Featured Publications
The Use of Opioids in the Management of Chronic Pain: Synopsis of the 2022 Updated U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline.
Sandbrink F, Murphy J, Johansson M, Olson J, Edens E, Clinton-Lont J, Sall J, Spevak C, Sandbrink F, Murphy J, Johansson M, Spevak C, Clinton-Lont J, MD E, Olson J, Brown N, Guinta R, Macedo F, Nazario M, Pangarkar S, Preston S, Prince M, Real D, Riegleman D, Steil E, Institute E, Group L, Consulting S. The Use of Opioids in the Management of Chronic Pain: Synopsis of the 2022 Updated U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline. Annals Of Internal Medicine 2023, 176: 388-397. PMID: 36780654, DOI: 10.7326/m22-2917.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidChronic PainHumansUnited StatesUnited States Department of Veterans AffairsVeteransConceptsClinical practice guidelinesUse of opioidsChronic painOpioid therapyPractice guidelinesGuideline teamVeterans AffairsVA/DOD Clinical Practice GuidelineDefense Clinical Practice GuidelineJoint clinical practice guidelineVA/DoD EvidenceTrustworthy clinical practice guidelinesFull agonist opioidsGuideline development teamsPractice Work GroupUse of buprenorphineBehavioral health conditionsUse of painSystematic evidence reviewMedicine's tenetsPostsurgical painAgonist opioidsOpioid useOpioid educationHigh riskWhat Role Should Psychiatrists Have in Responding to the Opioid Epidemic?
Muvvala SB, Edens EL, Petrakis IL. What Role Should Psychiatrists Have in Responding to the Opioid Epidemic? JAMA Psychiatry 2019, 76: 107-108. PMID: 30484813, DOI: 10.1001/jamapsychiatry.2018.3123.Peer-Reviewed Original ResearchArticle Commentary: Beyond the 12 Steps: Integrating Chaplaincy Services into Veteran Affairs Substance use Specialty Care
Earl BSW, Klee A, Cooke JD, Edens EL. Article Commentary: Beyond the 12 Steps: Integrating Chaplaincy Services into Veteran Affairs Substance use Specialty Care. Substance Abuse 2019, 40: 444-452. PMID: 31206342, DOI: 10.1080/08897077.2019.1621243.Peer-Reviewed Original ResearchConceptsVeterans Affairs Connecticut Healthcare SystemAddiction treatmentSpecialty care settingsMultiple health care disciplinesVeterans Health AdministrationNew clinical serviceSubstance use treatmentOutpatient addiction treatmentNew treatment settingsSUD clinicsHealth care disciplinesOutpatient settingPatient satisfactionSpecialty careCare settingsTreatment settingsHealth AdministrationClinical servicesUse treatmentCare disciplinesStaff satisfactionHealthcare systemChaplaincy servicesIndividual treatmentInterprofessional trainingDoes Active Substance Use at Housing Entry Impair Outcomes in Supported Housing for Chronically Homeless Persons?
Edens EL, Mares AS, Tsai J, Rosenheck RA. Does Active Substance Use at Housing Entry Impair Outcomes in Supported Housing for Chronically Homeless Persons? Psychiatric Services 2011, 62: 171-178. PMID: 21285095, DOI: 10.1176/ps.62.2.pss6202_0171.Peer-Reviewed Original ResearchThe 14-year course of alcoholism in a community sample: Do men and women differ?
Edens EL, Glowinski AL, Grazier KL, Bucholz KK. The 14-year course of alcoholism in a community sample: Do men and women differ? Drug And Alcohol Dependence 2007, 93: 1-11. PMID: 17935914, PMCID: PMC2324065, DOI: 10.1016/j.drugalcdep.2007.08.013.Peer-Reviewed Original ResearchConceptsAlcohol abusePast-year DSM-IV alcohol dependenceDSM-III alcohol abuseDSM-IV AUD criteriaPast-year alcohol use disorderCommunity sampleHealth service useCase-control studyEpidemiologic Catchment Area studyDSM-III criteriaDSM-IV alcohol dependencePatterns of drinkingCatchment Area StudyAlcohol use disorderDSM-IV alcohol abuseCourse of alcoholismRisk drinkingService useUse disordersClinical relevanceHeavy drinkersLifetime ratesAlcohol dependenceUnaffected controlsAlcohol use behaviors
2024
How Should the Use of Opioids Be Regulated to Motivate Better Clinical Practice?
