2016
Cognitive Behavioral Therapy Improves Treatment Outcomes for Prescription Opioid Users in Primary Care Buprenorphine Treatment
Moore BA, Fiellin DA, Cutter CJ, Buono FD, Barry DT, Fiellin LE, O'Connor PG, Schottenfeld RS. Cognitive Behavioral Therapy Improves Treatment Outcomes for Prescription Opioid Users in Primary Care Buprenorphine Treatment. Journal Of Substance Use And Addiction Treatment 2016, 71: 54-57. PMID: 27776678, PMCID: PMC5119533, DOI: 10.1016/j.jsat.2016.08.016.Peer-Reviewed Original ResearchConceptsOpioid-using patientsCognitive behavioral therapyUse patientsPhysician managementOpioid useTreatment outcomesBuprenorphine/naloxone treatmentHeroin use disorder patientsSelf-reported opioid useBehavioral therapyOpioid use groupPrevious drug treatmentUrine toxicology analysisEffects of CBTInjection drug useBaseline demographic differencesPrescription opioid usersBuprenorphine treatmentNaloxone treatmentOpioid abstinencePrescription opioidsOpioid usersOpioid categoryTreatment responseDrug treatmentPsychiatric 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 Program
2014
Primary Care–Based Buprenorphine Taper vs Maintenance Therapy for Prescription Opioid Dependence: A Randomized Clinical Trial
Fiellin DA, Schottenfeld RS, Cutter CJ, Moore BA, Barry DT, O’Connor P. Primary Care–Based Buprenorphine Taper vs Maintenance Therapy for Prescription Opioid Dependence: A Randomized Clinical Trial. JAMA Internal Medicine 2014, 174: 1947-1954. PMID: 25330017, PMCID: PMC6167926, DOI: 10.1001/jamainternmed.2014.5302.Peer-Reviewed Original ResearchConceptsPrescription opioid dependenceOngoing maintenance therapyIllicit opioid useMaintenance therapyOpioid dependenceBuprenorphine taperBuprenorphine therapyTaper groupMaintenance groupOpioid usePrimary careClinical trialsPrimary care-based treatmentSignificant public health burdenBuprenorphine maintenance therapyOngoing maintenance treatmentPrimary care physiciansEvidence-based guidelinesPrimary care sitesPublic health burdenWeeks of stabilizationHydrochloride therapyOpioid withdrawalBuprenorphine treatmentNaltrexone treatmentThe Feasibility and Acceptability of Groups for Pain Management in Methadone Maintenance Treatment
Barry DT, Savant JD, Beitel M, Cutter CJ, Schottenfeld RS, Kerns RD, Moore BA, Oberleitner L, Joy MT, Keneally N, Liong C, Carroll KM. The Feasibility and Acceptability of Groups for Pain Management in Methadone Maintenance Treatment. Journal Of Addiction Medicine 2014, 8: 338-344. PMID: 25100310, PMCID: PMC4177009, DOI: 10.1097/adm.0000000000000055.Peer-Reviewed Original ResearchConceptsMethadone maintenance treatmentMaintenance treatmentRelaxation trainingMultimodal pain management approachAcceptability of groupsCharacteristic pain intensityPain management interventionsMethadone-maintained patientsPain management approachesPain intensityPain managementSession attendancePainGroup singingDecreased anxietyMindful walkingPatientsTreatmentAttendanceGroupWalkingManagement interventionsAcceptabilityA pilot trial of a videogame-based exercise program for methadone maintained patients
Cutter CJ, Schottenfeld RS, Moore BA, Ball SA, Beitel M, Savant JD, Stults-Kolehmainen MA, Doucette C, Barry DT. A pilot trial of a videogame-based exercise program for methadone maintained patients. Journal Of Substance Use And Addiction Treatment 2014, 47: 299-305. PMID: 25012555, PMCID: PMC4487635, DOI: 10.1016/j.jsat.2014.05.007.Peer-Reviewed Original ResearchConceptsExercise interventionSubstance useSubstance use disorder treatmentMethadone-maintained patientsStudy completion ratesPhysical activity levelsGreater physical activityWii Fit PlusUse disorder treatmentExercise programSedentary controlsPilot trialPhysical activityDisorder treatmentActive game playPilot studyActivity levelsInterventionPatientsCompletion ratesHigh satisfactionFurther investigationTrialsPsychological wellnessParticipants
2013
The psychometric properties of the iowa personality disorder screen in methadone-maintained patients: an initial investigation.
