2020
Identifying Multisite Chronic Pain with Electronic Health Records Data
Von Korff M, DeBar LL, Deyo RA, Mayhew M, Kerns RD, Goulet JL, Brandt C. Identifying Multisite Chronic Pain with Electronic Health Records Data. Pain Medicine 2020, 21: 3387-3392. PMID: 32918481, PMCID: PMC7770230, DOI: 10.1093/pm/pnaa295.Peer-Reviewed Original ResearchConceptsMultisite chronic painElectronic health care dataChronic painChronic pain impactElectronic health recordsHealth care dataCare dataPain impactHealth recordsLong-term opioid useCommon chronic pain conditionsPain-related disabilityChronic pain conditionsKaiser Permanente NorthwestElectronic health record dataHealth record dataPositive predictive valueOpioid usePain severityPain conditionsDepressive symptomsPainPredictive valueEpidemiological researchRecord dataBrief educational video plus telecare to enhance recovery for older emergency department patients with acute musculoskeletal pain: study protocol for the BETTER randomized controlled trial
Platts-Mills TF, McLean SA, Weinberger M, Stearns SC, Bush M, Teresi BB, Hurka-Richardson K, Kroenke K, Kerns RD, Weaver MA, Keefe FJ. Brief educational video plus telecare to enhance recovery for older emergency department patients with acute musculoskeletal pain: study protocol for the BETTER randomized controlled trial. Trials 2020, 21: 615. PMID: 32631400, PMCID: PMC7336469, DOI: 10.1186/s13063-020-04552-3.Peer-Reviewed Original ResearchConceptsChronic musculoskeletal painMusculoskeletal painEmergency departmentUsual careOpioid useChronic painOlder adultsAnalgesic-related side effectsLong-term opioid useOlder emergency department (ED) patientsAcute musculoskeletal painEmergency department patientsCause of disabilityPublic health priorityBrief educational videoDiscussionThis trialPain severitySecondary outcomesSixty patientsDepartment patientsPrimary outcomeHealthcare utilizationStudy enrollmentPhysical functionStudy protocolCognitive Behavioral Therapy for the Management of Multiple Sclerosis–Related Pain
Gromisch ES, Kerns RD, Czlapinski R, Beenken B, Otis J, Lo AC, Beauvais J. Cognitive Behavioral Therapy for the Management of Multiple Sclerosis–Related Pain. International Journal Of MS Care 2020, 22: 8-14. PMID: 32123523, PMCID: PMC7041614, DOI: 10.7224/1537-2073.2018-023.Peer-Reviewed Original ResearchCognitive behavioral therapyMultiple sclerosisDepressive symptom severityPain severityBehavioral therapyStandard carePain interferenceSymptom severityModerate pain severityHelpful adjunctive treatmentAdjunctive treatmentPrimary outcomeTreatment satisfactionEffective treatmentTreatment groupsPainEducation-based programsDaily functioningTherapySeverityBehavioral goalsSclerosisSignificant differencesTreatmentCare
2019
Further Examination of the Pain Stages of Change Questionnaires Among Chronic Low Back Pain Patients
Mun CJ, Otis JD, Concato J, Reid MC, Burg MM, Czlapinski R, Kerns RD. Further Examination of the Pain Stages of Change Questionnaires Among Chronic Low Back Pain Patients. The Clinical Journal Of Pain 2019, 35: 744-752. PMID: 31149934, DOI: 10.1097/ajp.0000000000000733.Peer-Reviewed Original ResearchConceptsChronic low back pain patientsLow back pain patientsSelf-management approachBack pain patientsCognitive behavioral therapyChronic painDepressive symptom severityPain severityPain patientsPain StagesRegular cognitive behavioural therapySymptom severityVA primary care clinicsChange scoresPrimary care clinicsChange QuestionnaireLong-term functionMaintenance scoresCare clinicsPresent studyPatient readinessPatients' attitudesWeeks posttreatmentSustained benefitTherapeutic mechanism
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 ratingsDisordersA Randomized Pilot Trial of a Novel Behavioral Intervention for Chronic Pain Tailored to Individuals with HIV
