Tom Kindlon
Senior Member
- Messages
- 1,734
I thought this was very good
Full text in English: https://goo.gl/wSMO7a
i.e.
https://www.researchgate.net/public...ded_Exercise_Therapy_for_MECFS_are_misleading
Full text in English: https://goo.gl/wSMO7a
i.e.
https://www.researchgate.net/public...ded_Exercise_Therapy_for_MECFS_are_misleading
Studies on Cognitive Behavioral Therapy and Graded Exercise Therapy
for ME/CFS are misleading
Sten Helmfrid
Assoc. Prof. of Physics, Member of the Swedish ME Association
This is a translation of an article published in Socialmedicinsk tidskrift, Stockholm, Sweden, on September 28th, 2016. http://socialmedicinsktidskrift.se
Link to the original article in Swedish (vol. 93, issue 4, pp. 433–44):
https://goo.gl/bEkOlT
i.e.
http://socialmedicinsktidskrift.se/index.php/smt/article/view/1450/1255
Citation: Helmfrid S. Studier av kognitiv beteendeterapi och gradvis ökad träning vid ME/CFS är missvisande. Soc Med Tidskr. 2016;93(4):433–44.
Abstract
There have been a number of studies on Cognitive Behavioral Therapy (CBT) and Graded Exercise Therapy (GET) for ME/CFS based on a treatment model where the disease is perpetuated by cognitive processes. Although the studies are flawed and the model lacks scientific support, the treatments are described as evidence based. The studies are non-blinded and rely on subjective outcomes. There are no objective measures of adherence. The diagnostic criteria vary, and the participating patients often have one or several psychiatric diagnoses apart from suffering from chronic fatigue. The underlying model has no theoretical foundation and is at odds with physiological findings. Surveys suggest that the efficacy of CBT is no better than placebo and that GET is harmful. Therefore, cognitive behavioral therapy and graded exercise therapy for ME/CFS are not evidence based.
Full text in Swedish:
Keywords: myalgic encephalomyelitis, chronic fatigue syndrome, treatment, biopsychosocial, PACE