2021
Correlates of Manual Therapy and Acupuncture Use Among Rural Patients Seeking Conventional Pain Management: A Cross-sectional Study
Feinberg TM, Coleman B, Innes KE, Kerns RD, Jackson B, Lisi A, Majoris N, Brandt C. Correlates of Manual Therapy and Acupuncture Use Among Rural Patients Seeking Conventional Pain Management: A Cross-sectional Study. Journal Of Manipulative And Physiological Therapeutics 2021, 44: 330-343. PMID: 33896602, DOI: 10.1016/j.jmpt.2021.01.002.Peer-Reviewed Original ResearchConceptsComplementary health approachesManual therapyCross-sectional studyPain managementAcupuncture useHealth approachAge-adjusted logistic regressionConventional pain managementCurrent chronic painHigh pain burdenPrior opioid usePain scale scoresMind-body therapiesHealth-related factorsPain-related distressPain burdenOpioid useRheumatology clinicChronic painClinical outcomesPain carePain distressRural patientsMajority of participantsPrescription medications
2019
Graded chronic pain scale revised: mild, bothersome, and high-impact chronic pain.
Von Korff M, DeBar LL, Krebs EE, Kerns RD, Deyo RA, Keefe FJ. Graded chronic pain scale revised: mild, bothersome, and high-impact chronic pain. Pain 2019, 161: 651-661. PMID: 31764390, PMCID: PMC7097879, DOI: 10.1097/j.pain.0000000000001758.Peer-Reviewed Original ResearchConceptsHigh-impact chronic painMild chronic painChronic Pain ScaleGraded Chronic Pain ScaleChronic painPain Scale-RevisedPain scaleLong-term opioid therapySubstantial activity limitationsHealth status indicatorsOpioid therapyAdult enrolleesActivity limitationsPainPain metricsHealth plansNonsignificant differenceStatus indicatorsPersonsValid methodTherapyPrevalenceBothersomeEnrollees
2018
Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016
Dahlhamer J, Lucas J, Zelaya C, Nahin R, Mackey S, DeBar L, Kerns R, Von Korff M, Porter L, Helmick C. Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016. MMWR Morbidity And Mortality Weekly Report 2018, 67: 1001-1006. PMID: 30212442, PMCID: PMC6146950, DOI: 10.15585/mmwr.mm6736a2.Peer-Reviewed Original ResearchConceptsHigh-impact chronic painChronic painU.S. adultsNational Health Interview Survey dataHealth Interview Survey dataCommon reasons adultsNational Pain StrategyPain management interventionsSelf-care activitiesPopulation-based estimatesQuality of lifeInterview Survey dataPrecise prevalence estimatesPain strategiesPain servicePublic health insurancePain interventionsNormal life activitiesHigh prevalencePainPrevalence estimatesMedical careReasons adultsNational estimatesPrevalenceImpact of Cigarette Smoking Status on Pain Intensity Among Veterans With and Without Hepatitis C
Lynch SM, Wilson SM, DeRycke EC, Driscoll MA, Becker WC, Goulet JL, Kerns RD, Mattocks KM, Brandt CA, Bathulapalli H, Skanderson M, Haskell SG, Bastian LA. Impact of Cigarette Smoking Status on Pain Intensity Among Veterans With and Without Hepatitis C. Pain Medicine 2018, 19: s5-s11. PMID: 30203017, DOI: 10.1093/pm/pny146.Peer-Reviewed Original ResearchConceptsHepatitis C virusSevere pain intensityPain intensityElectronic medical recordsCurrent smokersSmoking statusVeterans Health Administration primary care clinicsOperations Enduring Freedom/Iraqi Freedom/New DawnIndependent risk factorInteraction of smokingNumeric rating scalePrimary care clinicsHigher pain intensityCigarette smoking statusICD-9 codesOEF/OIF/OND veteransCross-sectional analysisCohort studyCurrent smokingHepatitis C.Severe painPain managementTobacco smokingCare clinicsChronic painUse of Non-Pharmacological Pain Treatment Modalities Among Veterans with Chronic Pain: Results from a Cross-Sectional Survey
Edmond SN, Becker WC, Driscoll MA, Decker SE, Higgins DM, Mattocks KM, Kerns RD, Haskell SG. Use of Non-Pharmacological Pain Treatment Modalities Among Veterans with Chronic Pain: Results from a Cross-Sectional Survey. Journal Of General Internal Medicine 2018, 33: 54-60. PMID: 29633141, PMCID: PMC5902341, DOI: 10.1007/s11606-018-4322-0.Peer-Reviewed Original ResearchConceptsNPM usePain treatment modalitiesWomen Veterans Cohort StudySample of veteransCohort studyClinical correlatesTreatment modalitiesMultivariable associationsLogistic regressionBaseline surveyBivariate associationsDescriptive statisticsVeteransCorrelatesAssociationPainDesignWeParticipantsParticipantsStrong evidencePrevalenceMonthsEvaluation of Complementary and Integrative Health Approaches Among US Veterans with Musculoskeletal Pain Using Propensity Score Methods
