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Prevalence and Treatment of Chronic Fatigue Syndrome/ME and Co-morbid Severe Health Anxiety, 2019, Daniels et al

Discussion in 'PsychoSocial ME/CFS Research' started by Dolphin, Nov 26, 2019.

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  1. chrisb

    chrisb Senior Member (Voting Rights)

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    Sorry. I was deliberately obscure. There is a delicate balance to hold, and I do not propose to say more. Apologies if it leaves you confused.
     
  2. InfiniteRubix

    InfiniteRubix Senior Member (Voting Rights)

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    Ahaa... No worries :)
     
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  3. InfiniteRubix

    InfiniteRubix Senior Member (Voting Rights)

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    Agreed. Most of us chronically avoid the GP for years on end. They have made it rationale, albeit also increasing risks as a consequence.
     
  4. rvallee

    rvallee Senior Member (Voting Rights)

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    The whole thing is very confused because it speaks of co-morbid depression and anxiety on a model that essentially frames CFS as health anxiety leading to depression. Or something like that, it's very vague and confused.

    So I guess we can add "co-morbid" to the list of words that had to be stripped of all useful meaning. Which kinda makes me think we may need to do a urban dictionary type of modifified definitions in the BPS model.
     
  5. rvallee

    rvallee Senior Member (Voting Rights)

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    Sadly, this is the only absurd trial that has been successfully stopped in its tracks. I'm not even sure it's actually the worst of them all, but this is the only one that was killed by ridicule.

    This happened not long before Daniels was approved on the NICE committee. Real nice slap to the face, pun you very much.
     
  6. rvallee

    rvallee Senior Member (Voting Rights)

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    Daniels was (presumably) featured on an article. Pretty sure it's her. She has a rare disease that requires constant eye drops made from male blood (for a specific protein, I think) or she will lose her sight.

    So her life depends on good science and medicine while she works hard at denying both to us. Which is frankly vile, but to each their own.
     
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  7. Esther12

    Esther12 Senior Member (Voting Rights)

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    I posted some reasons for concern about this paper, but I think we should stay away from any personal stuff about other peoples' health problems.
     
    Last edited: Jan 30, 2020
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  8. Michiel Tack

    Michiel Tack Senior Member (Voting Rights)

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    So this study wanted to test wether health anxiety is a signfificant factor in ME/CFS, one that perhaps should get more attention in treatment. It is interesting that they say:
    So a focus on health anxiety is proposed as a way to increase the efficacy of CBT.

    Both the 14-item Short Health Anxiety Inventory and the 14-item Hospital Anxiety and Depression Scale indicated that around 40% of their large sample ( n = 172) met the clinical cut-off for definite case health anxiety.

    But when they looked at regression and correlations, anxiety added only 3.2% to the model for physical function when fatigue and depression were controlled for and it wasn't a predictor at all in the model for fatigue. That doesn't seem like health anxiety is an important factor in determining disability, contrary to their hypothesis.

    The changes seen in the 10 patients who received CBT for health anxiety were remarkable: a reduction of 11 points on the Chalder fatigue scale: patients went from severely fatigue to almost normal scores.
     
    Last edited: Feb 1, 2020
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