Beitel M, Peters S, Savant JD, Cutter CJ, Cecero JJ, Barry DT. The psychometric properties of the iowa personality disorder screen in methadone-maintained patients: an initial investigation. Journal Of Personality Disorders 2013, 29: 131-44. PMID: 23398100, PMCID: PMC3659190, DOI: 10.1521/pedi_2013_27_081.Peer-Reviewed Original ResearchMeSH KeywordsAdultFactor Analysis, StatisticalFemaleHumansInterview, PsychologicalIowaMaleMass ScreeningMethadoneMiddle AgedOpiate Substitution TreatmentOpioid-Related DisordersPersonality AssessmentPersonality DisordersPersonality InventoryPredictive Value of TestsPsychometricsReproducibility of ResultsSurveys and QuestionnairesConceptsMethadone-maintained patientsIowa Personality Disorder ScreenRace/ethnicityDisorder ScreenSubstance useSelf-reported substance usePsychometric propertiesPain variablesTreatment characteristicsClinical utilityMeasures of psychopathologyInternalizing tendenciesPatientsTotal scoreFurther investigationTwo-factor structureTwo-factor solutionExploratory factor analysisPsychopathologyEthnicityPainInitial investigationFactorsHypersensitivityA Randomized Trial of Cognitive Behavioral Therapy in Primary Care-based Buprenorphine
Fiellin DA, Barry DT, Sullivan LE, Cutter CJ, Moore BA, O'Connor PG, Schottenfeld RS. A Randomized Trial of Cognitive Behavioral Therapy in Primary Care-based Buprenorphine. The American Journal Of Medicine 2013, 126: 74.e11-74.e17. PMID: 23260506, PMCID: PMC3621718, DOI: 10.1016/j.amjmed.2012.07.005.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyPhysician managementBehavioral therapyOpioid useOpioid dependencePrimary careSelf-reported frequencyBuprenorphine/naloxone treatmentConsecutive weeksOpioid-dependent patientsIllicit opioid usePrimary care clinicsPrimary outcome measureWeeks of treatmentNaloxone treatmentOpioid abstinenceBuprenorphine/Care clinicsIllicit opioidsRandomized trialsUrine toxicologyClinical trialsStudy completionOutcome measuresCocaine use
2012
Psychopathology and Pain Correlates of Dispositional Optimism in Methadone‐Maintained Patients
Beitel M, Savant JD, Cutter CJ, Peters S, Belisle N, Barry DT. Psychopathology and Pain Correlates of Dispositional Optimism in Methadone‐Maintained Patients. American Journal On Addictions 2012, 21: s56-s62. PMID: 23786512, PMCID: PMC3703875, DOI: 10.1111/j.1521-0391.2012.00293.x.Peer-Reviewed Original ResearchConceptsMethadone maintenance treatmentMMT patientsChronic painDispositional optimismCurrent chronic painOpioid-dependent patientsOpioid treatment programsOpioid use disorderEmotional strainPosttraumatic stress disorderPain correlateMultivariable analysisMaintenance treatmentClinical correlatesDependent patientsLow levelsPersonality disorder criteriaPaucity of studiesHigh levelsUse disordersPatientsPainTreatment programDisorder criteriaStress disorderCounseling and Directly Observed Medication for Primary Care Buprenorphine Maintenance
Moore BA, Barry DT, Sullivan LE, O'Connor PG, Cutter CJ, Schottenfeld RS, Fiellin DA. Counseling and Directly Observed Medication for Primary Care Buprenorphine Maintenance. Journal Of Addiction Medicine 2012, 6: 205-211. PMID: 22614936, PMCID: PMC3419276, DOI: 10.1097/adm.0b013e3182596492.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyPhysician managementObserved medicationBaseline characteristicsCBT sessionsOpioid-negative urinesIndividual CBT sessionsBuprenorphine maintenanceOpioid useMedication adherencePatient satisfactionPrimary careImproved outcomesTreatment outcomesSession attendanceNegative urineTreatment groupsGreater abstinenceCounseling intensityDrug useTherapist availabilityMedicationsBuprenorphinePatientsIndependent effects