Merlin JS, Westfall AO, Long D, Davies S, Saag M, Demonte W, Young S, Kerns RD, Bair MJ, Kertesz S, Turan JM, Kilgore M, Clay OJ, Starrels J, Pekmezi D, Johnson MO. A Randomized Pilot Trial of a Novel Behavioral Intervention for Chronic Pain Tailored to Individuals with HIV. AIDS And Behavior 2018, 22: 2733-2742. PMID: 29340913, PMCID: PMC6047927, DOI: 10.1007/s10461-018-2028-2.Peer-Reviewed Original ResearchConceptsChronic painPilot trialBrief Pain Inventory (BPI) total scorePain self-management interventionMedian session attendanceUsual care comparisonRandomized pilot trialSelf-management interventionsNovel behavioral interventionModerate painPain severityPreliminary efficacyIntervention groupSession attendanceCare comparisonsEligibility criteriaControl groupPainInterference ScaleBehavioral interventionsTrialsHIVPreliminary evidenceFull-scale trialEfficacy
2017
Examining Gender as a Correlate of Self-Reported Pain Treatment Use Among Recent Service Veterans with Deployment-Related Musculoskeletal Disorders
Driscoll MA, Higgins D, Shamaskin-Garroway A, Burger A, Buta E, Goulet JL, Heapy A, Kerns RD, Brandt CA, Haskell SG. Examining Gender as a Correlate of Self-Reported Pain Treatment Use Among Recent Service Veterans with Deployment-Related Musculoskeletal Disorders. Pain Medicine 2017, 18: 1767-1777. PMID: 28379576, DOI: 10.1093/pm/pnx023.Peer-Reviewed Original ResearchConceptsPain treatment modalitiesChronic painSelf-reported useCIH servicesPain treatmentPain careMusculoskeletal conditionsTreatment modalitiesRehabilitation therapyIntegrative health servicesInterventional pain treatmentsChronic pain treatmentWomen Veterans Cohort StudyVeterans Health AdministrationMental health conditionsSelf-rated healthGender differencesSample of veteransCorrelates of SelfCohort studyPain severityCare utilizationSpecialty careTreatment useInterventional strategies
2016
Association of Pain With Physical Function, Depressive Symptoms, Fatigue, and Sleep Quality Among Veteran and non-Veteran Postmenopausal Women
Patel KV, Cochrane BB, Turk DC, Bastian LA, Haskell SG, Woods NF, Zaslavsky O, Wallace RB, Kerns RD. Association of Pain With Physical Function, Depressive Symptoms, Fatigue, and Sleep Quality Among Veteran and non-Veteran Postmenopausal Women. The Gerontologist 2016, 56: s91-s101. PMID: 26768395, PMCID: PMC5881612, DOI: 10.1093/geront/gnv670.Peer-Reviewed Original ResearchConceptsExtreme pain interferencePain interferencePhysical functionPain severitySleep qualityDepressive symptomsHealth initiativesStudy participantsWorse physical functionAssociation of painWomen's Health InitiativeNon-veteran womenObservational study participantsLimited physical functioningVeteran statusHealth care servicesPostmenopausal womenLess painPhysical functioningOlder veteransHigh incidencePainCare servicesNumber of womenComorbid symptoms
2015
Trauma, 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
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 instrument
2009
A Randomized Clinical Trial for Women With Vulvodynia: Cognitive-Behavioral Therapy vs. Supportive Psychotherapy
Masheb R, Kerns R, Lozano C, Minkin M, Richman S. A Randomized Clinical Trial for Women With Vulvodynia: Cognitive-Behavioral Therapy vs. Supportive Psychotherapy. Obstetrical & Gynecological Survey 2009, 64: 305-306. DOI: 10.1097/01.ogx.0000347335.07172.18.Peer-Reviewed Original ResearchCognitive behavioral therapyPain severityCBT groupSPT groupSupportive psychotherapyEmotional functionClinical trialsPhysician ratingsTreatment groupsTreatment of vulvodyniaChronic vulvar painPsychological interventionsGreater patient satisfactionSexual function outcomesEfficacy of CBTEffective psychosocial treatmentsOverall sexual functioningSelf-management approachSelf-management skillsSpecific behavioral interventionsPain outcomesVulvar painFunction outcomesPatient satisfactionSexual functionMood and Attitude Predict Pain Outcomes Following Arthroscopic Knee Surgery
Rosenberger PH, Kerns R, Jokl P, Ickovics JR. Mood and Attitude Predict Pain Outcomes Following Arthroscopic Knee Surgery. Annals Of Behavioral Medicine 2009, 37: 70-76. PMID: 19169766, DOI: 10.1007/s12160-008-9078-z.Peer-Reviewed Original ResearchConceptsArthroscopic knee surgeryPain severityPain outcomesPain interferenceKnee surgeryBody mass indexExtent of osteoarthritisPreoperative moodPreoperative depressionKnee osteoarthritisMass indexClinical variablesSurgeryDaily functioningSeveritySignificant predictorsLongitudinal studyPainRegression analysisOsteoarthritisOutcomesImportant predictorDepressionPotential relationshipImportant outcomes
