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This article is written in response to the linked editorial by Dr Geraghty about the adaptive Pacing, graded Activity and Cognitive behaviour therapy; a randomised Evaluation (PACE) trial, which we led, implemented and published. The PACE trial compared four treatments for people diagnosed with chronic fatigue syndrome. All participants in the trial received specialist medical care. The trial found that adding cognitive behaviour therapy or graded exercise therapy to specialist medical care was as safe as, and more effective than, adding adaptive pacing therapy or specialist medical care alone. Dr Geraghty has challenged these findings. In this article, we suggest that Dr Geraghty's views are based on misunderstandings and misrepresentations of the PACE trial; these are corrected.

Original publication

DOI

10.1177/1359105316688953

Type

Other

Publication Date

08/2017

Volume

22

Pages

1113 - 1117

Keywords

chronic fatigue syndrome, clinical trials, cognitive behaviour therapy, graded exercise therapy, treatment, Cognitive Behavioral Therapy, Dissent and Disputes, Exercise Therapy, Fatigue Syndrome, Chronic, Humans, Randomized Controlled Trials as Topic, Treatment Outcome