2021
Sociodemographic and clinical correlates of gabapentin receipt with and without opioids among a national cohort of patients with HIV
Oldfield BJ, Li Y, Vickers-Smith R, Becker WC, Barry DT, Crystal S, Gordon KS, Kerns RD, Rentsch CT, Marshall BDL, Edelman EJ. Sociodemographic and clinical correlates of gabapentin receipt with and without opioids among a national cohort of patients with HIV. AIDS Care 2021, 34: 1053-1063. PMID: 34114904, PMCID: PMC8664891, DOI: 10.1080/09540121.2021.1939851.Peer-Reviewed Original ResearchConceptsOpioid useHigh dosesSelf-reported opioid useVeterans Aging Cohort StudyHigh-dose opioidsMean daily doseAging Cohort StudyHigh-dose benzodiazepinesNational prospective cohortOpioid doseOpioid receiptCohort studyFoot painProspective cohortDaily doseIndependent predictorsChronic painPain interferenceClinical variablesClinical correlatesNational cohortMultinomial logistic regressionPWHLogistic regressionOpioids
2020
Alexithymia and pain experience among patients using methadone-maintenance therapy
Morie KP, Potenza MN, Beitel M, Oberleitner LM, Roos CR, Yip SW, Oberleitner DE, Gaeta M, Barry DT. Alexithymia and pain experience among patients using methadone-maintenance therapy. Drug And Alcohol Dependence 2020, 218: 108387. PMID: 33168339, PMCID: PMC8103623, DOI: 10.1016/j.drugalcdep.2020.108387.Peer-Reviewed Original ResearchConceptsOpioid use disorderPain interferencePain acceptancePain experienceUse disordersMethadone maintenance therapySubset of patientsMethadone-treated patientsMethadone maintenance treatmentDrug use historyReporting painPain severityImportant intervention targetMaintenance treatmentMore painPain catastrophizingPainPatientsEffect of alexithymiaTreatment targetsDrug useIntervention targetsRole of alexithymiaRegression analysisSelf-report measuresCorrelates of sleep quality and excessive daytime sleepiness in people with opioid use disorder receiving methadone treatment
Baldassarri SR, Beitel M, Zinchuk A, Redeker NS, Oberleitner DE, Oberleitner LMS, Carrasco D, Madden LM, Lipkind N, Fiellin DA, Bastian LA, Chen K, Yaggi HK, Barry DT. Correlates of sleep quality and excessive daytime sleepiness in people with opioid use disorder receiving methadone treatment. Sleep And Breathing 2020, 24: 1729-1737. PMID: 32556918, PMCID: PMC7680294, DOI: 10.1007/s11325-020-02123-z.Peer-Reviewed Original ResearchConceptsOpioid use disorderExcessive daytime sleepinessDaytime sleepinessSleep qualityChronic painExcessive daytimeUse disordersConclusionsPoor sleep qualityCurrent chronic painModifiable risk factorsImpaired sleep qualityMultivariable linear regression modelsBody mass indexPoor sleep qualityNon-significant associationMass indexMultivariable analysisPain interferenceRelated comorbiditiesMethadone treatmentClinical correlatesMean PSQIRisk factorsSleep disordersResultsNinety percentTrajectories of Self-Reported Opioid Use Among Patients With HIV Engaged in Care: Results From a National Cohort Study.
Edelman EJ, Li Y, Barry D, Brennan Braden J, Crystal S, Kerns RD, Gaither JR, Gordon KS, Manhapra A, Merlin JS, Moore BA, Oldfield BJ, Park LS, Rentsch CT, Skanderson M, Williams EC, Justice AC, Tate JP, Becker WC, Marshall BDL. Trajectories of Self-Reported Opioid Use Among Patients With HIV Engaged in Care: Results From a National Cohort Study. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2020, 84: 26-36. PMID: 32267658, PMCID: PMC7147724, DOI: 10.1097/qai.0000000000002310.Peer-Reviewed Original ResearchConceptsOpioid useOpioid use trajectoriesCohort studyPain interferenceSelf-reported opioid useVeterans Aging Cohort StudyVeterans Health Administration sitesInfrequent useOpioid use frequencyMarijuana useAging Cohort StudyNational cohort studyEvidence-based treatmentsGroup-based trajectory modelsProspective cohortBaseline factorsIllness severityMultivariable analysisBenzodiazepine medicationVA carePsychoactive medicationsPrescription painkillersPsychiatric symptomsHeroin useMultinomial logistic regression
2019
High-dose prescribed opioids are associated with increased risk of heroin use among United States military veterans.
