefore differently from others who do not have the condition.

However, reading the conclusion:

Adolescents with CFS/ME with co-morbid psychopathology tend to be negatively biased in their thinking, both generally and about their symptoms of fatigue specifically. This may have implications for the sequencing of cognitive and behavioural strategies to address both fatigue and psychopathology.

So, while using CBT to address these co-morbidities* the authors have appended the idea that while we're at it let's just include fatigue because . . . ? Whatever.

Sneek it in anyway.
Maybe nobody will notice. Always cast the net wide. And if the patient doesn't benefit no harm no foul. The psychological therapy model benefits. That's what is really important.

*Also, I'm not suggesting that they are capable of accurately assessing these co-morbidities. Using questionnaires that may be sensitive but not specific.
 
Completely incompetent and clueless woo, as usual.
We don't know whether they make negative cognitive errors in response to fatigue
Absolute abysmal incompetence. Quack quack quack. Just the most incompetent people to have ever worked in the field of medicine.

This is just trolling at this point. Not borderline or something like it. It's blatant trolling.
 
Professor Paul Stallard:

"Paul Stallard is Professor of Child and Family Mental Health at the University of Bath where he leads the Child & Adolescent Mental Health research group. He is a consultant clinical psychologist with 30 years of experience working in child and adolescent mental health services (CAMHS). He continues to work as a practising clinician in the NHS and is Head of Psychological Therapies for Oxford Health NHS Foundation Trust.

Paul is an international expert in the use of Cognitive Behaviour Therapy with children and has provided and helped to develop training for child care professionals in Australia, New Zealand, Brazil, Japan, Poland, Denmark, Greece and Ireland, as well as working with NHS Education in Scotland and the Department of Health."


"Paul Stallard is the author of “Think Good Feel Good: A cognitive behaviour therapy workbook for children and young people” and Editor of the book series “Cognitive Behaviour Therapy with children, adolescents and families”. He is an active researcher and has led large multi-site randomised controlled trials evaluating the effectiveness of school based CBT programmes on depression (PROMISE) and anxiety (PACES). He is interested in the use of techology to deliver interventions to children and young people has developed a computerised CBT programme (Think, Feel, Do), an app for adolescents who self-harm (BlueIce), and is part of a project exploring the use of a computerised CBT programme for children with chronic fatigue."

Suspect we will hear more of this guy.....
 
Professor Richard Stallard:

"My career has comprised statistical expertise applied to a wide range of topics in primary care, public health and epidemiology. From 2003-14, while based at UCL, I was co-director of the British Regional Heart Study, an international prestigious cohort study of British men, investigating the causes and possible preventive strategies for cardiovascular disease (CVD). I have continuing interest in investigating seasonal variations in CVD and its risk factors, and in understanding why the UK has a particularly marked excess winter mortality, especially from CVD.

I have been involved in much primary care research, especially in evaluating interrventions through randomised trials, and I am part of the Bristol Randomised Trials Collaboration, to provide methodological support. I am also attached to the Centre for Academic Primary Care and engage with a wide variety of quantitative research themes within CAPC."
 
Professor David Kessler

David is an academic GP who is also trained in Psychiatry. His research focuses on the treatment of anxiety and depression in primary care, mainly through large randomised trials of psychotherapy and pharmacotherapy. He has a particular interest in the development of online psychotherapy.
 
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