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Boudewijn Van Houdenhove
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==== Recall and selection bias ==== Natelson also questioned the means by which Van Houdenhove and colleagues profile ME/CFS patients as being perfectionistic, action prone or [[trauma |abused during childhood years]]: <blockquote>"Self-reported data are open to substantial recall bias. For example, a number of studies have linked abuse in childhood as reported to have occurred by adults with fibromyalgia( e.g. Walker et al. 1997). However Raphael et al.(2000) have recently shown that rates of widespread pain do not differ in people with documented abuse in childhood compared to nonabused samples."<ref name=":0" /> </blockquote> [[Gijs Bleijenberg]] made the argument that Van Houdenhove' method suffers from selection bias: because he is known as a doctor who treats ME/CFS from a psychiatric point of view, he might see more patients with more comorbid psychological problems than are present in the general population. Bleijenberg wrote (Translated from Dutch): <blockquote>"The percentage of patients with psychopathological problems underlying or related to CFS complaints reported by them β 75% -, is very different from the percentages mentioned in the literature. [β¦] We know from presentations at conferences that other CFS patients end up in the group of Van Houdenhove et al. than for example, in Nijmegen. The average scores in research with questionnaires for psychological or psychopathological problems are considerably higher in his group; they are comparable to scores of psychiatric patients. The scores in our group are comparable to those of other patients who visit the hospital because of physical complaints. If the patients of Van Houdenhove et al. were to be compared to a control group with equal scores for psychological or psychopathological problems, it would almost certainly be concluded that the presence of traumatic childhood experiences is not characteristic for patients with CFS."<ref name=":22">Bleijenberg G and Van der Meer J.W.M. (1997) [https://www.ntvg.nl/artikelen/moe-met-drie%C3%ABntwintig-oes/ingezonden-mededelingen Onderschrift.]</ref></blockquote> Bleijenberg also criticizes Van Houdenhove for using [[antidepressant]]s in the treatment of ME/CFS, as this is not evidence based.<ref name=":22" />
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