Han L, Goulet JL, Skanderson M, Bathulapalli H, Luther SL, Kerns RD, Brandt CA. Evaluation of Complementary and Integrative Health Approaches Among US Veterans with Musculoskeletal Pain Using Propensity Score Methods. Pain Medicine 2018, 20: 90-102. PMID: 29584926, PMCID: PMC6329442, DOI: 10.1093/pm/pny027.Peer-Reviewed Original ResearchConceptsIntegrative health approachesPS matchingCIH exposureMusculoskeletal painPropensity score methodsSelf-rated pain intensityHealth approachHigher pain intensity ratingsPain intensity outcomesChronic musculoskeletal painPain intensity ratingsIPTW modelsRetrospective cohortPain intensityChronic painClinical visitsInitial diagnosisChiropractic careUS veteransBaseline differencesTreatment weightingExposure groupPainScore methodTreatment effectiveness
2016
Cigarette Smoking Status and Receipt of an Opioid Prescription Among Veterans of Recent Wars
Bastian LA, Driscoll MA, Heapy AA, Becker WC, Goulet JL, Kerns RD, DeRycke EC, Perez E, Lynch SM, Mattocks K, Kroll-Desrosiers AR, Brandt CA, Skanderson M, Bathulapalli H, Haskell SG. Cigarette Smoking Status and Receipt of an Opioid Prescription Among Veterans of Recent Wars. Pain Medicine 2016, 18: 1089-1097. PMID: 27659441, DOI: 10.1093/pm/pnw223.Peer-Reviewed Original ResearchConceptsCurrent pain intensityOpioid prescriptionsPain intensitySmoking statusOEF/OIF/OND veteransCurrent smokersFormer smokersOpioid useVeterans Health Administration primary care clinicsOperations Enduring Freedom/Iraqi Freedom/New DawnMild pain intensityMore opioid prescriptionsSevere pain intensityNumeric rating scalePrimary care clinicsCigarette smoking statusCross-sectional analysisOpioid receiptFormer smokingCohort studyCurrent smokingCare clinicsChronic painCigarette smokersSmoking cessationPsychiatric Disorders Among Patients Seeking Treatment for Co-Occurring Chronic Pain and Opioid Use Disorder.
Barry DT, Cutter CJ, Beitel M, Kerns RD, Liong C, Schottenfeld RS. Psychiatric Disorders Among Patients Seeking Treatment for Co-Occurring Chronic Pain and Opioid Use Disorder. The Journal Of Clinical Psychiatry 2016, 77: 1413-1419. PMID: 27574837, PMCID: PMC6296217, DOI: 10.4088/jcp.15m09963.Peer-Reviewed Original ResearchConceptsOpioid use disorderCo-occurring chronic painChronic painAxis I DisordersUse disordersPsychiatric disordersI disordersMood disordersCo-occurring opioid use disorderBuprenorphine/naloxone treatmentNonopioid substance use disordersDSM-IV-TR Axis I DisordersCo-occurring psychiatric disordersAnxiety disordersMajority of patientsPersonality disorderMethadone maintenance treatmentTreatment of patientsComorbid psychiatric disordersLifetime mood disordersMajor depressive disorderStructured Clinical InterviewLifetime anxiety disorderSubstance use disordersTreatment Research ProgramPhysical activity, psychiatric distress, and interest in exercise group participation among individuals seeking methadone maintenance treatment with and without chronic pain
Beitel M, Stults-Kolehmainen M, Cutter CJ, Schottenfeld RS, Eggert K, Madden LM, Kerns RD, Liong C, Ginn J, Barry DT. Physical activity, psychiatric distress, and interest in exercise group participation among individuals seeking methadone maintenance treatment with and without chronic pain. American Journal On Addictions 2016, 25: 125-131. PMID: 26824197, DOI: 10.1111/ajad.12336.Peer-Reviewed Original ResearchConceptsMethadone maintenance treatmentPhysical activity levelsExercise group participationChronic painPhysical activityPsychiatric distressMaintenance treatmentActivity levelsPast weekVigorous-intensity physical activityExercise of patientsIntensity physical activityExercise groupExercise interventionPainBrief self-report instrumentPatientsLow levelsSelf-report instrumentDistressWeeksDepressionTreatmentGroup participationParticipants
2015
Receipt of Prescription Opioids in a National Sample of Pregnant Veterans Receiving Veterans Health Administration Care
