2024
The association of pain screening and pain level with suicide among US veterans with comorbid musculoskeletal and bipolar disorder diagnoses
Abel E, Travaglini L, Snow J, Goulet J. The association of pain screening and pain level with suicide among US veterans with comorbid musculoskeletal and bipolar disorder diagnoses. Journal Of Affective Disorders 2024, 369: 429-435. PMID: 39389110, DOI: 10.1016/j.jad.2024.10.028.Peer-Reviewed Original ResearchVeterans Health AdministrationBipolar disorder diagnosisPain screeningPain severity ratingsMusculoskeletal disordersSuicide mortalityPain severityRelative risk of suicideDisorder diagnosisVHA databaseMusculoskeletal disorder diagnosisSuicide riskActual medication useAssociation of painSuicide prevention effortsRisk of suicideHighest suicide ratesHigher suicide riskSuicide risk factorsRetrospective cohort studySubstance use disordersHealth AdministrationPain diagnosisPoisson regressionUS veterans
2023
Risk factors for suicide among veterans living with and without HIV: a nested case-control study
Smith A, Goulet J, Vlahov D, Justice A, Womack J. Risk factors for suicide among veterans living with and without HIV: a nested case-control study. AIDS And Behavior 2023, 28: 115-124. PMID: 37751112, PMCID: PMC11289766, DOI: 10.1007/s10461-023-04164-3.Peer-Reviewed Original ResearchHIV-specific risk factorsVeterans Aging Cohort StudyCase-control studyRisk factorsRisk of suicideAging Cohort StudyDiagnosis of HIVMost risk factorsUse of benzodiazepinesConditional logistic regressionMental health treatmentSubstance use disordersPrevious suicide attemptsCohort studyHIV statusRates of suicideHigh prevalenceGeneral populationUse disordersHealth treatmentAffective disordersHIVSuicide attemptsLogistic regressionPWH
2022
Mental Health Diagnoses are Not Associated With Indicators of Lower Quality Pain Care in Electronic Health Records of a National Sample of Veterans Treated in Veterans Health Administration Primary Care Settings
Dobscha SK, Luther SL, Kerns RD, Finch DK, Goulet JL, Brandt CA, Skanderson M, Bathulapalli H, Fodeh SJ, Hahm B, Bouayad L, Lee A, Han L. Mental Health Diagnoses are Not Associated With Indicators of Lower Quality Pain Care in Electronic Health Records of a National Sample of Veterans Treated in Veterans Health Administration Primary Care Settings. Journal Of Pain 2022, 24: 273-281. PMID: 36167230, PMCID: PMC9898089, DOI: 10.1016/j.jpain.2022.08.009.Peer-Reviewed Original ResearchConceptsPain care qualityQuality pain careMental health conditionsPrimary care cliniciansVeterans Health AdministrationPain carePCQ scoresHealth conditionsCare cliniciansUse disordersCare qualitySevere musculoskeletal painRetrospective cohort studyPrimary care visitsGeneral medical carePrimary care settingElectronic health record dataFinal adjusted modelMental health diagnosesEquation Poisson modelsHealth record dataBipolar disorder diagnosisSubstance use disordersAlcohol use disorderPost-traumatic stress disorder
2020
Treatment of a Large Cohort of Veterans Experiencing Musculoskeletal Disorders with Spinal Cord Stimulation in the Veterans Health Administration: Veteran Characteristics and Outcomes
