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BABCP Response - NICE Consultation January 2022

Subjective Measures Are Insufficient – Lessons from CBT for ME/CFS

The  results of the PACE trial of CBT plus graded exercise for CFS have just been confirmed by a review of 5 Dutch studies

https://www.researchgate.net/publication/322956569_An_analysis_of_Dutch_hallmark_studies_confirms_the_outcome_of_the_PACE_trial_cognitive_behaviour_therapy_with_a_graded_activity_protocol_is_not_effective_for_chronic_fatigue_syndrome_and_Myalgic_Encep , the author’s concluded ‘ Improvements on subjective measures (self-report questionnaires), which are sensitive to placebo effects, response bias, buy-in effects and other psychological effects , isn’t reflected by an improvement in objective measures’. This was illustrated by the finding that 32% of the patients in the non-intervention group reported clinically significant improvement afterwards.

 

IAPT justifies itself wholly in terms of changes on psychometric tests, alleging a 50% recovery. However there has been no independent examination to determine the proportion totally free of symptoms by the end of treatment. My own work in fact suggests just a 10% recovery,https://www.dropbox.com/s/flvxtq2jyhmn6i1/IAPT%20The%20Need%20for%20Radical%20Reform.pdf?dl=0 . In mid July the Journal of Health Psychology is publishing an Open Access Special Issue ‘IAPT Under the Microscope’ in which these issues are explored further, with 4 contributors, including myself and a missive from the Editor, Dr David Marks.

 

Dr Mike Scott

Categories
BABCP Response - NICE Consultation January 2022

House of Lords – Expansion of IAPT into ME Despite Not Knowing How Such Clients Have Already Fared In The Service!

Chronic Fatigue Syndrome: Written question – HL7468

Asked by The Countess of Mar
Asked on: 01 May 2018

Department of Health and Social Care
Chronic Fatigue Syndrome

HL7468
To ask Her Majesty’s Government what are the recovery rates of patients with myalgic encephalomyelitis who have received treatment under the Improving Access to Psychological Therapies programme.

Answered by: Lord O’Shaughnessy
Answered on: 15 May 2018

This information is not available

 

 

Whatever happened to evidence based CBT?

 

Dr Mike Scott