Intended for healthcare professionals

Rapid response to:

Papers

Self reported stressful life events and exacerbations in multiple sclerosis:prospective study

BMJ 2003; 327 doi: https://doi.org/10.1136/bmj.327.7416.646 (Published 18 September 2003) Cite this as: BMJ 2003;327:646

Rapid Response:

Inconsequential research

Again the research work the BMJ reports about MS is as useful as the
inconsequential report on midwives which appeared last week. These reports
must be valuable in that they affect conduct or they shouldn‘t be
published at all. We are now told that stress is likely to cause relapse,
but I seem to remember this was being taught in 1966. What stress is, if
it has a physical existence at all, and how the pharmacology operates to
exacerbate the condition remains obscure if it alters neurones and
oligodendrocytes. The heresy of an autoimmune aetiology still appears in
this account. Oh for some research which matters.

Competing interests:  
None declared

Competing interests: No competing interests

25 September 2003
David Barnes
semiretired
Herts SG12 8RE