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对 Adamson 等人(2020 年)的回应:“英国一家专业诊所的慢性疲劳和慢性疲劳综合征的认知行为治疗:结果”。

Response to Adamson et al. (2020): 'Cognitive behavioural therapy for chronic fatigue and chronic fatigue syndrome: Outcomes from a specialist clinic in the UK'.

机构信息

National University of Ireland, Galway, Galway, Ireland.

University of California, Berkeley, CA, USA.

出版信息

J Health Psychol. 2022 Jun;27(7):1783-1789. doi: 10.1177/13591053211008203. Epub 2021 Apr 10.

DOI:10.1177/13591053211008203
PMID:33840241
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9092912/
Abstract

In a paper published in the , Adamson et al. (2020) interpret data as showing that cognitive behavioural therapy leads to improvement in patients with chronic fatigue syndrome and chronic fatigue. Their research is undermined by several methodological limitations, including: (a) sampling ambiguity; (b) weak measurement; (c) survivor bias; (d) missing data and (e) lack of a control group. Unacknowledged sample attrition renders statements in the published Abstract misleading with regard to points of fact. That the paper was approved by peer reviewers and editors illustrates how non-rigorous editorial processes contribute to systematic publication bias.

摘要

在发表于《柳叶刀》的一篇论文中,Adamson 等人(2020 年)解读数据显示,认知行为疗法可改善慢性疲劳综合征和慢性疲劳患者的状况。但他们的研究存在几个方法学局限性,包括:(a)抽样不明确;(b)测量力度弱;(c)幸存者偏差;(d)数据缺失;以及(e)缺乏对照组。未承认的样本流失导致已发表的摘要中的陈述在事实方面产生误导。该论文得到了同行评审员和编辑的认可,这表明不严格的编辑流程如何导致系统的发表偏倚。

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本文引用的文献

1
Cognitive behavioural therapy for chronic fatigue and chronic fatigue syndrome: outcomes from a specialist clinic in the UK.认知行为疗法治疗慢性疲劳和慢性疲劳综合征:英国一家专科诊所的疗效。
J R Soc Med. 2020 Oct;113(10):394-402. doi: 10.1177/0141076820951545. Epub 2020 Sep 15.
2
PACE-GATE: An alternative view on a study with a poor trial protocol.PACE-GATE:对一项试验方案较差的研究的另一种看法。
J Health Psychol. 2017 Aug;22(9):1192-1197. doi: 10.1177/1359105317707531. Epub 2017 May 12.
3
A systematic appraisal of allegiance effect in randomized controlled trials of psychotherapy.心理治疗随机对照试验中忠诚效应的系统评价。
Ann Gen Psychiatry. 2015 Sep 15;14:25. doi: 10.1186/s12991-015-0063-1. eCollection 2015.
4
Protocol for the PACE trial: a randomised controlled trial of adaptive pacing, cognitive behaviour therapy, and graded exercise, as supplements to standardised specialist medical care versus standardised specialist medical care alone for patients with the chronic fatigue syndrome/myalgic encephalomyelitis or encephalopathy.PACE试验方案:一项随机对照试验,针对慢性疲劳综合征/肌痛性脑脊髓炎或脑病患者,比较适应性起搏、认知行为疗法和分级运动作为标准化专科医疗补充措施与单纯标准化专科医疗的效果。
BMC Neurol. 2007 Mar 8;7:6. doi: 10.1186/1471-2377-7-6.
5
Management of chronic (post-viral) fatigue syndrome.慢性(病毒感染后)疲劳综合征的管理
J R Coll Gen Pract. 1989 Jan;39(318):26-9.