a weird & unscientific way to define M.E.?

Discussion in 'Fibromyalgia Main Forum' started by Bluebottle, Jun 18, 2009.

  1. Bluebottle

    Bluebottle New Member

    a weird & unscientific way to define M.E.?

    (Psychiatrist Peter White is Chief Medical Officer of the insurance company Swiss Re. He is a very powerful figure in the treatment and research of M.E. in the UK)


    Subject: Re: RES: Risk markers for both chronic fatigue and irritable bowel syndromes: a prospective case-control study in primary care

    "Two subgroups of fatigue syndrome cases were studied: those with a
    label that included the word 'post-viral' or 'post-infectious', which we
    PVFS here, and the remainder, composed of CFS or ME, which we call CFS/ME." (NB this is not the usual way ME is defined)

    Risk markers for both chronic fatigue and irritable bowel syndromes:
    a prospective case-control study in primary care.

    Journal: Psychol Med. 2009 Apr 15:1-9. [Epub ahead of print]

    Authors: Hamilton WT, Gallagher AM, Thomas JM, White PD.

    Affiliation: Academic Unit of Primary Health Care, University of
    Bristol, Bristol, UK.

    NLM Citation: PMID: 19366500

    BACKGROUND: Fatigue syndromes and irritable bowel syndrome (IBS)
    often occur together. Explanations include being different
    manifestations of the same condition and simply sharing some symptoms.

    Method: A matched case-control study in UK primary care, using data
    collected prospectively in the General Practice Research Database
    (GPRD). The main outcome measures were: health-care utilization,
    specific symptoms and diagnoses. Risk markers were divided into
    distant (from 3 years to 1 year before diagnosis) and recent (1 year
    before diagnosis).

    RESULTS: A total of 4388 patients with any fatigue syndrome were
    matched to two groups of patients: those attending for IBS and those
    attending for another reason. Infections were specific risk markers
    for both syndromes, with viral infections being a risk marker for a
    fatigue syndrome [odds ratios (ORs) 2.3-6.3], with a higher risk
    closer to onset, and gastroenteritis a risk for IBS (OR 1.47,
    compared to a fatigue syndrome). Chronic fatigue syndrome (CFS)
    shared more distant risk markers with IBS than other fatigue
    syndromes, particularly other symptom-based disorders (OR 3.8) and
    depressive disorders (OR 2.3), but depressive disorders were a
    greater risk for CFS than IBS (OR 2.4). Viral infections were more of
    a recent risk marker for CFS compared to IBS (OR 2.8), with
    gastroenteritis a greater risk for IBS (OR 2.4).

    CONCLUSIONS: Both fatigue and irritable bowel syndromes share
    predisposing risk markers, but triggering risk markers differ.
    Fatigue syndromes are heterogeneous, with CFS sharing predisposing
    risks with IBS, suggesting a common predisposing pathophysiology.


    and here's the WHO definition of M.E., which they classified as a neurological illness since 1969:

    ME/CFS is an acquired organic, pathophysiological, multi-systemic illness that occurs in both sporadic and epidemic forms. Myalgic Encephalomyelitis (ICD 10 G93.3), which includes CFS, is classified as a neurological disease in the World Health Organization's International Classification of Diseases (ICD). Chronic fatigue must not be confused with ME/CFS because the "fatigue" of ME/CFS represents pathophysiological exhaustion and is only one of many symptoms.

    Prof White doesn't seem to be studying the same illness.

  2. simpsons

    simpsons Member

    this is very manipulative of this psychiatrist friend of reeves
    now that we have counteracted their new definition of cfs by associating it with ME they are now belittling this dx by pushing it aside making post viral fatigue the medical illness and cfs me the all in the head dx

    this is despite them both being in the who world health authority definition of ME classification.

    Perhaps we need to say ME and in brackets (pvf,cfs,cfids) with reference to the who. ME is what we all have. except that in the uk many are not allowed any testing and many who do not have me but other illnesses often also serious and life threatening such as post polio,

    we must support the whittlemore peterson and european think tank and campaigns for proper research to fight this.

    the uk psychiatrists will not go down without a fight and this divide and conquer technique has been used for the last 20yrs.