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Evaluating Commonalities Across Medically Unexplained Symptoms (2019) - Guo et al

Discussion in 'PsychoSocial ME/CFS News' started by Sly Saint, Mar 6, 2019.

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  1. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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    Dan Guo 1, Maria Kleinstäuber 2, Malcolm Henry Johnson 3 and Frederick Sundram
    This research was funded by a grant from the University of Auckland.

    https://www.mdpi.com/1660-4601/16/5/818/htm

    As far as I can make out they prefer all MUS (ie CFS,IBS,FM) to be viewed as one syndrome and 'treated' as such. Also discusses Central Sensitisation.
    (only skimmed it; not recommended reading)
     
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  2. Hutan

    Hutan Moderator Staff Member

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    Dan Guo School of Psychological Sciences, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Australia

    Maria Kleinstäuber Department of Psychological Medicine, Dunedin Medical School, University of Otago, New Zealand

    Malcolm Henry Johnson, Frederick Sundram, Department of Psychological Medicine, Faculty of Medical and Health Sciences, University of Auckland, New Zealand

    Way too close to home for my comfort. I could have picked just about every paragraph to quote as an example of nasty, shallow and ill-informed thinking. CFS is definitely lumped in with the others.

    I don't know how influential these people are or if there is anything to be done directly to mitigate their influence. We seem to be having some success in updating clinical pathways for ME/CFS in New Zealand and Australia, or at least moving towards that, to eliminate treatments based on MUS concepts. This, and doctor education based on the revised clinical guidance may be our best protection until we have a good biomarker.
     
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  3. Ravn

    Ravn Senior Member (Voting Rights)

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    :sick::grumpy::bawling:
     
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  4. Lidia

    Lidia Senior Member (Voting Rights)

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    What a load of rubbish! From Melbourne as well! Appalling.

    ETA: I can’t find anything on Dan Guo online- he/she is listed under University of Melbourne but I can’t find anything at all... can you?
     
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  5. Ravn

    Ravn Senior Member (Voting Rights)

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    Have just scanned through the references. The authors appear to have swallowed an overdose of Fink.

    Also had a closer look at ref #38 because it's another NZ study.
    (Petrie, K.J.; Faasse, K.; Crichton, F.; Grey, A. How common are symptoms? Evidence from a New Zealand national telephone survey. BMJ Open 2014, 4, e005374.)

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4067867/


    Bolding mine. No need to comment any further I don't think... :arghh:
     
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  6. JaimeS

    JaimeS Senior Member (Voting Rights)

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    Paper isn't in PubMed, at least... and, it appears, neither is he. Or if he is, he's never written about MUS before.
     
  7. fossil

    fossil Established Member (Voting Rights)

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    Two of the authors have written about MUPS before. This study was published online in 2016.

    The resource utilisation of medically unexplained physical symptoms.

    Kimberley Lee, Malcolm H Johnson, [...], and Frederick Sundram

    "Excessively pursuing the possibility of a physical diagnosis serves not only to unnecessarily increase healthcare costs but also reinforces patients’ illness beliefs and acts as a barrier to potentially more effective treatment options.

    Furthermore, patients with MUPS report quality of life scores to be among the lowest of any patient group despite the considerable usage of healthcare resources.

    In the United Kingdom, the Improving Access to Psychological Therapies (IAPT) programme interfaces with multidisciplinary teams at all levels of healthcare by facilitating effective and appropriate delivery of psychological therapies.

    A similar change in healthcare pathways at a population level is required in Australasia and internationally to proactively enhance the long-term management of patients with MUPS and decrease maladaptive healthcare practices."

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5011389/#__ffn_sectitle
     
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  8. rvallee

    rvallee Senior Member (Voting Rights)

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    Hmmm...
    Let's rephrase that:
    This entire field of research is literally based on mixing up the flow of causality and coming up with complex alternative explanations to justify how the outcome creates its own cause.
     
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  9. Snow Leopard

    Snow Leopard Senior Member (Voting Rights)

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    Lack of scientific specificity is somehow now a virtue. "interconnectedness"
     
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  10. JaimeS

    JaimeS Senior Member (Voting Rights)

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    It's a cornerstone of pseudoscience that the data will support any conclusion you choose to draw from it.
     
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  11. JaimeS

    JaimeS Senior Member (Voting Rights)

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    Turned that around on us neatly, didn't they? And I thought we showed here that we don't actually use up "healthcare resources". Do they actually cite that, or is that within the realm of "it is known"?

    [​IMG]
     
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  12. Snow Leopard

    Snow Leopard Senior Member (Voting Rights)

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    It sounds much cleverer to say "putative", rather than 'shit we just made up'.
     

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