Trial By Error: Hughes-Tuller Comment On Wessely-Chalder CBT Study Rejected By Journal, Posted Here

David Tuller

 

 

By David Tuller, DrPH in Virology Blog.

Last fall, Professor Sir Simon Wessely and Professor Trudie Chalder were among several co-authors of a study published in the Journal of the Royal Society of Medicine. The study purported to prove that years of provision of cognitive behavior therapy (CBT) to patients with “chronic fatigue” and “chronic fatigue syndrome” proved that the intervention was a success. I previously pointed out myriad problem in this post last August.

The paper read as if it were meant to shore up support for CBT during the deliberations of the National Institute for Health and Care Excellence over the new ME/CFS guidelines. The draft guidance, which dropped the recommendation for CBT designed to cure the illness, was published in November, with a final version due in April. Because the paper made unwarranted causal statements and glossed over the huge number of drop-outs and questionnaire non-responders, among other methodological and ethical issues, Professor Brian Hughes and I co-wrote a response and submitted it formally to the journal two weeks ago through the online editorial manager.

 

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