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Articles by Mark Vink
Commentary: Cognitive behavioural therapy for the treatment of chronic fatigue syndrome in adults: a short analysis of the meta-analysis
A Commentary on Cognitive behavioural therapy for the treatment of chronic fatigue syndrome in adults - a meta-analysis By Kolala V, La Rosa B, Vangaveti V and Chen KY (2025). Front. Psychiatry 16:1647897. doi: 10.3389/fpsyt.2025.1647897 1 Introduction The meta-analysis by Kolala et al.
Opinion based medicine supported by anecdotal evidence
Dear Editor, We’ve read the article by Miller et al. with interest.[1] The authors state that if patients with severe and very severe ME/CFS stop believing that they won’t recover and simply change their mindset, that they can recover. Yet they only produce anecdotal evidence to back up this claim.
The PACE Trial’s GET Manual for Therapists Exposes the Fixed Incremental Nature of Graded Exercise Therapy for ME/CFS
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In around 60% of cases, long Covid patients fulfil ME/CFS criteria. Re: Long covid: where are we, what does it say about our pandemic response, and where next?
Dear Editor, I have read the article entitled, “Long covid: where are we, what does it say about our pandemic response, and where next?”[1] with interest. I would like to add a few things.
The Updated NICE Guidance Exposed the Serious Flaws in CBT and Graded Exercise Therapy Trials for ME/CFS
Open AccessReview by Mark Vink 1,* and Alexandra Vink-Niese 2 1 Independent Researcher, 1096 HZ Amsterdam, The Netherlands 2 Independent Researcher, 30159 Hannover, Germany * Author to whom correspondence should be addressed.
A few important things we would like to add Re: Long covid-mechanisms, risk factors, and management
Dear Dr Crook and colleagues, Thank you for a very good review about Long Covid, its mechanisms, risk factors, and management.[1] Thank you also for referring to two of our reviews of the efficacy of cognitive behavioural therapy (CBT) for CFS and Q-fever fatigue syndrome.[2,3] However, there are a few little but important things we would like to add.
CFS patients remain severely disabled after specialist treatment with CBT in the UK
Adamson, J, Ali, S, Santhouse, A, Wessely, S, Chalder, T. Cognitive behavioural therapy for chronic fatigue and chronic fatigue syndrome: outcomes from a specialist clinic in the UK . J R Soc Med ; 113: – .
The draft updated NICE guidance for ME/CFS highlights the unreliability of subjective outcome measures in non-blinded trials
The National Institute for Health and Care Excellence (NICE) published its draft updated guideline on the diagnosis and management of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) in November 2020 (NICE, 2020). NICE concluded that ME/CFS is a complex multisystem chronic medical condition and that it is important that people remain in their energy envelope when undertaking activity of any kind.
Graded exercise therapy for myalgic encephalomyelitis/chronic fatigue syndrome is not effective and unsafe. Re-analysis of a Cochrane review
Mark Vink1 and Alexandra Vink-Niese2 Mark Vink 1Soerabaja Research Center, The Netherlands Author information Copyright and License information Disclaimer 1Soerabaja Research Center, The Netherlands 2Independent Researcher, Germany Mark Vink, Family and Insurance Physician, Soerabaja Research Center, 1096 HH Amsterdam, The Netherlands.
Cognitive behavioural therapy for myalgic encephalomyelitis/chronic fatigue syndrome is not effective. Re-analysis of a Cochrane review
Introduction For years, the recommended treatments for chronic fatigue syndrome (CFS) have been cognitive behavioural therapy (CBT) and graded exercise therapy (GET). These recommendations have been based on Cochrane reviews (Larun et al., 2017; Price et al., 2008) and a large randomised controlled trial by White et al. (2011), informally referred to as the PACE trial (‘Pacing, graded Activity, and Cognitive behaviour therapy; a randomised Evaluation’).
The PACE Trial Invalidates the Use of Cognitive Behavioral and Graded Exercise Therapy in Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome: A Review
IntroductionFollowing an extensive review of the literature, the American Institute of Medicine (IOM) concluded that “myalgic encephalomyelitis (ME) and chronic fatigue syndrome (CFS) are serious, debilitating conditions that affect millions of people in the United States and around the world”; that it is a “medical - not a psychiatric or psychological - illness” without a “known cause or effective treatment” which “can cause significant impairment and disability” [1] rendering 25% of...
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