Kroll-Desrosiers AR, Skanderson M, Bastian LA, Brandt CA, Haskell S, Kerns RD, Mattocks KM. Receipt of Prescription Opioids in a National Sample of Pregnant Veterans Receiving Veterans Health Administration Care. Women's Health Issues 2015, 26: 240-246. PMID: 26549242, DOI: 10.1016/j.whi.2015.09.010.Peer-Reviewed Original ResearchConceptsPrescription opioid usePregnancy windowsOpioid prescriptionsPsychiatric diagnosisWomen veteransPregnant veteransOpioid usePrescription opioidsVeterans Health Administration (VHA) careMultivariable logistic regression modelVeterans Health Administration (VHA) servicesNontraumatic joint disordersPain management strategiesHealth-related variablesLogistic regression modelsPhysical health variablesPotential undertreatmentVHA servicesJoint disordersVHA systemOperation Enduring FreedomBack problemsOpioidsHealth variablesNational databaseTrauma, Social Support, Family Conflict, and Chronic Pain in Recent Service Veterans: Does Gender Matter?
Driscoll MA, Higgins DM, Seng EK, Buta E, Goulet JL, Heapy AA, Kerns RD, Brandt CA, Haskell SG. Trauma, Social Support, Family Conflict, and Chronic Pain in Recent Service Veterans: Does Gender Matter? Pain Medicine 2015, 16: 1101-1111. PMID: 25930005, DOI: 10.1111/pme.12744.Peer-Reviewed Original ResearchConceptsChronic painDepressive symptom severityPain interferencePain severitySymptom severitySocial supportCombat exposurePerpetuation of painChildhood interpersonal traumaMilitary sexual traumaInterpersonal traumaHigh prevalencePainDepressive symptomsWomen veteransService veteransTraumatic life eventsTraumatic sexual experiencesTraumaBaseline surveyMarital statusSeverityFamily conflictVeteransSexual trauma
2014
Toward Development of a Tinnitus Magnitude Index
Schmidt CJ, Kerns RD, Griest S, Theodoroff SM, Pietrzak RH, Henry JA. Toward Development of a Tinnitus Magnitude Index. Ear & Hearing 2014, 35: 476-484. PMID: 24603542, DOI: 10.1097/aud.0000000000000017.Peer-Reviewed Original ResearchConceptsTinnitus magnitudeEmotional reactionsPsychological distressThree-item scaleCognitive-behavioral mediation modelDiscriminant validityTinnitus Functional IndexTinnitus reactionsInternal consistencyGeneral depressive symptomsMediation modelTest-retest reliabilityDistress measuresBeck Depression InventoryTinnitus variablesGroup differencesValid measureModerate correlationTinnitus perceptionPreliminary evidenceDepression InventoryDepressive symptomsTestable modelDistressAudiology clinic
2013
Access to the US Department of Veterans Affairs health system: self-reported barriers to care among returnees of Operations Enduring Freedom and Iraqi Freedom
Elnitsky CA, Andresen EM, Clark ME, McGarity S, Hall CG, Kerns RD. Access to the US Department of Veterans Affairs health system: self-reported barriers to care among returnees of Operations Enduring Freedom and Iraqi Freedom. BMC Health Services Research 2013, 13: 498. PMID: 24289747, PMCID: PMC3893594, DOI: 10.1186/1472-6963-13-498.Peer-Reviewed Original ResearchConceptsVA healthcare servicesVeterans AffairsAccess barriersHealthcare servicesPerspective of veteransVeterans Affairs Health SystemPolytrauma Rehabilitation CentersDelivery system factorsHealth care needsSelf-reported barriersComplex health outcomesReturneesCombat operationsElectronic health recordsPolytrauma SystemAfghanistanMultiple injuriesPrimary exposureVA carePolytrauma rehabilitationOperation Enduring FreedomCare needsClinical InterviewHealth outcomesIraqHeadache Diagnoses Among Iraq and Afghanistan War Veterans Enrolled in VA: A Gender Comparison
Carlson KF, Taylor BC, Hagel EM, Cutting A, Kerns R, Sayer NA. Headache Diagnoses Among Iraq and Afghanistan War Veterans Enrolled in VA: A Gender Comparison. Headache The Journal Of Head And Face Pain 2013, 53: 1573-1582. PMID: 24102376, DOI: 10.1111/head.12216.Peer-Reviewed Original ResearchConceptsHeadache diagnosisComorbid diagnosesAfghanistan war veteransPrevalence ratiosVA inpatientVeterans Affairs (VA) health carePrevalent comorbid diagnosesHistorical cohort studyDiseases diagnosis codesConfidence intervalsHealth care needsPost-traumatic stress disorderWar veteransCohort studyPatient characteristicsBack painOutpatient encountersDiagnosis codesHeadache disordersVA usersInternational ClassificationMigraine diagnosisCare needsOutpatient dataVA services
2012
The Practitioner Proposes a Treatment Change and the Patient Declines: What to do next?
