David F Marks Preprint https://www.qeios.com/read/XUG3PT.2 Abstract Despite evidence of physiological and cellular abnormalities in myalgic encephalomyelitis (ME)/chronic fatigue syndrome (CFS), the dominant therapeutic approach has been cognitive behaviour therapy (CBT) and graded exercise therapy (GET). Patients report distress and dissatisfaction following healthcare encounters based on GET and CBT. A significant body of research suggests thatContinue reading “Treatment Harms To Patients With Myalgic Encephalomyelitis/Chronic Fatigue Syndrome”
Category Archives: evidence
A PRESS RELEASE FROM FIVE YEARS AGO – The PACE Trial: The Making of a Medical Scandal
EMBARGOED TO NOON GMT, MONDAY, 31 JULY 2017 Journal of Health Psychology Special Issue on The PACE Trial, Vol. 29, No 9, Aug. 2017 Publication date: 31 July 2017http://journals.sagepub.com/toc/hpqa/current A Special Issue of the Journal of Health Psychology on the PACE Trial, is to be published and freely available online on Monday 31 July 2017.Continue reading “A PRESS RELEASE FROM FIVE YEARS AGO – The PACE Trial: The Making of a Medical Scandal”
Filtering Data in Evidence-Based Practice
A recent post described the evidence pyramid. Like anything else in science, there have been criticisms. Here I liken evidence-based practice to filtering coffee. Evidence needs filtering to remove the coffee grain and any impurities. The trouble is, if one filters a lot of times, there may be nothing left that’s worth drinking. Box 6.1Continue reading “Filtering Data in Evidence-Based Practice”
The Evidence Pyramid
The traditional evidence pyramid remains a useful heuristic device for evaluating scientific evidence in medicine and health care. The highest quality evidence in the top two levels of the pyramid is the most difficult to process. The lowest quality of evidence at the bottom two levels of the pyramid is the easiest to process. ThisContinue reading “The Evidence Pyramid”
ME/CFS and unhelpful beliefs
The Wessely School approach to ME/CFS and MUS hypothesizes a causative role for unhelpful beliefs (H1), deconditioning (H2), and biased attention (H3). The evidence related to these three hypotheses is reviewed in turn. Here I consider H1: that unhelpful beliefs cause, or exacerbate, the symptoms of ME/CFS and MUS. Future posts will review the evidenceContinue reading “ME/CFS and unhelpful beliefs”
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