El tratamiento del SFC debe ser para problemas fisiològicos

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elipoarch
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El tratamiento del SFC debe ser para problemas fisiològicos

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Patient Educ Couns. 2010 Mar 17. [Epub ahead of print]

Treatment of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), a multisystem disease, should target the pathophysiological aberrations (inflammatory and oxidative and nitrosative stress pathways), not the psychosocial "barriers" for a new equilibrium.
Maes M, Twisk FN.
Maes Clinics, Belgium.

El tratamiento de la encefalomielitis miálgica/síndrome de fatiga crónica, una enfermedad multisistémica, debe estar dirigido a las aberraciones (alteraciones) patofisiológicas (vias del estrés inflamatoria, oxidativo y nitrosativo), no las "barreras" psicosociales para adquirir un nuevo equilibrio

In a recent article published by B. van Houdenhove and P. Luyten it is claimed that cognitive behavioral therapy and graded exercise therapy (CBT/GET) are evidence based and are the most adequate treatments to control symptoms and improve quality of life of patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). However, these authors do not disclose that their own treatments at the Belgian CFS Reference Centers with CBT/GET have proven to have no clinical effects. The Belgian minister declared in the parliament that CBT/GET at those centers are no curative therapies. Even more, measured by objective standards the CBT/GET approach has shown to be counterproductive. van Houdenhove and Luyten neglect or deny all scientific findings on the pathophysiology and possible medical treatments of ME/CFS. However, there is now a consensus that inflammatory and oxidative and nitrosative (IO&NS) pathways underpin the pathophysiology of ME/CFS in humans and in animal models as well. Human and animal data show that treatments which target IO&NS pathways are useful in treating ME/CFS. van Houdenhove and Luyten also propose that the time has come to shift treatment research in CFS from efficacy studies to effectiveness studies in 'real life'. In our opinion, future research should use a high throughput screening, made possible by the translational approach, in order to further examine the IO&NS pathways in detail; further delineate novel drug-targets in the IO&NS pathways and develop new drugs to treat this complex and serious medical disorder. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

PMID: 20303231 [PubMed - as supplied by publisher]
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elipoarch
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Re: El tratamiento del SFC debe ser para problemas fisiològicos

Mensaje por elipoarch »

elipoarch escribió:However, these authors do not disclose that their own treatments at the Belgian CFS Reference Centers with CBT/GET have proven to have no clinical effects.
Sin embargo, estos autores no explican que sus propios tratamientos (de terapia cognitiva-conductual y de ejercicio) en los centros de referencia para SFC de Bélgica han demostrado no tener efecto clínico alguno.

(más adelante subraya que, incluso han demostrado ser contraproducentes)

:mrgreen: Jeje, la primera, en la frente! Así me gustan a mí los artículos científicos!
VINCIT QUI SE VINCIT (Vence quien se vence a sí mismo)
EX NOTITIA VICTORIA (En el conocimiento reside el triunfo) 12
(tomado prestado de un amiguete... gràcies, Fran)
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