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July 21, 2008

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cinderkeys

From what I hear, studies on the effects of CBT on CFS don't distinguish between people with true CFS (which includes chronic pain and a host of other nasty disorders that are awful in their own right) and people who experience fatigue for other reasons (like depression).

"Specifically, the treatment is effective in reducing the severity of symptoms, assuming the patient persists with treatment long enough to be effective."

This is telling. The people who do not persist with the treatment -- because it isn't helping, because it's hurting, or because they are simply too sick to go anywhere -- are likelier to be the ones with true CFS.

Jeremiah Dwyer

Cinderkeys,

That would obviously be an important point. One always assumes some level of diagnostic control when research is being done, but without seeing the methodology, you can't be sure.

If, otoh, all the subjects did in fact have CFS, it would be interesting to see what characteristics contributed to sticking with treatment vs. led to dropping out...

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