Relationship satisfaction, communication self-efficacy, and chronic fatigue syndrome-related fatigue, 2019, Milrad et al

Discussion in 'Psychosomatic research - ME/CFS and Long Covid' started by Andy, Aug 5, 2019.

  1. Andy

    Andy Committee Member

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    Nancy Klimas is a named author on this.
    Paywall, https://www.sciencedirect.com/science/article/abs/pii/S0277953619303776
    Sci hub, https://sci-hub.se/10.1016/j.socscimed.2019.112392
     
  2. ScottTriGuy

    ScottTriGuy Senior Member (Voting Rights)

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    Why is Klimas wasting precious time and resources on psychosocial factors?

    There are far more important aspects that should be pursued.

    Maybe I'm missing something?
     
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  3. Three Chord Monty

    Three Chord Monty Senior Member (Voting Rights)

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    Don't want to defend this. But she's next-to-last author, which I understand is the least important placement. My guess would be her involvement was limited to providing some kind of info on patients. Perhaps contact info? The question would be whether she knew fully what the intention of the PI was. If so, why would she agree to something like this, though it wouldn't be the first time; if not, why not? What surprises me just a bit more is seeing Fletcher's name as well.
     
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  4. rvallee

    rvallee Senior Member (Voting Rights)

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    AYFKM with this?

    Not mixing cause and effect is science 101. No matter how many times you try to figure out how the smoke started the fire it still did not start the damn fire.

    Also: WTF is a relationship? This damned disease destroyed all of mine.
     
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  5. DokaGirl

    DokaGirl Senior Member (Voting Rights)

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    I wonder why Dr. Klimas is involved in this - I have great respect for her.

    At any rate, this looks like it is leading to couples counseling for "cfs". And why do they just keep calling it "CFS"?
     
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  6. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    Exactly how do you target therapeutically relationship-related mediating variables.

    Is it dial-a-friend, or friends-on-wheels, or prescription only friends?

    Rub-on friends? Friend patches? IV friends?
     
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  7. Keela Too

    Keela Too Senior Member (Voting Rights)

    I had to look up AYFKM!
     
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  8. Hoopoe

    Hoopoe Senior Member (Voting Rights)

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    I disagree with this sentence. We have no idea if relationship satisfaction or depression are impacting CFS-related fatigue. The impact could be quite plausibly be zero. It is just difficult to tell because fatigue is a nonspecific symptom of various problems and we cannot tell how much each of these is contributing to a patient's fatigue score.

    I interpret "CFS-related" to mean caused by the disease process that produces the syndrome.

    Worded differently: they seem to be proposing a mathematical relationship where relationship satisfaction and depression multiply fatigue caused by CFS, rater than adding to fatigue separately.

    I'm nitpicking but it's interesting to pick apart what appears to be underlying assumptions.
     
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  9. feeb

    feeb Senior Member (Voting Rights)

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    [​IMG]
     
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  10. Andy

    Andy Committee Member

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    Binge watching 90s sitcoms?
    [​IMG]
     
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  11. Snow Leopard

    Snow Leopard Senior Member (Voting Rights)

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    The problem is that there is a common bias, namely questionnaire answering behaviour.

    This method does not separate the effect of (a negative bias on) questionnaire answering behaviour from depression itself.

    The only way to resolve this is to use objective measures of fatigue on functioning.
     
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  12. Amw66

    Amw66 Senior Member (Voting Rights)

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    Given the car crash of the genetics study that also bore her name earlier this year she may be too busy to attend to detail?
    Concerning given it's not the first paper to suffer from GIGO
     
  13. Amw66

    Amw66 Senior Member (Voting Rights)

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    Mee too. Getting old.
     
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  14. Trish

    Trish Moderator Staff Member

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    To save all the rest of us oldies having to look it up, AYFKM stands for 'Are you f****** kidding me'.
     
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  15. rvallee

    rvallee Senior Member (Voting Rights)

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    I usually restrict the number of uncensored Fs in my comments as it is already pretty high but clearly I'm imposing hardship on others so now I'm questioning the wisdom of this restraint.
     
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  16. Forbin

    Forbin Senior Member (Voting Rights)

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    If science teaches us anything, it's that it's always possible to MAKE new friends...

    frank.jpg
     
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