Banerjee G, Edelman EJ, Barry DT, Crystal S, Gordon KS, Gordon AJ, Gaither JR, Green TC, Kerns RD, Manhapra A, Moore BA, Fiellin DA, Marshall BDL. High-dose prescribed opioids are associated with increased risk of heroin use among United States military veterans. Pain 2019, 160: 2126-2135. PMID: 31145217, PMCID: PMC6699915, DOI: 10.1097/j.pain.0000000000001606.Peer-Reviewed Original ResearchConceptsHigh-dose opioid prescriptionsOpioid prescriptionsHeroin useCohort studyPrior receiptHepatitis C virus (HCV) infection statusLong-term opioid prescriptionsPast-year heroin useVeterans Aging Cohort StudyHigh-dose opioidsOpioid-prescribing patternsProspective cohort studyAging Cohort StudyOpioid use disorderCurrent national guidelinesUnhealthy alcohol useUnited States veteransUnited States military veteransVirus infection statusPosttraumatic stress disorderOpioid receiptPrescribed opioidsPain interferenceCox regressionStates veteransPain catastrophizing and pain acceptance are associated with pain severity and interference among methadone‐maintained patients
Mun CJ, Beitel M, Oberleitner L, Oberleitner DE, Madden LM, Bollampally P, Barry DT. Pain catastrophizing and pain acceptance are associated with pain severity and interference among methadone‐maintained patients. Journal Of Clinical Psychology 2019, 75: 2233-2247. PMID: 31454081, PMCID: PMC7213971, DOI: 10.1002/jclp.22842.Peer-Reviewed Original ResearchConceptsOpioid use disorderMethadone maintenance treatmentPain severityPain acceptanceChronic painPain interferenceMMT patientsUse disordersCo-occurring opioid use disorderMethadone-maintained patientsMethadone doseImportant intervention targetMaintenance treatmentPain catastrophizingPainPsychosocial interventionsPatientsIntervention targetsPrevious weekSeverityEmotional distressImportant targetSelf-report measuresDisordersPresent study(295) Potential Targets for Pain Management among Patients with Co-Occurring Opioid Use Disorder and Chronic Pain
Mun C, Beitel M, Barry D. (295) Potential Targets for Pain Management among Patients with Co-Occurring Opioid Use Disorder and Chronic Pain. Journal Of Pain 2019, 20: s48. DOI: 10.1016/j.jpain.2019.01.452.Peer-Reviewed Original ResearchOpioid use disorderCo-occurring chronic painChronic painMethadone maintenance treatmentPain interferencePain acceptanceMMT patientsPain severityUse disordersCo-occurring opioid use disordersMethadone dosePain managementPain outcomesPain interventionsRegression modelsMaintenance treatmentPain catastrophizingPainPatientsClinical settingOutcome domainsIntervention targetsAnxiety symptomsPotential targetSignificant predictors
2018
An evaluation of the feasibility, acceptability, and preliminary efficacy of cognitive-behavioral therapy for opioid use disorder and chronic pain
Barry DT, Beitel M, Cutter CJ, Fiellin DA, Kerns RD, Moore BA, Oberleitner L, Madden LM, Liong C, Ginn J, Schottenfeld RS. An evaluation of the feasibility, acceptability, and preliminary efficacy of cognitive-behavioral therapy for opioid use disorder and chronic pain. Drug And Alcohol Dependence 2018, 194: 460-467. PMID: 30508769, PMCID: PMC6312460, DOI: 10.1016/j.drugalcdep.2018.10.015.Peer-Reviewed Original ResearchConceptsOpioid use disorderCognitive behavioral therapyChronic painPreliminary efficacyDrug counselingUse disordersImproved pain outcomesProportion of patientsMethadone-maintained patientsNonmedical opioid useEnd of treatmentPrimary study aimPatient satisfaction ratingsManualized cognitive behavioral therapyOpioid usePain outcomesPain interferenceClinical trialsStandard drug counselingPatientsMean sessionSecondary aimStudy aimPainPilot study
2017
Group differences in pain interference, psychiatric disorders, and general medical conditions among Hispanics and whites in the U.S. general population
