Featured Publications
In the balance: No new diagnosis needed in addition to opioid use disorder to study harms associated with long‐term opioid therapy
Drexler K, Edens E, Trafton J, Compton W. In the balance: No new diagnosis needed in addition to opioid use disorder to study harms associated with long‐term opioid therapy. Addiction 2023, 119: 6-8. PMID: 37766392, DOI: 10.1111/add.16349.Peer-Reviewed Original ResearchThe Use of Opioids in the Management of Chronic Pain.
Sall J, Sandbrink F, Murphy J, Spevak C, Edens E. The Use of Opioids in the Management of Chronic Pain. Annals Of Internal Medicine 2023, 176: el230225. PMID: 37722120, DOI: 10.7326/l23-0225.Peer-Reviewed Original ResearchThe 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 ResearchConceptsClinical 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 riskSubstance Use–Related Continuing Education Course Objectives: Alignment with Professional Competencies
Finnell DS, Soltis-Jarrett V, Bratberg J, Muzyk A, Liu Y, Edens E, Seale JP, Mattingly J, Schnurman K, Osborne-Leute V, Zweben A, Cary A, Moore BA. Substance Use–Related Continuing Education Course Objectives: Alignment with Professional Competencies. Substance Use & Addiction Journal 2022, 43: 1363-1369. PMID: 36094441, DOI: 10.1080/08897077.2022.2112365.Peer-Reviewed Original ResearchAddiction Treatment: Clinical Skills for Healthcare Providers
Edens EL, Drew S, Heimer R, Jordan A, Krause R, Powell L, Roessler E, Wilbur A, Rocha M, Calhoun A, Platt B, Tetrault JM. Addiction Treatment: Clinical Skills for Healthcare Providers [MOOC]. Coursera. https://www.coursera.org/learn/addiction-treatmentPeer-Reviewed Educational MaterialsWhat 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 Use & Addiction Journal 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 trainingA Facility-Wide Plan to Increase Access to Medication for Opioid Use Disorder in Primary Care and General Mental Health Settings.
Spelman JF, Edens EL, Maya S, Moore BA, Boggs A, MacLean RR, Ackland P, Becker WC, Lynch D, Garcia-Vassallo M, Burgo AL, Rosen MI, Gordon AJ. A Facility-Wide Plan to Increase Access to Medication for Opioid Use Disorder in Primary Care and General Mental Health Settings. Federal Practitioner 2021, 38: 460-464. PMID: 34733066, PMCID: PMC8560103, DOI: 10.12788/fp.0186.Peer-Reviewed Original ResearchVeterans Affairs Connecticut Healthcare SystemOpioid use disorderMOUD accessPrimary careTarget clinicsUse disordersGeneral mental health clinicsKey interventionsMental health clinicsMental health settingsGeneral mental health settingsHealth care practitionersQuality improvement effortsElectronic health recordsEligible patientsMOUD receiptPrescriber characteristicsBuprenorphine prescribersOpioid epidemicHealth clinicsMOUDCare practitionersHealth settingsNational VAElectronic consultationYou say pain. I say addiction. Let's call the whole thing off.
Edens EL, Abelleira A, Barry D, Becker WC. You say pain. I say addiction. Let's call the whole thing off. Psychiatr Times. 2020 Nov 10; 2020Peer-Reviewed Original ResearchAn Innovative Use of Case Conference to Teach Future Educators in Addiction Psychiatry
Muvvala SB, Marienfeld C, Encandela J, Petrakis I, Edens EL. An Innovative Use of Case Conference to Teach Future Educators in Addiction Psychiatry. Academic Psychiatry 2016, 40: 494-497. PMID: 27001311, DOI: 10.1007/s40596-016-0520-4.Peer-Reviewed Original ResearchConceptsFuture educatorsAdult learningFeedback skillsEducational skillsInnovative courseIndividual mentorshipFeedback deliveryTraining moduleSkillsPsychiatry programsYale SchoolCase conferencesKey principlesInnovative useFeedback moduleCourseFeedbackProgramAddiction psychiatryEducatorsTeachingSchoolsLearningMentorshipCase presentationAddiction and Chronic Pain: Training Addiction Psychiatrists
Edens EL, Gafni I, Encandela J. Addiction and Chronic Pain: Training Addiction Psychiatrists. Academic Psychiatry 2015, 40: 489-493. PMID: 26626792, DOI: 10.1007/s40596-015-0412-z.Peer-Reviewed Original ResearchDoes 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
National Addiction Workshop: A Virtual Adaptation to Support Competency Development in Opioid Use Disorder Management.
