Arthur

@unrealarthur.bsky.social

ME Patient-ly Waiting for Biomedical Research | Volunteer @crunchme.bsky.social #GreatestMEdicalScandal @unreal_arthur crunchme.org

With great thanks to the hundreds of people who gave me their testimonies. If I hadn't said "stop" after a few hours, it might have been thousands. The sheer scale of this scandal is hard to get your head around. 2/2

It was a delight speaking to @davetuller1.bsky.social about our recent paper lead by @simonmcg.bsky.social with @charliehillier.bsky.social, @tschei.bsky.social, Joshua Dibble and Arild Angelsen. We discuss why this is solid evidence for two age peaks in ME/CFS onset and the biological implications.

SSimon McGrath@simonmcg.bsky.social · 5mo ago

A great interview with Dr Audrey Ryback about the recent finding of two consistent age peaks in many European countries for the onset of ME/CFS. Follow-up work using the @actionforme.bsky.social Big Survey data hopes to give insight into early vs late onset differences @aryback.bsky.social.

This was such an important paper, and I was dismayed when it did not have the impact that I hoped it would. But unfortunately, that is the way it usually goes for post-publication "debate", when the vested interests are in bed with the journals. #PACEtrial

Tom Kindlon@tomkindlon.bsky.social · 7mo ago

It's 8th anniversary of this paper A lot of it was only possible due to Alem's heroic FOI victory, which the #PACETrial team fought so hard to stop. That surely wasn't because the real results weren't as flattering as they had presented them? bmcpsychology.biomedcentral.com/articles/10.... #MECFS

R E S E A R C H A R T I C L E Open Access
Rethinking the treatment of chronic fatigue
syndrome—a reanalysis and evaluation of
findings from a recent major trial of graded
exercise and CBT
Carolyn E. Wilshire 1* , Tom Kindlon2 , Robert Courtney3 , Alem Matthees 4
, David Tuller 5
, Keith Geraghty 6
and Bruce Levin 7
Abstract
Background: The PACE trial was a well-powered randomised trial designed to examine the efficacy of graded
exercise therapy (GET) and cognitive behavioural therapy (CBT) for chronic fatigue syndrome. Reports concluded
that both treatments were moderately effective, each leading to recovery in over a fifth of patients. However, the
reported analyses did not consistently follow the procedures set out in the published protocol, and it is unclear
whether the conclusions are fully justified by the evidence.
Methods: Here, we present results based on the original protocol-specified procedures. Data from a recent Freedom
of Information request enabled us to closely approximate these procedures. We also evaluate the conclusions from the
trial as a whole.
Results: On the original protocol-specified primary outcome measure - overall improvement rates - there was a
significant effect of treatment group. However, the groups receiving CBT or GET did not significantly outperform the
Control group after correcting for the number of comparisons specified in the trial protocol. Also, rates of recovery were
consistently low and not significantly different across treatment groups. Finally, on secondary measures, significant effects
were almost entirely confined to self-report measures. These effects did not endure beyond two years.
Conclusions: These findings raise serious concerns about the robustness of the claims made about the efficacy of CBT
and GET. The modest treatment effects obtained on self-report measures in the PACE trial do not exceed what could be
reasonably accounted for by participant reporting biases.
Keywords: Chronic fatigue syndrome, Myalgic ence

This week we were informed by DHSC, alongside other organisations, that DHSC and NHS England have delayed discussions on commissioning a specialised service for very severe ME until April 2027. This means yet another year without NHS care for people with very severe ME. (1/3)

Bild

Like many in the ME community I’m deeply disturbed at the news that DHSC is pausing work on a specialist service for very severe ME until April 2027. It’s been good then to be able to talk with minister Sharon Hodgson, and Carolyn Leary from Forward ME. The very understandable concerns are heard.

1/7 Excited to share our new paper co-produced with @simonmcg.bsky.social. We found that previous reports of ME having two age peaks in Norway replicates in two different datasets and across 7/10 European countries we examined, suggesting this is a generalisable- and distinctive- feature of ME.

Three onset age distributions for ME/CFS, one for Norway, one for the combined 9 other countries, and one for a DecodeME subcohort, with fitted splines.

1/3 NEW MOD Updated Guidance Published! The JSP 950 Leaflet 6-7-7 V3.2 Effective from 10 Feb 2026 has updated the guidance from previously stating CBT and GET have 'definite benefit' to now stating the 'most up-to-date NICE guidance' should be followed.

Screenshot highlighting differences between old MOD guidance on ME/CFS and updated version with highlights
Arthur@unrealarthur.bsky.social · 2y ago

1/3 Update: Good News! MP wrote to the minister and this was their reply, "I can confirm that the guidance regarding cognitive behavioural therapy and graded exercise therapy for myalgic encephalomyelitis and chronic fatigue syndrome (ME/CFS) is outdated and will be removed..."

Thank you Emily for being open to dialogue. Unfortunately this is a long standing practice of Wessely's. He has used it to successfully modify the historical record about himself. We hope as a historian and anthropologist you can understand the impact this has to the narrative, esp for patients.