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>>>>> Help ME Circle <<<<
>>>> 19 November 2009 <<<<
Editorship : j.van.roijen@chello.nl
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http://www.ncbi.nlm.nih.gov/pubmed/19855351
Neuro Endocrinol Lett. 2009 Aug 26;30(3):300-311.
Chronic Fatigue Syndrome: la bLte noire of the
Belgian Health Care System.
Maes M, Twisk FN.
Maes Clinics, Antwerp, Belgium. crc.mh@telenet.be.
ABSTRACT
The World Health Organization acknowledges Myalgic
Encephalomyelitis (ME)/ Chronic Fatigue Syndrome
(CFS) to be a medical illness.
ME/CFS is characterized by disorders in the
inflammatory and oxidative and nitrosative stress
(IO&NS) pathways.
In 2002, the Belgian government started with the
development of CFS "Reference Centers", which
implement a "psychosocial" model.
The medical practices of these CFS Centers are
defined by the Superior Health Council, e.g.
treatment should be based upon Cognitive
Behavioral Therapy (CBT) and Graded Exercise
Therapy (GET); and biological assessments and
treatments of ME/CFS should not be employed.
Recently, the Belgian government has evaluated the
outcome of the treatments at the CFS Centers.
They concluded that a rehabilitation therapy" with
CBT/GET yielded no significant efficacy in the
treatment of ME/CFS and that CBT/GET cannot be
considered to be curative therapies.
In case reports, we have shown that patients who
were "treated" at those CFS centers with CBT/GET in
fact suffered from IO&NS disorders, including
intracellular inflammation, an increased translocation
of gram-negative enterobacteria (leaky gut),
autoimmune reactions and damage by O&NS.
Considering the fact that these findings are
exemplary for ME/CFS patients and that GET may
even be harmful, it means that many patients are
maltreated by the Belgian CFS Centers.
Notwithstanding the above, the government and the
CFS Centers not only continue this unethical and
immoral policy, but also reinforce their use of
CBT/GET in patients with ME/CFS treated at those
Centers.
PMID: 19855351 [PubMed - as supplied by publisher]
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