Implementation of stepped care for patients with CFS in community-based mental health care:..., 2019, Knoop et al

Paywalled at https://www.cambridge.org/core/jour...erm-followup/842DB10C681E7D7A8725BE0DB8848B07

 

http://sci-hub.tw/https://www.cambr...rm-followup/842DB10C681E7D7A8725BE0DB8848B07#

so again, it's the place, the inexperienced CBT therapists, the type of CBT etc etc

 

Given that they talk only of fatigue what criteria was used? Just what we want psychiatric nurses to challenge our beliefs and behaviour.

 

Fukuda. "Severely fatigued", "with at least another four symptoms".

 

Their results seem almost demure by comparison to previous studies. And they actually fill in the CoI statement.

I wonder if because we have had success in changing the narrative that some of the people responsible for delivering the product to the clients haven't perhaps been emboldened to complain about their stress in delivering something that doesn't seem to work based on feedback (regardless of what gets officially recorded).

So now it's not the intransigent sick person at fault but a need for better staff education. This will add to cost of delivery then.

I think progress is being made.

We're not done yet of course. If I could I'd see that anyone with MUS is not shuttled off to a course of CBT and then abandoned. Who knows how long it will take neurology and endocrinology areas of study to catch up with adequate knowledge to do justice to much of the MUS people.

Apologies. I'm aware my posts often meander around the topic at hand.

 

Stepped, uh? Because graded was getting old?

Let's consult the thesaurus and play BS bingo for what's coming next:

Stepped is a bit of a stretch, semantically speaking, and not linked in thesaurus so maybe next iterations will make more creative use of language. Maybe a word cloud from goop.com would provide a better source?

 

Phil Parker's magical hands, perhaps?

He knows when you're sick
He knows when you're lying
He knows you better than you know yourself
He's Phil, the magical healing hands man

(I know this isn't LP but clearly adequate selection criteria are an afterthought to this bunch so I'm taking creative liberties to make this sad joke work)

 

Very confusing article. Hard to know what we are actually looking at. It seems like a simple follow up of the Tummers et al. 2012 paper.

By stepped care they mean patients first get the shortened self-help version of CBT and only if that doesn't work, do patients gut the full, face to face version of CBT. It is supposed to lower the costs.