2011
Group-Based Strategies for Stress Reduction in Methadone Maintenance Treatment
Barry DT, Beitel M, Breuer T, Cutter CJ, Savant J, Peters S, Schottenfeld RS, Rounsaville BJ. Group-Based Strategies for Stress Reduction in Methadone Maintenance Treatment. Journal Of Addiction Medicine 2011, 5: 181-187. PMID: 21841430, PMCID: PMC3178342, DOI: 10.1097/adm.0b013e3181ee77cl.Peer-Reviewed Original Research
2010
Conventional and Unconventional Treatments for Stress among Methadone‐Maintained Patients: Treatment Willingness and Perceived Efficacy
Barry DT, Beitel M, Breuer T, Cutter CJ, Savant J, Schottenfeld RS, Rounsaville BJ. Conventional and Unconventional Treatments for Stress among Methadone‐Maintained Patients: Treatment Willingness and Perceived Efficacy. American Journal On Addictions 2010, 20: 137-142. PMID: 21314756, PMCID: PMC3086464, DOI: 10.1111/j.1521-0391.2010.00109.x.Peer-Reviewed Original ResearchConceptsTreatment willingnessMethadone maintenance treatment program (MMTP) patientsUnconventional treatmentsConventional therapyProgram patientsMMT programUnconventional therapiesConventional interventionsPsychiatric distressEfficacyPatientsPerceived EfficacyTherapyTreatmentProgram planningMethadoneExploring Relations Among Traumatic, Posttraumatic, and Physical Pain Experiences in Methadone-Maintained Patients
Barry DT, Beitel M, Cutter CJ, Garnet B, Joshi D, Rosenblum A, Schottenfeld RS. Exploring Relations Among Traumatic, Posttraumatic, and Physical Pain Experiences in Methadone-Maintained Patients. Journal Of Pain 2010, 12: 22-28. PMID: 20646965, PMCID: PMC2962776, DOI: 10.1016/j.jpain.2010.04.006.Peer-Reviewed Original ResearchConceptsSymptoms of PTSDPosttraumatic stress disorderTraumatic eventsChronic severe painSexual assaultMMT patientsPhysical assaultPain experienceLifetime trauma exposurePhysical pain experiencesMethadone maintenance treatment patientsMethadone-maintained patientsTrauma exposureFunction of sexStress disorderComparable levelsPTSD screenerPain statusSevere painChronic painOpioid dependenceTreatment patientsCSP groupPatientsPain
2009
Allopathic, complementary, and alternative medical treatment utilization for pain among methadone-maintained patients.
Barry DT, Beitel M, Cutter CJ, Garnet B, Joshi D, Schottenfeld RS, Rounsaville BJ. Allopathic, complementary, and alternative medical treatment utilization for pain among methadone-maintained patients. American Journal On Addictions 2009, 18: 379-85. PMID: 19874157, PMCID: PMC2777756, DOI: 10.3109/10550490903077671.Peer-Reviewed Original ResearchConceptsChronic severe painPain treatmentTreatment utilizationMethadone maintenance treatment program (MMTP) patientsMedical treatment utilizationPain treatment utilizationMethadone-maintained patientsAlternative medicine utilizationPain reductionSevere painProgram patientsSP patientsMedicine utilizationPainPatientsEquivalent high ratesTreatmentHigh rateSimilar ratesProgram planningMMTP