In de kategorie kan het nog gekker bereikt Wessely weer de overtreffende trap...

Waren eerst blanke vrouwen van middelbare leeftijd regelmatig de klos,

nu blijkt volgens literatuuronderzoek (?) van deze "vermoeidheidsexpert" dat

CVS en chronische vermoeidheid veel vaker voorkomt

onder afro-Amerikanen en indiaanse Amerikanen.

Ook zijn de klachten volgens Wessely onder deze bevolkingsgroepen veel ernstiger.

Deze "grote wetenschapper" heeft ook nog de euvele moed te beweren dat

afro-amerikanen en indiaanse Amerikaan waarschijnlijk vaker

gebruik maken van geloof, ontkenning en "gedragsmatige bevrijding"

om met de ziekte om te gaan.

Je moet het allemaal maar durven....

Het lijkt wel erop dat Wessely de tijden van het Wilde Westen wil doen herbeleven.

Kan het nog erger?

Ja,

een studie onder afro-amerikaanse, lesbische, bejaarde CVS-patiënten met een uitkering.

A systematic review of chronic fatigue, its syndromes and ethnicity: prevalence, severity, co-morbidity and coping.

Int J Epidemiol. 2009 Dec;38(6):1554-70. Epub 2009 Apr 6.. doi: 10.1093/ije/dyp147.

Dinos S, Khoshaba B, Ashby D, White PD, Nazroo J, Wessely S, Bhui KS.

Abstract

BACKGROUND:

Chronic Fatigue Syndrome (CFS)

is characterized by unexplained fatigue that lasts for at least 6 months

alongside a constellation of other symptoms.

CFS was historically thought to be

most common among White women of higher socio-economic status.

However, some recent studies in the USA suggest that

the prevalence is actually higher in some minority ethnic groups.

If there are convincing differences in prevalence and risk factors

across all or

some ethnic groups,

investigating the causes of these

can help unravel the pathophysiology of CFS.

METHODS:

A systematic review was conducted to explore the relationship

between fatigue,

chronic fatigue (CF-fatigue lasting for 6 months),

CFS and

ethnicity.

Studies were population-based and health service-based.

Meta-analysis was also conducted

to examine the population prevalence of CF and CFS

across ethnic groups.

RESULTS:

Meta-analysis showed that

compared with the White American majority,

African Americans and

Native Americans

have a higher risk of CFS

[Odds Ratio (OR) 2.95, 95% confidence interval (CI): 0.69-10.4;

OR = 11.5, CI: 1.1-56.4, respectively]

and CF

(OR = 1.56, CI: 1.03-2.24;

OR = 3.28, CI: 1.63-5.88, respectively).

Minority ethnic groups

with CF and CFS

experience more severe symptoms and

may be more likely to use

religion,

denial and

behavioural disengagement

to cope with their condition

compared with the White majority.

CONCLUSIONS:

Although available studies and data are limited,

it does appear that

some ethnic minority groups are more likely to suffer from CF and CFS

compared with White people.

Ethnic minority status alone

is insufficient to explain

ethnic variation of prevalence.

Psychosocial risk factors found

in high-risk groups and ethnicity

warrant further investigation

to improve our understanding of

aetiology and

the management of this complex condition.

Keywords

Chronic fatigue syndrome, CFS, chronic fatigue, CF, fatigue, ethnicity, meta-analysis, systematic review

PMID: 19349479

Samenvatting:

http://www.ncbi.nlm.nih.gov/pubmed/19349479

Volledige studieverslag:

http://ije.oxfordjournals.org/content/38/6/1554.full.pdf

Met dank aan Janko die mij op dit "wetenschappelijke hoogstandje" attent maakte.