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Cochrane review: Non-pharmacological interventions for somatoform disorders and medically unexplained physical symptoms (MUPS) in adults. 2014

Discussion in 'Health News and Research unrelated to ME/CFS' started by Sly Saint, Sep 20, 2019.

  1. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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    https://www.ncbi.nlm.nih.gov/pubmed/25362239
    http://sci-hub.tw/10.1002/14651858.CD011142.pub2#

    Of note
    curious that this Cochrane review doesn't get so much 'attention'o_O

    eta: see also Cochrane Clinical Answers
    https://www.cochrane.org/news/cochrane-clinical-answers
    Question:
    What are the effects of psychological therapies for adults with somatic symptom disorder or medically unexplained physical symptoms (MUPS)?
    March 2019

    https://www.cochranelibrary.com/cca/doi/10.1002/cca.2344/full
     
    inox, Chezboo, Lidia and 17 others like this.
  2. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    It is very lukewarm, yet there is still the sort of sloppy wording that suggests that the people doing the study fail to understand the real problems. They say:

    'For all studies comparing some form of psychological therapy with usual care or a waiting list that could be included in the meta‐analysis, the psychological therapy resulted in less severe symptoms at end of treatment'

    What they mean is:

    'For all studies comparing some form of psychological therapy with usual care or a waiting list that could be included in the meta‐analysis, allocation to the psychological therapy group resulted in less severe symptoms being reported at end of treatment'

    The people doing these reviews do not seem to understand that if risk of bias is high you cannot talk of an 'effect' being small or moderate, only a difference.
     
  3. Michiel Tack

    Michiel Tack Senior Member (Voting Rights)

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    MEMarge, Lidia, Annamaria and 11 others like this.
  4. rvallee

    rvallee Senior Member (Voting Rights)

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    Rejecting reality and substituting one's own is always a bad idea. Taking diseases with multiple symptoms and arbitrarily reducing them to a single secondary symptom leads to completely absurd situations like this.

    Not that FM and whatever they mean by fatigue should be in that list, but it's pretty ridiculous how the failures compound with one another in blatant rejection of reality. This is broken beyond repair. The whole EBM is broken beyond repair if it's not even self-consistent and leads to absurd contradictions like this.

    Since I saw it yesterday, this quote is very fitting:
     
  5. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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    according to this report Bodily distress syndrome (4 studies) was included in the review.
    see page 109

    Evidence-based psychological interventions in the treatment of Mental Disorders; 2018 review
    The Australian Psychological Society Limited (APS)

    https://www.psychology.org.au/getme...f26fae/Evidence-based-psych-interventions.pdf
     
    Amw66 likes this.
  6. Sean

    Sean Senior Member (Voting Rights)

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    https://www.psychology.org.au/getme...f26fae/Evidence-based-psych-interventions.pdf

    These are our solutions. If you don't like them, there are plenty more where they came from.
     

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