Iatrogenic harm

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Iatrogenic harm or iatrogenesis refers to harm caused inadvertently by a doctor or by medical treatment or diagnostic procedures.[1][2]

Theory[edit | edit source]

Evidence[edit | edit source]

Notable studies[edit | edit source]

  • 1999, A common-sense approach to chronic fatigue in primary care.[3] (Abstract)
  • 2009, Chronic fatigue syndrome: identifying zebras amongst the horses.[4] (Full text)
  • 2009, A review on cognitive behavorial therapy (CBT) and graded exercise therapy (GET) in myalgic encephalomyelitis (ME) / chronic fatigue syndrome (CFS): CBT/GET is not only ineffective and not evidence-based, but also potentially harmful for many patients with ME/CFS[5]
  • 2016, Chronic fatigue syndrome: is the biopsychosocial model responsible for patient dissatisfaction and harm?[6]

See also[edit | edit source]

Learn more[edit | edit source]

References[edit | edit source]

  1. ↑ "Definition of IATROGENIC". Merrian-Webster Dictionary. Retrieved August 11, 2019.
  2. ↑ Markham, Sarah (December 4, 2018). "Dealing with iatrogenic harm in mental health". The BMJ. Retrieved February 26, 2019.
  3. ↑ Ang, D.C.; Calabrese, L.H. (June 1999). "A common-sense approach to chronic fatigue in primary care". Cleveland Clinic Journal of Medicine. 66 (6): 343–350, 352. ISSN 0891-1150. PMID 10375843.
  4. ↑ Harvey, Samuel B.; Wessely, Simon (October 12, 2009). "Chronic fatigue syndrome: identifying zebras amongst the horses". BMC medicine. 7: 58. doi:10.1186/1741-7015-7-58. ISSN 1741-7015. PMC 2766380. PMID 19818158.
  5. ↑ Twisk, Frank N.M.; Maes, Michael (2009). "A review on cognitive behavorial therapy (CBT) and graded exercise therapy (GET) in myalgic encephalomyelitis (ME) / chronic fatigue syndrome (CFS): CBT/GET is not only ineffective and not evidence-based, but also potentially harmful for many patients with ME/CFS". Neuro Endocrinology Letters. 30 (3): 284–299. ISSN 0172-780X. PMID 19855350.
  6. ↑ Geraghty, Keith J.; Esmail, Aneez (August 1, 2016). "Chronic fatigue syndrome: is the biopsychosocial model responsible for patient dissatisfaction and harm?". Br J Gen Pract. 66 (649): 437–438. doi:10.3399/bjgp16X686473. ISSN 0960-1643. PMID 27481982.
  7. ↑ Geraghty, Keith J.; Blease, Charlotte (June 21, 2018). "Myalgic encephalomyelitis/chronic fatigue syndrome and the biopsychosocial model: a review of patient harm and distress in the medical encounter". Disability and Rehabilitation: 1–10. doi:10.1080/09638288.2018.1481149. ISSN 0963-8288.

iatrogenesis Accidental harm caused by a doctor, by medical treatment, or by diagnostic procedures.

iatrogenesis Accidental harm caused by a doctor, by medical treatment, or by diagnostic procedures.

cognition Thought processes, including attention, reasoning, and memory.

cognitive behavioral therapy (CBT) - A type of psychotherapy geared toward modifying alleged unhealthy thinking, behaviors or illness beliefs. One of the treatment arms used in the controversial PACE trial.

graded exercise therapy (GET) - A gradual increase in exercise or activity, according to a pre-defined plan. Focuses on overcoming the patient's alleged unhelpful illness beliefs that exertion can exacerbate symptoms, rather than on reversing physical deconditioning. Considered controversial, and possibly harmful, in the treatment or management of ME. One of the treatment arms of the controversial PACE trial.

biopsychosocial model (BPS) - A school of thought, usually based in psychology, which claims illness and disease to be the result of the intermingling of biological, psychological and social causes. (Learn more: me-pedia.org)

BMJ The BMJ (previously the British Medical Journal) is a weekly peer-reviewed medical journal.

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