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Sure, but what if they have pain, but not fibro? Could this test possibly lead to them no exploring alternative causes for the pain if it’s positive? I don’t think we know of this is just a marker for pain or if can differentiate based on the cause of the pain.

Could it instead be related to the exertion relative to their physical capabilities? And especially repeated over-exertion? I don’t know much about overtraining syndrome, but I’ve heard some claim that it’s quite similar to ME/CFS.

How would a competent physician deal with the possibility of false positives?

Good point. It doesn’t seem like it should be applied to abuse cases. Edit for context: Part of my anxiety that I describe above stems from bullying. My therapist never asked me to consider what the bullies thought or felt.

I have personal experience with parts of process two and three in a therapy setting, but my therapist never claimed that she could do anything for my physical symptoms. Working through my emotions really helped my mental health and it also reduced some transient physical symptoms that were...

Here’s an overview of EAET (my bolding except for titles) The first part is mostly just make-believe and gaslighting. I can see how it could be useful to get some help going through your complex emotional experiences, gain increased emotional clarity and develop strategies for addressing...

Google gave me this: A corrective emotional experience, or CEE, is an event that disproves the negative beliefs about oneself that are formed by trauma. An example would be someone experiencing that somebody wants to spend time with them despite their belief that nobody likes them due the...

If we round those measurements to 80 and 70 %, and assume a prevalence of 5 % for fibro (probably too high of an estimate), we would get the following result if we ran the test on 1,000 random people: 665 healthy people correctly classified as healthy 10 pwFibro falesly classified as healthy...

What does this mean?

If I’ve correctly understood other member’s description of the process, NICE’s recommendation of non-curative CBT is not based on evidence. As far as I know, there have been no studies on non-curative CBT for ME/CFS. It was seemingly a compromise to appease the BPS supporters.

The lead author, McDowell, is a senior HTA analyst at HIQA. The Health Information and Quality Authority (HIQA) is an independent authority established to drive high-quality and safe care for people using our health and social care services in Ireland. Health technology assessment (HTA) is a...

More from Cochrane (my bolding in the middle): Assessments of risk of bias and synthesis of results Summary assessments of the risk of bias for an outcome within each trial should inform the meta-analysis. The two preferable analytical strategies are to restrict the primary meta-analysis to...

From Cochrane: 3. Assess the risk of bias in trial results, not the quality of reporting or methodological problems that are not directly related to risk of bias The quality of reporting, such as whether details were described or not, affects the ability of systematic review authors and users...

The used the original The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials https://www.bmj.com/content/343/bmj.d5928

This is the protocol for the review: https://www.hiqa.ie/sites/default/files/2023-03/Long-COVID-Interventions_Protocol.pdf

These are the categories of bias that were assessed: Randomisation sequence generation Allocation concealment Selective reporting Other Blinding of participants Blinding of assessor Incomplete outcome data All studies got a score of low risk of bias in the category ‘other’. Going by what...

As participants cannot be blinded to the treatment allocation in exercise trials, this domain is inherently at high risk among all exercise interventions. As this review was limited to exercise trials, this domain was not considered in the overall risk of bias assessment, so as to capture...

The cynic in me wonders if this was not done on purpose. You wouldn’t run the risk of disproving your pet theory, especially when you have a financial interest.

They should probably have mentioned in the abstract that none of the studies assessed PEM. ———— Postexertional malaise No studies in the current review directly assessed outcomes related to postexertional symptoms which sometimes occur among people with long COVID.4 7 PEM is characterised by...

The BMJ link doesn’t work, only the pdf. The PubMed link works, but the link to BMJ is also broken there. https://pubmed.ncbi.nlm.nih.gov/40122540/ Edit: the BMJ link works now.