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Twisk in response op Chalder:

CGT en GET gaan gepaard met

hoger school/werkverzuim

 

 

 

 


 

 

 

Het Journal of Behavorial Medicine was zo sportief om mijn ingezonden brief in response op

een recent artikel van Trudie Chalder en co-auteurs van het King's College te publiceren.

 

De drie belangrijkste punten van mijn kritiek op deze studie zijn:

  • De studie betrof geen CVS (laat staan ME), maar chronische vermoeidheid.
  • 'Behandeling' (in veel gevallen CGT en/of GET) gaat gepaard met hoger (school)verzuim.
  • Het advies (bewegingsangst aanpakken met 'CGT/GET') is in strijd met de bevindingen.

Onlangs werd de ingezonden brief van Michael Tack in JBM gepubliceerd: klik hier.

 

 


 

 

Cognitive-behavorial and graded exercise therapies for chronic fatigue (syndrome)

are associated with lower levels of work/school attendance.

J Behav Med. 2019 Mar 28. doi: 10.1007/s10865-019-00032-5.

Twisk FNM.

 

 

Comments on:

 

Psychological and demographic factors associated with fatigue and social adjustment

in young people with severe chronic fatigue syndrome/myalgic encephalomyelitis:

a preliminary mixed-methods study.

J Behav Med. 2019 Jan 25. doi: 10.1007/s10865-019-00010-x.

Ali S, Adamczyk L, Burgess M, Chalder T.

 

 

...

 

 

In conclusion, the study affirms the relevance of an accurate diagnosis (ME, CFS or CF) and

the thesis that CBT and GET are neither effective nor safe. It's time for another approach (9).

 

 

  1. Ali S, Adamczyk L, Burgess M, Chalder T.
  2. Psychological and demographic factors associated with fatigue and social adjustment

    in young people with severe chronic fatigue syndrome/myalgic encephalomyelitis:

    a preliminary mixed-methods study.

    J Behav Med. 2019 Jan 25.

    doi: 10.1007/s10865-019-00010-x.

  3. Green CR, Cowan P, Elk R, O'Neil KM, Rasmussen AL.
  4. National Institutes of Health Pathways to Prevention Workshop:

    Advancing the research on Myalgic Encephalomyelitis/chronic fatigue syndrome.

    Ann Intern Med. 2015 Jun 16; 162(12): 860-865. PMID: 26075757.

    doi: 10.7326/M15-0338.

  5. Sharpe MC, Archard LC, Banatvala JE, Borysiewicz LK, Clare AW, David A, et al.
  6. Chronic fatigue syndrome: guidelines for research.

    J R Soc Med. 1991 Feb; 84(2): 118-121. PMID: 1999813.

    doi: 10.1177/014107689108400224.

  7. Fukuda K, Straus SE, Hickie I, Sharpe M, Dobbins JG, Komaroff AL.
  8. The chronic fatigue syndrome: a comprehensive approach to its definition and study.

    Ann Intern Med. 1994 Dec 15; 121(12): 953-959. PMID: 7978722.

    doi: 10.7326/0003-4819-121-12-199412150-00009.

  9. Dowsett EG, Ramsay AM, McCartney RA, Bell EJ.
  10. Myalgic Encephalomyelitis - a persistent enteroviral infection?

    Postgrad Med J. 1990 Jul; 66(777): 526-530. PMID: 2170962.

    doi: 10.1136/pgmj.66.777.526.

  11. Twisk FNM.
  12. Myalgic Encephalomyelitis, chronic fatigue syndrome, and Systemic Exertion Intolerance Disease:

    Three distinct clinical entities.

    Challenges. 2018 Jun; 9(1): 19.

    doi: 10.3390/challe9010019.

  13. Burgess M, Chalder T.
  14. Adolescents with severe chronic fatigue syndrome can make a full recovery.

    BMJ Case Rep. 2011 May 10: pii: bcr0120113716. PMID: 22696706.

    doi: 10.1136/bcr.01.2011.3716.

  15. Twisk FNM, Corsius LAMM.
  16. Cognitive-behavioural therapy for chronic fatigue syndrome: neither efficacious nor safe.

    Br J Psychiatry. 2018 Aug; 213(2): 500-501. PMID: 30027882.

    doi: 10.1192/bjp.2018.136.

  17. House of Commons Hansard. Appropriate ME treatment. 2019, January 24th; London.
  18. https://hansard.parliament.uk/commons/2019-01-24/debates/FA1BBC27-37A7-4BFD-A2C0-A58B57F41D4D/AppropriateMETreatment

  19. Twisk FNM.
  20. Post-exertional malaise in chronic fatigue syndrome.

    Lancet Psychiatry. 2015 Apr; 2(4): e8-e9. PMID: 26360098.

    doi: 10.1016/S2215-0366(15)00044-9.

 

Volledige tekst (alleen lezen, afdrukken of downloaden niet mogelijk):

https://rdcu.be/btNSi