Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Authors: Alem Matthees
Journal: Annals of Internal Medicine (2015)

Letters1 December 2015Treatment of Myalgic Encephalomyelitis/Chronic Fatigue SyndromeAlem MattheesAlem MattheesFrom Perth, Western Australia, Australia.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5173 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In their comment on Smith and colleagues' review (1), White and associates state that “My coauthors and I found no statistically significant differences in the efficacy of CBT and GET in subgroups of patients meeting Oxford criteria for CFS as well as the CDC criteria for CFS or ME.” However, the ad hoc application of these case definitions in the PACE (Pacing, Graded Activity and Cognitive Behaviour Therapy: A Randomized Evaluation) trial may undermine the reliability of those subgroup analyses. All trial participants were first screened using the Oxford CFS criteria and then further stratified into subgroups ...References1. Smith ME, Haney E, McDonagh M, Pappas M, Daeges M, Wasson N, et al. Treatment of myalgic encephalomyelitis/chronic fatigue syndrome: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. Ann Intern Med. 2015;162:841-50. [PMID: 26075755]. doi:10.7326/M15-0114 LinkGoogle Scholar2. Sharpe MC, Archard LC, Banatvala JE, Borysiewicz LK, Clare AW, David A, et al. A report—chronic fatigue syndrome: guidelines for research. J R Soc Med. 1991;84:118-21. [PMID: 1999813] CrossrefMedlineGoogle Scholar3. White PD, Goldsmith K, Johnson AL, Chalder T, Sharpe M. Recovery from chronic fatigue syndrome after treatments given in the PACE trial. Psychol Med. 2013;43:2227-35. [PMID: 23363640] CrossrefMedlineGoogle Scholar4. Evans M, Jason LA. Effects of time frame on the recall reliability of CFS symptoms. Eval Health Prof. 2015;38:367-81. [PMID: 24064428] CrossrefMedlineGoogle Scholar5. Goudsmit EM. Comment on comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (PACE): a randomised trial. 15 November 2013. PubMed Commons. Accessed at www.ncbi.nlm.nih.gov/myncbi/ellen%20m.goudsmit.1/comments on 12 July 2015. Google Scholar Author, Article, and Disclosure InformationAuthors: Alem MattheesAffiliations: From Perth, Western Australia, Australia.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterest Forms.do?msNum=L15-0445. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDiagnostic Methods for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: A Systematic Review for a National Institutes of Health Pathways to Prevention Workshop Elizabeth Haney , M.E. Beth Smith , Marian McDonagh , Miranda Pappas , Monica Daeges , Ngoc Wasson , and Heidi D. Nelson Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Lily Chu , Lucinda Bateman , Todd Davenport , Eleanor Stein , and Staci Stevens Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Tom Kindlon and Charles Shepherd Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome M.E. Beth Smith , Elizabeth Haney , and Heidi D. Nelson Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Peter D. White , Daniel J. Clauw , Jos W.M. van der Meer , Rona Moss-Morris , and Renee R. Taylor Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Maik Speedy Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Sean B.M. Kirby Metrics 1 December 2015Volume 163, Issue 11Page: 886-887KeywordsArthralgiaConflicts of interestDiagnostic medicineDisclosureExerciseFatigueLymph nodesMyalgiaPharyngitisSleep ePublished: 1 December 2015 Issue Published: 1 December 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...