Garcia-Vassallo G, Quinn N, Moore B, Chaudhry S, Moore D, Sorenson S, Braddock S, Edens E. National Addiction Workshop: A Virtual Adaptation to Support Competency Development in Opioid Use Disorder Management. Substance Use & Addiction Journal 2024, 29767342241273423. PMID: 39297293, DOI: 10.1177/29767342241273423.Peer-Reviewed Original ResearchSubstance use disordersHealthcare staffTraining healthcare staffSpecialty care teamsMental health settingsSmall-group case discussionsManagement of substance use disordersLong-term opioid therapyOpioid use disorder managementSubstance use disorder treatmentPost-workshop surveySkill-based trainingConditions amenable to treatmentCollaborative careInterprofessional workshopSkill-building exercisesPrimary careCare teamHealth settingsOverall confidence scorePatient panelHealthcare settingsStaff preparednessOpioid use disorderTeam simulationHow 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
2023
Increasing buprenorphine access for patients with chronic pain: a quality improvement initiative
Wesolowicz D, Spelman J, Edmond S, Schwartz A, Kravetz J, Edens E, Becker W. Increasing buprenorphine access for patients with chronic pain: a quality improvement initiative. Pain Medicine 2023, 25: 226-230. PMID: 37847654, DOI: 10.1093/pm/pnad140.Peer-Reviewed Original ResearchQuality improvement initiativesSpecialty pain clinicPrimary care providersPrimary careChronic painPain clinicCare providersImprovement initiativesVeterans Health Administration healthcare systemFull agonist opioidsPrimary care clinicsNumber of patientsEligible patientsBuprenorphine prescribingCare clinicsPain careProvider comfortStandard operating proceduresBuprenorphine accessBuprenorphinePainPrescribingPatientsEducational sessionsClinicDevelopment of Health Professions Education Competencies for a National Fellowship Program: A Group Consensus Process
Caloudas A, Arredondo K, Godwin K, Watts B, Croom T, O’Brien B, Topor D, Battistone M, Edens E, Singh M, Horstman M. Development of Health Professions Education Competencies for a National Fellowship Program: A Group Consensus Process. Academic Medicine 2023, 99: 40-46. PMID: 38149865, DOI: 10.1097/acm.0000000000005468.Peer-Reviewed Original ResearchConceptsHealth professions educationHigh-quality educationHealth professions educatorsProfessions educationProgram evaluationClinical learning environmentEducational research methodsCompetency development processPostgraduate training opportunitiesLearning environmentEducation competenciesLearner assessmentEducational assessmentInterprofessional practiceProgram facultyInitial competencyCompetenciesEducationTraining competenciesAdvanced competenciesTraining opportunitiesSubject matter expertsTraining programVeterans Affairs OfficeResearch methodsPerioperative Management of Extended-Release Buprenorphine: A Narrative Review and Case Series
Hickey T, Meeks T, Oxentine H, Park D, Abelleira A, Edens E, Gordon A, Acampora G. Perioperative Management of Extended-Release Buprenorphine: A Narrative Review and Case Series. Substance Use & Addiction Journal 2023, 44: 96-103. PMID: 37226900, DOI: 10.1177/08897077231167043.Peer-Reviewed Original ResearchConceptsExtended-release buprenorphinePerioperative managementPerioperative experienceNarrative reviewOutpatient inguinal hernia repairFull agonist opioidsSeries of patientsOpioid use disorderCases of patientsCommon clinical challengeInguinal hernia repairVariety of surgeriesDifferent medical centersDisorder treatment providersNationwide healthcare systemMultimodal analgesiaAgonist opioidsCase seriesBuprenorphine formulationsInpatient surgeryCase reportProspective dataClinical dataHernia repairClinical challenge
2022
Moral Injury in the Context of Substance Use Disorders: a Narrative Review
Van Denend J, Harris JI, Fuehrlein B, Edens EL. Moral Injury in the Context of Substance Use Disorders: a Narrative Review. Current Treatment Options In Psychiatry 2022, 9: 321-330. PMID: 36158584, PMCID: PMC9483387, DOI: 10.1007/s40501-022-00280-4.Peer-Reviewed Original ResearchSubstance use disordersMoral injurySubstance useUse disordersSubstance use contextsDopaminergic reward systemContext of SUDMilitary service membersSubstance use treatmentReward systemChronic medical conditionsDrug overdose deathsSpiritual interventionsExperienced needsService membersAddictive substancesSurvival needsUse treatmentMoral codeMedical conditionsOverdose deathsSpiritual symptomsInjuryMedical careNarrative reviewHealthcare Providers’ Perceptions about the Role of Spiritual Care and Chaplaincy Services in Substance Use Outpatient Treatment
Earl BSW, Klee A, Edens EL, Cooke JD, Heikkila H, Grau LE. Healthcare Providers’ Perceptions about the Role of Spiritual Care and Chaplaincy Services in Substance Use Outpatient Treatment. International Journal Of Environmental Research And Public Health 2022, 19: 9441. PMID: 35954792, PMCID: PMC9367702, DOI: 10.3390/ijerph19159441.Peer-Reviewed Original ResearchConceptsOutpatient settingChaplaincy servicesPatient motivationOne-hour focus group sessionsVeterans Health AdministrationHealthcare providers' perceptionsPositive health outcomesHealth providers' viewsS careOutpatient treatmentProvider knowledgeInpatient settingTreatment clinicsOutpatient substanceHealth AdministrationHealth outcomesProviders' perceptionsPatient's religionSpiritual careProviders' viewsSpiritual assessmentCareGroup sessionsFocus group sessionsStaff members