Wandner LD, Fenton BT, Goulet JL, Carroll CM, Heapy A, Higgins DM, Bair MJ, Sandbrink F, Kerns RD. Treatment of a Large Cohort of Veterans Experiencing Musculoskeletal Disorders with Spinal Cord Stimulation in the Veterans Health Administration: Veteran Characteristics and Outcomes. Journal Of Pain Research 2020, 13: 1687-1697. PMID: 32753944, PMCID: PMC7354010, DOI: 10.2147/jpr.s241567.Peer-Reviewed Original ResearchMusculoskeletal disordersSCS implantsOpioid therapyPain scoresVeterans Health Administration facilitiesSpinal cord stimulator implantationOutcomes of veteransPainful musculoskeletal disordersSpinal cord stimulationVeterans Health AdministrationDepressive disorder diagnosisEvidence of benefitSubstance use disordersPercent of veteransSignificant overall decreaseMSD cohortOpioid doseBMI 25Medical comorbiditiesStimulator implantationChronic painCord stimulationInclusion diagnosisVeteran characteristicsLarge cohort
2017
Gender Differences in Demographic and Clinical Correlates among Veterans with Musculoskeletal Disorders
Higgins DM, Fenton BT, Driscoll MA, Heapy AA, Kerns RD, Bair MJ, Carroll C, Brennan PL, Burgess DJ, Piette JD, Haskell SG, Brandt CA, Goulet JL. Gender Differences in Demographic and Clinical Correlates among Veterans with Musculoskeletal Disorders. Women's Health Issues 2017, 27: 463-470. PMID: 28325585, DOI: 10.1016/j.whi.2017.01.008.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAnxietyChronic PainCohort StudiesFemaleHumansMaleMiddle AgedMigraine DisordersMusculoskeletal DiseasesMusculoskeletal PainPain ManagementSeverity of Illness IndexSex FactorsSocioeconomic FactorsSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMusculoskeletal disordersClinical correlatesPain intensity numeric rating scalePain-related disabilityNumeric rating scaleGreater pain intensityDiagnosis of fibromyalgiaBack pain conditionsMental health conditionsSubstance use disordersGender differencesNeck painPain serviceSevere painPain conditionsPain intensityChronic painTemporomandibular disordersPainful conditionsCardiovascular diseaseMigraine headacheHigh riskLower oddsMSD diagnosisUse disordersThe effect of substance use disorders on the association between guideline-concordant long-term opioid therapy and all-cause mortality
Gaither J, Goulet J, Becker W, Crystal S, Edelman E, Gordon K, Kerns R, Rimland D, Skanderson M, Justice A, Fiellin D. The effect of substance use disorders on the association between guideline-concordant long-term opioid therapy and all-cause mortality. Drug And Alcohol Dependence 2017, 171: e68. DOI: 10.1016/j.drugalcdep.2016.08.196.Peer-Reviewed Original ResearchLong-term opioid therapySubstance use disordersOpioid therapyCause mortalityUse disordersTherapyMortality
2016
The Effect of Substance Use Disorders on the Association Between Guideline-concordant Long-term Opioid Therapy and All-cause Mortality
Gaither JR, Goulet JL, Becker WC, Crystal S, Edelman EJ, Gordon K, Kerns RD, Rimland D, Skanderson M, Justice AC, Fiellin DA. The Effect of Substance Use Disorders on the Association Between Guideline-concordant Long-term Opioid Therapy and All-cause Mortality. Journal Of Addiction Medicine 2016, 10: 418-428. PMID: 27610580, PMCID: PMC5083184, DOI: 10.1097/adm.0000000000000255.Peer-Reviewed Original ResearchConceptsSubstance use disordersLong-term opioid therapyCause mortalityOpioid therapySUD treatmentUse disordersLower mortalityTime-updated Cox regressionUntreated substance use disordersVeterans Aging Cohort StudyOpioid-prescribing guidelinesGuideline-concordant careSUD statusAging Cohort StudyClinical practice guidelinesSUD treatment servicesOverall sampleHIV patientsCohort studyCox regressionPractice guidelinesPatientsTreatment servicesHigh mortalityMortalityA Cohort Study of Mortality in Individuals With and Without Schizophrenia After Diagnosis of Lung Cancer.
