Door het publiceren van mijn brief in response op de recente GETSET-studie van Peter White e.a.
erkent de Lancet feitelijk de visie dat CGT/GET schadelijk kan zijn voor CVS-patiënten.
White (PACE-trial hoofdonderzoekers) en collega's bevestigen dit standpunt eigenlijk zelf
door publicatie van een studie waarin zij de mensen die erop achteruit gingen onderzochten.
Vier andere ingezonden brief vind je
hier,
hier,
hier en
hier.
De reactie van de auteurs, waairin ze uiteraard niet ingaan op het 'veiligheidskwestie', vind je
hier.
Graded exercise self-help for chronic fatigue syndrome in GETSET.
Twisk, FNM.
Lancet. 2018 Mar 24. 391 (10126): 1161. doi: 10.1016/S0140-6736(18)30673-1.
...
[The conclusion that GET is an effective and safe treatment for chronic fatigue syndrome
is not substantiated by the outcomes.
References
- Clark, LV, Pesola, F, Thomas, JM, Vergara-Williamson, M, Beynon, M, and White, PD.
Guided graded exercise self-help plus specialist medical care versus specialist medical care alone for chronic fatigue syndrome (GETSET): a pragmatic randomised controlled trial.
Lancet. 2017; 390: 363–373
Google Scholar
- Twisk, F.
PACE: CBT and GET are not rehabilitative therapies.
Lancet Psychiatry. 2016; 3: e6
Google Scholar
- White, PD, Sharpe, MC, Chalder, T, DeCesare, JC, and Walwyn, R.
Protocol for the PACE trial: a randomised controlled trial of adaptive pacing, cognitive behaviour therapy, and graded exercise, as supplements to standardised specialist medical care versus standardised specialist medical care alone for patients with the chronic fatigue syndrome/myalgic encephalomyelitis or encephalopathy.
BMC Neurol. 2007; 7: 6
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The chronic fatigue syndrome: a comprehensive approach to its definition and study.
Ann Intern Med. 1994; 121: 953–959
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- Cheshire, A, Ridge, D, Clark, L, and White, P.
Why patients with chronic fatigue syndrome/myalgic encephalomyelitis improve or deteriorate with graded exercise therapy.
J Psychosom Res. 2016; 85: 59
Google Scholar
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30673-1/fulltext
http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(18)30673-1.pdf
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