Edens E, Garcia Vassallo G, Heimer R. How Should the Use of Opioids Be Regulated to Motivate Better Clinical Practice? The AMA Journal Of Ethic 2024, 26: e551-561. PMID: 38958424, DOI: 10.1001/amajethics.2024.551.Peer-Reviewed Original ResearchConceptsTreat opioid use disorderOpioid use disorderPrescribed long-term opioid therapyLong-term opioid therapyOpioid prescribing policiesOpioid therapyPrescribed opioidsOpioid prescribingUse disorderOpioidClinical practicePainPrescribing policiesDiagnostic categoriesClinical frameworkPrescribingPolitical reasonsTherapy
2018
Brief Counseling for Veterans with Musculoskeletal Disorder, Risky Substance Use, and Service Connection Claims
Rosen MI, Becker WC, Black AC, Martino S, Edens EL, Kerns RD. Brief Counseling for Veterans with Musculoskeletal Disorder, Risky Substance Use, and Service Connection Claims. Pain Medicine 2018, 20: 528-542. PMID: 29800338, PMCID: PMC6387983, DOI: 10.1093/pm/pny071.Peer-Reviewed Original ResearchConceptsRisky substance useMusculoskeletal disordersSubstance useMean pain severityCourse of illnessPain severity ratingsProportion of veteransScreening Brief InterventionCounseling armPain severityPain treatmentTAU conditionWeek 12Brief counselingEarly interventionOutcome assessmentBrief interventionStudy therapistsTelephone callsVeteransCounseling interventionCounselingInterventionSeverity ratingsDisorders
2013
Considering child care and parenting needs in Veterans Affairs mental health services
Tsai J, David DH, Edens EL, Crutchfield A. Considering child care and parenting needs in Veterans Affairs mental health services. Evaluation And Program Planning 2013, 39: 19-22. PMID: 23570988, DOI: 10.1016/j.evalprogplan.2013.03.003.Peer-Reviewed Original ResearchConceptsVeterans Affairs (VA) mental health servicesMental health servicesMental health careHealth servicesCare servicesVA mental health careHealth carePsychiatric rehabilitation centersChild careOutpatient clinicChild care servicesNeeds of adultsVeterans' accessCare programMental illnessRehabilitation centerCareConvenience sampleChild care programsSite child careVAPossible benefitsParticipantsClinicIllness
2011
Nicotine dependence and its risk factors among users of veterans health services, 2008-2009.
Tsai J, Edens EL, Rosenheck RA. Nicotine dependence and its risk factors among users of veterans health services, 2008-2009. Preventing Chronic Disease 2011, 8: a127. PMID: 22005620, PMCID: PMC3221569.Peer-Reviewed Original ResearchConceptsNicotine dependenceRisk factorsHealth service usersDependence diagnosisHealth servicesProtective factorsMental healthVeterans Affairs systemSmoking cessation programVA medical recordsMajor risk factorHomeless veteransMental health diagnosesLogistic regression analysisGeneral VA populationCase-control designSubstance abuse problemsPreventable causeCessation interventionsCessation programsSubgroup analysisMedical recordsIndependent riskTobacco useVA populationAssociation of Substance Use and VA Service‐Connected Disability Benefits with Risk of Homelessness among Veterans
Edens EL, Kasprow W, Tsai J, Rosenheck RA. Association of Substance Use and VA Service‐Connected Disability Benefits with Risk of Homelessness among Veterans. American Journal On Addictions 2011, 20: 412-419. PMID: 21838839, DOI: 10.1111/j.1521-0391.2011.00166.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-AgedAged, 80 and overCase-Control StudiesFemaleHumansIll-Housed PersonsIraq War, 2003-2011MaleMental DisordersMental Health ServicesMiddle AgedRisk FactorsSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransVeterans Disability ClaimsConceptsService-connected disabilityPersonality disorderUse disordersPathological gamblingClinical prevention effortsSubstance useLow-risk groupLow-risk subgroupsVA administrative dataSevere mental illnessSubstance use disordersAlcohol use disorderIllicit drug useMental health service usersOEF/OIFHealth service usersModifiable riskPrimary preventionSubgroup analysisReduced riskMental health usersVA servicesDrug useMental illnessLogistic regressionChronically Homeless Women Report High Rates of Substance Use Problems Equivalent to Chronically Homeless Men
Edens EL, Mares AS, Rosenheck RA. Chronically Homeless Women Report High Rates of Substance Use Problems Equivalent to Chronically Homeless Men. Women's Health Issues 2011, 21: 383-389. PMID: 21703865, DOI: 10.1016/j.whi.2011.03.004.Peer-Reviewed Original ResearchConceptsSubstance use problemsHomeless adultsMental healthLifetime mental healthSupportive housing programHigh rateSignificant baseline differencesUse problemsSubstance use patternsBaseline group differencesMental health outcomesBaseline characteristicsBaseline differencesHealth outcomesMental illnessOutcome findingsSubstance useOutcome evaluationU.S. populationNumber of daysWomenGroup differencesSignificant differencesModest improvementMultivariate regressionRates and Correlates of Pathological Gambling Among VA Mental Health Service Users
Edens EL, Rosenheck RA. Rates and Correlates of Pathological Gambling Among VA Mental Health Service Users. Journal Of Gambling Studies 2011, 28: 1-11. PMID: 21331515, DOI: 10.1007/s10899-011-9239-z.Peer-Reviewed Original ResearchConceptsPG diagnosisMental health service usersHealth service usersUse disordersPathological gamblingMH service usersVA health systemVeterans Health AdministrationCase-control studyDrug use disordersVA administrative dataMental health patientsSevere mental illnessSignificant independent associationMental health careAlcohol use disorderHeavy alcohol useChi-square testPast year ratesPast-year homelessnessClinical factorsService usersIndependent associationHealth patientsPrevalence rates