Sleep study, "Behavioral Insomnia Therapy With Chronic Fatigue Syndrome"
Makes the correct points,
Makes the outrageous hypothesis:
They state the inclusion critera as:
The usual exclusion criteria, plus past history of major psychiatric-classified diseases if considered resolved for at least 5 years. The this:
Ha! So they will have no ME/CFS patients in their study at all, or hardly any, because we have those things in every proper study that has ever been done. Narcolepsy is hypothesized to be a feature of ME, hypopnea has been very well replicated...
GIGO
We should track their progress, and if they get enough participants, we can then go ahead and start writing letters to send to whatever journal would publish their results.
http://www.clinicaltrials.gov/ct2/show/NCT00540254
Makes the correct points,
The vast majority of CFS patients complain of unrelenting sleep disturbances (e.g., sleep onset insomnia and/or sleep maintenance insomnia) that could exacerbate symptoms such as fatigue, mood disturbance, and reduced quality of life.
...
the sleep-specific treatment needs of CFS patients have been largely ignored.
Makes the outrageous hypothesis:
Both our clinical observations and our preliminary studies suggest that those with CFS display sleep targets (i.e., increased time-in-bed, decreased daytime activity) that are common to those with Primary and other comorbid insomnias. These phenomena are known to perpetuate sleep problems, and likely account for the chronic insomnia among CFS patients. Given the high prevalence and cost associated with CFS, as well as its complex clinical picture, interventions that directly address perpetuating mechanisms would likely improve the sleep and general prognosis for these patients.
They state the inclusion critera as:
Chronic Fatigue Syndrome and Insomnia
Study patients can have comorbid depression (as long as it is not bipolar, melancholic or psychotic) or fibromyalgia. They can be taking sleep medications.
- meet diagnostic criteria for insomnia
- be diagnosed with CFS by the Study Physician using CDC criteria
- must be in current treatment for CFS (we can provide referrals if needed).
- under medical care for a minimum of 6 weeks with a stable medication regimen for > 1 month.
The usual exclusion criteria, plus past history of major psychiatric-classified diseases if considered resolved for at least 5 years. The this:
We will exclude those meeting criteria for Narcolepsy, Restless Legs Syndrome, a Circadian Rhythm Disorder, or sleep apnea and/or hypopnea
Ha! So they will have no ME/CFS patients in their study at all, or hardly any, because we have those things in every proper study that has ever been done. Narcolepsy is hypothesized to be a feature of ME, hypopnea has been very well replicated...
GIGO
We should track their progress, and if they get enough participants, we can then go ahead and start writing letters to send to whatever journal would publish their results.
http://www.clinicaltrials.gov/ct2/show/NCT00540254