Bradford DW, Goulet J, Hunt M, Cunningham NC, Hoff R. A Cohort Study of Mortality in Individuals With and Without Schizophrenia After Diagnosis of Lung Cancer. The Journal Of Clinical Psychiatry 2016, 77: e1626-e1630. PMID: 27780332, DOI: 10.4088/jcp.15m10281.Peer-Reviewed Original ResearchConceptsSerious mental illnessLung cancerMental illnessVeterans Affairs systemCause of deathSubstance use disordersLung cancer diagnosisCause mortalityCohort studyHazard ratioSmoking statusCommon malignancyCancer careLeading causePoor survivalHigh riskUse disordersSurvival analysisCancerMortalityIllnessSchizophreniaDiagnosisCancer diagnosisPotential disparitiesThe Association Between Receipt of Guideline-Concordant Long-Term Opioid Therapy and All-Cause Mortality
Gaither JR, Goulet JL, Becker WC, Crystal S, Edelman EJ, Gordon K, Kerns RD, Rimland D, Skanderson M, Justice AC, Fiellin DA. The Association Between Receipt of Guideline-Concordant Long-Term Opioid Therapy and All-Cause Mortality. Journal Of General Internal Medicine 2016, 31: 492-501. PMID: 26847447, PMCID: PMC4835362, DOI: 10.1007/s11606-015-3571-4.Peer-Reviewed Original ResearchConceptsSubstance use disordersGuideline-concordant careCause mortalityOpioid therapyLong-term opioid therapyUntreated substance use disordersCurrent substance use disorderTerm opioid therapyTime-updated covariatesPrimary care visitsImportant clinical outcomesMulti-modal treatmentUrine drug testingUninfected patientsUntreated patientsCare visitsChronic painClinical outcomesCox regressionDecreased riskHigh comorbidityMortality burdenRehabilitative therapySUD treatmentHigh risk
2014
Guideline-Concordant Management of Opioid Therapy Among Human Immunodeficiency Virus (HIV)-Infected and Uninfected Veterans
Gaither JR, Goulet JL, Becker WC, Crystal S, Edelman EJ, Gordon K, Kerns RD, Rimland D, Skanderson M, Weisberg DF, Justice AC, Fiellin DA. Guideline-Concordant Management of Opioid Therapy Among Human Immunodeficiency Virus (HIV)-Infected and Uninfected Veterans. Journal Of Pain 2014, 15: 1130-1140. PMID: 25152300, PMCID: PMC4253900, DOI: 10.1016/j.jpain.2014.08.004.Peer-Reviewed Original ResearchConceptsCurrent substance use disorderGuideline-concordant careOpioid therapyUrine drug testsHuman immunodeficiency virusSubstance use disordersUninfected patientsImmunodeficiency virusUse disordersPatient/provider characteristicsPrimary care provider visitsVeterans Affairs/DepartmentGuideline-concordant managementDrug testsCare concordantGuideline concordanceUninfected veteransProvider visitsPatient characteristicsPatient groupPrimary careClinical guidelinesPain medicineProvider characteristicsPatientsPersistent Pain and Comorbidity Among Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn Veterans
Higgins DM, Kerns RD, Brandt CA, Haskell SG, Bathulapalli H, Gilliam W, Goulet JL. Persistent Pain and Comorbidity Among Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn Veterans. Pain Medicine 2014, 15: 782-790. PMID: 24548466, DOI: 10.1111/pme.12388.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-Chronic PainComorbidityDepressive DisorderFemaleHumansIraq War, 2003-2011Logistic ModelsLongitudinal StudiesMaleMiddle AgedMultivariate AnalysisObesityPrevalenceStress Disorders, Post-TraumaticSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsVeterans Health AdministrationTraumatic brain injuryPersistent painBody mass indexMental health conditionsChronic painOperation Enduring FreedomHealth conditionsElectronic medical record dataChronic pain conditionsPredictors of incidentMedical record dataLongitudinal clinical dataImportant clinical implicationsSubstance use disordersOEF/OIF/OND veteransPost-traumatic stress disorderArmy service membersLogistic regression modelsPain conditionsComorbid conditionsClinical evidenceMass indexBrain injuryClinical data
1998
Familial Transmission of Substance Use Disorders
Merikangas KR, Stolar M, Stevens DE, Goulet J, Preisig MA, Fenton B, Zhang H, O'Malley SS, Rounsaville BJ. Familial Transmission of Substance Use Disorders. JAMA Psychiatry 1998, 55: 973-979. PMID: 9819065, DOI: 10.1001/archpsyc.55.11.973.Peer-Reviewed Original ResearchConceptsSubstance use disordersAdult first-degree relativesFirst-degree relativesDrug disordersRisk factorsUse disordersPredominant drugFamilial aggregationPotent risk factorRelatives of probandsAntisocial personality disorderFamily history interviewSubstance disordersFamily historyControl probandsDiagnostic InterviewOpioidsPersonality disorderDisordersFamilial transmissionGenetic factorsProbandsCocaineDrugsCannabis