• ForgotAboutDre@lemmy.world
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    5 months ago

    The evidence is much better for SSRI, and it isn’t great, but the referred paper even points out that the curriculum wasn’t as effective as an SSRI.

    The meme remains true, no proper or valid studies exist. The existence of a paper doesn’t prove that, the paper is self addresses it wasn’t a proper study. They just did it in a dishonest way.

    • canihasaccount@lemmy.world
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      5 months ago

      Why are you completely ignoring the second paper I linked, which doesn’t suffer from any of the limitations you mentioned?

      The meme says no trial was successful. Any trial with any small difference is a successful trial.

      • ForgotAboutDre@lemmy.world
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        5 months ago

        I didnt bother reading the second since the first was blatantly misleading.

        The second looks like they’re trying to p hack hack their way to a result.

        They also have more relapses in the curicumin group in the second 6 month period than the control group. They also have enough people leaving the control group to cause a shift in their p value to make their results insignificant.

        The second papers findings are weak and they aren’t very robust.

        • canihasaccount@lemmy.world
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          5 months ago

          Sorry, but this makes clear that you aren’t in science. You should avoid trying to shit on studies if you don’t know how to interpret them. Both of the things you mentioned actually support the existence of a true effect.

          First, if the treatment has an effect, you would expect a greater rate of relapse after the treatment is removed, provided that it treats a more final pathway rather than the cause: People in the placebo group have already been relapsing at the typical rate, and people receiving treatment–whose disease has been ramping up behind the dam of a medication preventing it from showing–are then expected to relapse at a higher rate after treatment is removed. The second sixth-month period was after cessation of the curcumin or place; it was a follow-up for treatment-as-usual.

          Second, people drop out of a study nonrandomly for two main reasons: side effects and perceived lack of treatment efficacy. The placebo doesn’t have side effects, so when you have a greater rate of dropout in your placebo group, that implies the perceived treatment efficacy was lower. In other words, the worst placebo participants are likely the extra dropouts in that group, and including them would not only provide more degrees of freedom, it would theoretically strengthen the effect.

          This is basic clinical trials research knowledge.

          Again, I have no skin in the game here. I don’t take curcumin, nor would I ever. I do care about accurate depictions of research. I’m a STEM professor at an R1 with three active federal grants funding my research. The meme is inaccurate.