Falzer PR, Leventhal HL, Peters E, Fried TR, Kerns R, Michalski M, Fraenkel L. The Practitioner Proposes a Treatment Change and the Patient Declines: What to do next? Pain Practice 2012, 13: 215-226. PMID: 23462141, PMCID: PMC3668345, DOI: 10.1111/j.1533-2500.2012.00573.x.Peer-Reviewed Original Research
2011
Measuring Pain Impact Versus Pain Severity Using a Numeric Rating Scale
Fraenkel L, Falzer P, Fried T, Kohler M, Peters E, Kerns R, Leventhal H. Measuring Pain Impact Versus Pain Severity Using a Numeric Rating Scale. Journal Of General Internal Medicine 2011, 27: 555-560. PMID: 22081365, PMCID: PMC3326111, DOI: 10.1007/s11606-011-1926-z.Peer-Reviewed Original ResearchConceptsNumeric rating scaleImpact of painPain impactPatient preferencesPain intensity numeric rating scaleRating ScalePatients' treatment preferencesResultsTwo hundred fortyMore effective treatmentsHigh-risk treatmentValuable screening instrumentPain severityCurrent medicationsMusculoskeletal painNRS scoresClinical outcomesIllness perceptionsPhysical functionTreatment preferencesHundred fortyEffective treatmentPainClinical practiceAppropriate managementScreening instrumentNonmedical use of prescription opioids and pain in veterans with and without HIV
Barry DT, Goulet JL, Kerns RK, Becker WC, Gordon AJ, Justice AC, Fiellin DA. Nonmedical use of prescription opioids and pain in veterans with and without HIV. Pain 2011, 152: 1133-1138. PMID: 21354703, PMCID: PMC3086805, DOI: 10.1016/j.pain.2011.01.038.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAnalgesics, OpioidChi-Square DistributionCohort StudiesFemaleHealth SurveysHIV InfectionsHumansLogistic ModelsMaleMental DisordersMiddle AgedOdds RatioOpioid-Related DisordersPainPain MeasurementPrescriptionsPsychiatric Status Rating ScalesRetrospective StudiesSelf ReportSurveys and QuestionnairesVeterans HealthYoung AdultConceptsHuman immunodeficiency virusPrescription opioidsComponent summaryHIV statusPain interferenceUse disordersForm Health Survey Mental Component SummarySF-12 Physical Component SummaryVeterans Aging Cohort StudyNonmedical usePharmacy record dataAlcohol Use Disorders Identification Test (AUDIT) scoresAging Cohort StudyPhysical component summaryMental component summaryOpioid use disorderMedian participant ageDrug use disordersLegitimate medical reasonsPast-month cigarette useChi-squared testU.S. military veteransHepatitis COpioid prescriptionsCohort study
2008
A randomized clinical trial for women with vulvodynia: Cognitive-behavioral therapy vs. supportive psychotherapy
Masheb RM, Kerns RD, Lozano C, Minkin MJ, Richman S. A randomized clinical trial for women with vulvodynia: Cognitive-behavioral therapy vs. supportive psychotherapy. Pain 2008, 141: 31-40. PMID: 19022580, PMCID: PMC2728361, DOI: 10.1016/j.pain.2008.09.031.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapySupportive psychotherapyPain severityRandomized clinical trialsOne-year followGreater patient satisfactionGreater improvementSelf-management skillsClinical improvementPatient satisfactionPhysician examinationSexual functionMixed-effects modelingClinical trialsPsychosocial treatmentsBetter outcomesTreatment approachesVulvodyniaCBT conditionTreatment improvementOne-yearRelative efficacySignificant decreaseTreatment effectsWomen