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Trial By Error: More Questions About CODES Trial of CBT for Seizures

By David Tuller, DrPH [*In the last paragraph, I mistakenly referred to the CODES protocol rather than the CODES statistical analysis plan. I apologize for the error.] I have recently written about CODES, the high-profile clinical trial investigating whether cognitive behavior therapy (CBT) could reduce the frequency of dissociative seizures, also known as  psychogenic non-epileptic …

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Trial By Error: BMJ Responds to Appeals About Norway’s CBT-Music Therapy Study

By David Tuller, DrPH Earlier this week, I sent a nudge to Professor Imti Choonara, editor-in-chief of BMJ Paediatrics Open, and Fiona Godlee, editorial director of BMJ, about a problematic “feasibility study” published a few months ago. That followed a letter two weeks ago, to which I had not received a response. Previous posts on …

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Trial By Error: Trio of Trials Shows Limits of CBT for Medically Unexplained Symptoms

Lancet Psychiatry recently published the results of a high-profile trial of cognitive behavior therapy as a treatment for so-called dissociative seizures, also known as psychogenic non-epileptic seizures. The trial, nicknamed CODES, found that CBT had no impact on seizure frequency–the primary outcome. The average number of seizures per month dropped in both the treatment and …

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Trial By Error: A Letter to KCL, Another Letter to BMJ

By David Tuller, DrPH Last week, I wrote about a troubling press release issued by King’s College London regarding a major study of cognitive behavioural therapy as a treatment for so-called dissociative seizures. On Friday, I sent a letter to the two communications people listed on the press release about the study, as well as …

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Trial By Error: A King’s College London Press Release Hides the Bad News

By David Tuller, DrPH In teaching courses on covering public health and medical issues, I have often highlighted how university press releases about studies can read like efforts at obfuscating problematic findings rather than providing an accurate account of research. A recent press release from King’s College London, about a high-profile study published by Lancet …

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Trial By Error: A Couple of Blog Posts Worth Reading

By David Tuller, DrPH I’ve been writing about so-called “medically unexplained symptoms,” or MUS, for the last couple of years. Much of that has come in the form of critiques of specific studies making excessive claims about the healing powers of cognitive behavior therapy. Recently, a blogger named Goodelf has posted a couple of revealing …

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