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by cpncrunch 3310 days ago
>(not nonsense by CBT-obsessed wankers who lie with statistics

I'm not sure if you realise that you're posting "hateful bollocks" as Dan puts it, but for the benefit of the other posters here I'll address your not-quite-so-bollocks points.

The main criticisms of the PACE trial were the measures of recovery, but recovery wasn't even measured in the main trial -- it was a secondary paper, and even the authors admitted that there are various measures of recovery.

There have been quite a lot of trials into CBT and GET in CFS, and overall there is a small-to-moderate effectiveness for the treatments. Long term followup from the PACE trial is consistent with the other trials...patients undergoing CBT and/or GET improve more quickly than patients getting "standard" treatment.

If you actually look at the research from people involved in the PACE trial, you'll see they have in fact done a lot of biological research (and have stated many times that the HPA axis and immune system are almost certainly involved). It is unfortunate that they chose to give the dubious theories about illness beliefs and deconditioning as the basis for the PACE trial. However just because the trial had a bogus theory behind the treatments doesn't mean they don't actually work. Also, having biological abnormalities doesn't rule out CFS being psychosomatic (as all psychosomatic illnesses will by definition have physical symptoms). In fact, given that CFS has been shown to be triggered by stress in the majority of cases, and given the abnormalities found in the stress system that mirror the effects of chronic stress, a psychosomatic explanation seems quite plausible.