Barry DT, Glenn CP, Hoff RA, Potenza MN. Group differences in pain interference, psychiatric disorders, and general medical conditions among Hispanics and whites in the U.S. general population. Psychiatry Research 2017, 258: 337-343. PMID: 28886905, PMCID: PMC5681386, DOI: 10.1016/j.psychres.2017.08.049.Peer-Reviewed Original ResearchConceptsGeneral medical conditionsSevere pain interferenceModerate pain interferencePain interferenceMedical conditionsPsychiatric disordersCross-sectional retrospective studyNon-Hispanic white adultsLower pain interferenceGroup differencesSpecific psychiatric disordersU.S. general populationNational Epidemiologic SurveyHispanic respondentsEthnic health disparitiesWhite respondentsRetrospective studyMood disordersGeneral populationEpidemiologic SurveyWhite adultsHealth disparitiesDisordersHeart conditionsFurther studiesPain Interference, Psychopathology, and General Medical Conditions Among Black and White Adults in the US General Population
Barry DT, Glenn CP, Hoff RA, Potenza MN. Pain Interference, Psychopathology, and General Medical Conditions Among Black and White Adults in the US General Population. Journal Of Addiction Medicine 2017, 11: 98-105. PMID: 28067758, PMCID: PMC5354954, DOI: 10.1097/adm.0000000000000281.Peer-Reviewed Original ResearchConceptsGeneral medical conditionsModerate pain interferenceSevere pain interferencePain interferenceMedical conditionsWhite adultsMultivariable logistic regression analysisAxis I psychiatric disordersLower pain interferenceUS general populationLogistic regression analysisNational Epidemiologic SurveyRace-related disparitiesChi-square testLower ratesWhite respondentsGeneral populationAlcohol abusePsychiatric disordersEpidemiologic SurveyLarger oddsBivariate analysisRelated conditionsFurther studiesRegression analysis
2016
Pain Interference and Incident Medical Disorders in the General Population
Barry DT, Glenn C, Hoff RA, Potenza MN. Pain Interference and Incident Medical Disorders in the General Population. Pain Medicine 2016, 18: 1209-1217. PMID: 28339518, DOI: 10.1093/pm/pnw252.Peer-Reviewed Original ResearchConceptsGeneral medical conditionsSevere pain interferencePain interferenceMedical conditionsLiver diseaseUS National Epidemiologic SurveyLower pain interferenceLogistic regression analysisNational Epidemiologic SurveyBinomial logistic regression analysisChi-square testWave 1Pain etiologyPain treatmentMyocardial infarctionHeart diseaseSecondary data analysisMedical disordersGeneral populationEpidemiologic SurveyStomach ulcersMultivariate analysisRelated conditionsDiseaseHeart conditionsNon‐medical use of prescription opioids is associated with heroin initiation among US veterans: a prospective cohort study
Banerjee G, Edelman EJ, Barry DT, Becker WC, Cerdá M, Crystal S, Gaither JR, Gordon AJ, Gordon KS, Kerns RD, Martins SS, Fiellin DA, Marshall BD. Non‐medical use of prescription opioids is associated with heroin initiation among US veterans: a prospective cohort study. Addiction 2016, 111: 2021-2031. PMID: 27552496, PMCID: PMC5056813, DOI: 10.1111/add.13491.Peer-Reviewed Original ResearchConceptsMultivariable Cox regression modelsNon-medical useCox regression modelHeroin initiationPrescription opioidsHeroin useCohort studyUS veteransOpioid use disorder diagnosisVeterans Aging Cohort StudyProspective cohort studyAging Cohort StudyIllicit opioid usePrimary care clinicsPrimary outcome measureStrong risk factorPost-traumatic stress disorderUninfected veteransUninfected patientsOpioid useRegression modelsCare clinicsPain interferencePrior diagnosisPrimary exposure
2013
Pain interference and incident mood, anxiety, and substance-use disorders: Findings from a representative sample of men and women in the general population
