Hypothalamic-Pituitary-Adrenal (HPA) Axis and Chronic Fatigue Syndrome in Older Adults: The Rehabilitation Perspectives, 2020, Ho-Yin Lai et al

Open access peer-reviewed chapter
https://www.intechopen.com/books/ne...igue-syndrome-in-older-adults-the-rehabilitat

 

The benefits of perspectives only apply when the people providing the perspective know what they are talking about.

Otherwise this is basically a best of album made up of unfinished never-released songs by a cover band of a one-hit wonder.

Ugh, can't even read it all I have second-hand cringe.

 

Not only is this drivel, it's derivative drivel.

 

Frankly "stress" and "anxiety" used in clinical psychology are basically indistinguishable from the use of concepts like "toxins" in alternative medicine or thetans in scientology. It doesn't mean what it actually means but it's still the cause, explanation and cure for every ill. Whatever it needs to mean in the present circumstances is what it means, and that meaning may change if the circumstances change.

And as most people suffering from chronic illness report, this makes it impossible to actually get access to mental health services because they refuse the premise of what the need is in the first place. Everyone hates it, including the evangelists who are frustrated that their snake oil is correctly perceived as snake oil. It produces nothing. It's massively wasteful. But let's just keep doing it for a few decades, it might just "work", as long as you define work as something unsubstantial and immeasurable, especially as something not relevant to the actual needs of the patients, rather the wants of the practitioners.

 

inspite of all the blurb on HPA-axis and fMRI scans making it sound 'scientific'.........

 

Don't understand the results section: why do they focus on changes over time instead of between groups after treatment?

The primary outcome for the intervention group went from a score of 67.25 ± 4.35 to 102.63 ± 1.71. So I'm assuming that those 4.35 and 1.71 don't represent standard deviation otherwise the effects would be impossibly large. Perhaps they simply put the comma in the wrong place?