Barry DT, Pilver CE, Hoff RA, Potenza MN. Pain interference and incident mood, anxiety, and substance-use disorders: Findings from a representative sample of men and women in the general population. Journal Of Psychiatric Research 2013, 47: 1658-1664. PMID: 23992771, PMCID: PMC3835154, DOI: 10.1016/j.jpsychires.2013.08.004.Peer-Reviewed Original ResearchConceptsSevere pain interferencePain interferenceSubstance use disordersIncident moodNew onsetPsychiatric disordersModerate pain interferenceComorbid psychiatric disordersMajor depressive disorderLogistic regression analysisNational Epidemiologic SurveyBinomial logistic regression analysisChi-square testSubstance use problemsWave 1Depressive disorderMood disordersGeneral populationNicotine dependenceAlcohol abuseEpidemiologic SurveyRelated conditionsDisordersLongitudinal relationshipRegression analysisPain interference, gambling problem severity, and psychiatric disorders among a nationally representative sample of adults
Barry DT, Pilver CE, Hoff RA, Potenza MN. Pain interference, gambling problem severity, and psychiatric disorders among a nationally representative sample of adults. Journal Of Behavioral Addictions 2013, 2: 138-144. PMID: 24443702, PMCID: PMC3892993, DOI: 10.1556/jba.2.2013.010.Peer-Reviewed Original ResearchPain interferencePsychiatric disordersAxis II psychiatric disordersPain Interference LevelsStrong associationAxis I DisordersLogistic regression analysisProblem severityAxis II disordersSubstance use disordersNational Epidemiologic SurveyChi-square testRepresentative sampleI disordersPaucity of studiesAxis IDependent personality disorderRelated Conditions dataEpidemiologic SurveyPanic disorderSpecific phobiaSeverityPersonality disorderDisordersProblem-gambling severityPain and Associated Substance Use among Opioid Dependent Individuals Seeking Office‐Based Treatment with Buprenorphine–Naloxone: A Needs Assessment Study
Barry DT, Savant JD, Beitel M, Cutter CJ, Moore BA, Schottenfeld RS, Fiellin DA. Pain and Associated Substance Use among Opioid Dependent Individuals Seeking Office‐Based Treatment with Buprenorphine–Naloxone: A Needs Assessment Study. American Journal On Addictions 2013, 22: 212-217. PMID: 23617861, PMCID: PMC3641684, DOI: 10.1111/j.1521-0391.2012.00327.x.Peer-Reviewed Original ResearchConceptsBuprenorphine-naloxone treatmentChronic painSubstance usePain intensityPast-week substance useCharacteristics of painCurrent pain intensityOpioid-dependent individualsTypical pain intensitySelf-reported substance useHigh rateBNT patientsBuprenorphine-naloxoneOpioid withdrawalPain frequencyPercent of respondentsPain durationPain locationPain subgroupsNerve damageOpioid dependencePain interferencePain typesConsecutive individualsPain
2011
Prevalence and psychiatric correlates of pain interference among men and women in the general population
Barry DT, Pilver C, Potenza MN, Desai RA. Prevalence and psychiatric correlates of pain interference among men and women in the general population. Journal Of Psychiatric Research 2011, 46: 118-127. PMID: 21944430, PMCID: PMC3224186, DOI: 10.1016/j.jpsychires.2011.09.004.Peer-Reviewed Original ResearchConceptsAxis II psychiatric disordersSevere pain interferencePain interferencePsychiatric disordersAxis ICo-occurring substance-related disordersLogistic regression analysisAssociation of levelsSubstance-related disordersNational Epidemiologic SurveyMental health preventionChi-square testMultinomial logistic regression analysisFemale respondentsTreatment strategiesGeneral populationPsychiatric correlatesAlcohol abuseEpidemiologic SurveyAdult menGender-related factorsLarger oddsHealth preventionRelated conditionsDrug abuseNonmedical 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