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
2006
Persistent pain and uncomfortable sensations in persons with multiple sclerosis
Hadjimichael O, Kerns RD, Rizzo MA, Cutter G, Vollmer T. Persistent pain and uncomfortable sensations in persons with multiple sclerosis. Pain 2006, 127: 35-41. PMID: 16949751, DOI: 10.1016/j.pain.2006.07.015.Peer-Reviewed Original ResearchConceptsSevere painMultiple sclerosisUncomfortable sensationsPersistent painNorth American Research CommitteeMultiple pain sitesLevel of painManagement of painConstancy of painExperience of painPain sitesModerate painPain severityPain intensityEnjoyment of lifeIntense painPatient RegistryMS populationHigh prevalencePainSmall studyHealthcare providersHealthcare systemSclerosisPositive association
2005
Prevalence and correlates of depression in treatment-seeking women with vulvodynia
Masheb RM, Wang E, Lozano C, Kerns RD. Prevalence and correlates of depression in treatment-seeking women with vulvodynia. Journal Of Obstetrics And Gynaecology 2005, 25: 786-791. PMID: 16368586, DOI: 10.1080/01443610500328199.Peer-Reviewed Original ResearchConceptsCurrent major depressive disorderMajor depressive disorderGreater pain severityCorrelates of depressionPain severityQuality of lifeCo-morbid major depressive disorderRates of MDDWorse functioningOnset of vulvodyniaLifetime major depressive disorderChronic pain patientsFirst depressive episodeDepressive symptom severityLifetime prevalence ratesPain patientsTreatment-seeking womenDepressive episodeSexual functionDepressive disorderPrevalence ratesVulvodyniaSymptom severityTreatment-seeking sampleWomen
2002
A Multidimensional, Case-control Study of Women with Self-identified Chronic Vulvar Pain
Masheb RM, Brondolo E, Kerns RD. A Multidimensional, Case-control Study of Women with Self-identified Chronic Vulvar Pain. Pain Medicine 2002, 3: 253-259. PMID: 15099260, DOI: 10.1046/j.1526-4637.2002.02032.x.Peer-Reviewed Original ResearchChronic vulvar painVulvar painPain severityPhysical disabilityAffective distressLess marital satisfactionHealthy control womenCase-control studyGreater physical disabilityPersistent vulvar painChronic painControl womenPainNormal rangePsychosocial functioningWomenMarital satisfactionDisabilityDistressSeverityPresent studyMultidimensional evaluationLevels of intensityGreater understandingSatisfaction
1991
Depression and the chronic pain experience
Haythornthwaite JA, Sieber WJ, Kerns RD. Depression and the chronic pain experience. Pain 1991, 46: 177-184. PMID: 1749640, DOI: 10.1016/0304-3959(91)90073-7.Peer-Reviewed Original ResearchConceptsChronic pain patientsMeasures of disabilityPain patientsBeck Depression InventoryPain behaviorDepressed chronic pain patientsStandardized criteriaMore pain behaviorGreater pain intensityUse of medicationsPain-related variablesChronic pain experienceNon-depressed counterpartsNon-depressed groupStructured interviewsPain severityMedication usePain intensityChronic painPain experienceMultivariate analysisDepression InventoryPainPatientsDepressed groupDevelopment of a sleep diary for chronic pain patients
Haythornthwaite J, Hegel M, Kerns R. Development of a sleep diary for chronic pain patients. Journal Of Pain And Symptom Management 1991, 6: 65-72. PMID: 2007794, DOI: 10.1016/0885-3924(91)90520-e.Peer-Reviewed Original ResearchConceptsChronic pain patientsDaily sleep diariesPain patientsSleep onsetSleep diaryEarly morning awakeningFrequency of awakeningsDelayed sleep onsetQuality of sleepPain complaintsPain severityMorning awakeningUsual sleepPrevious night's sleepPatientsNight sleepSleepDiary itemsPsychometric propertiesOnsetPresent studyNumber of hoursRetrospective measuresAwakeningLow quality
1990
The role of marital interaction in chronic pain and depressive symptom severity
Kerns R, Haythornthwaite J, Southwick S, Giller E. The role of marital interaction in chronic pain and depressive symptom severity. Journal Of Psychosomatic Research 1990, 34: 401-408. PMID: 2142961, DOI: 10.1016/0022-3999(90)90063-a.Peer-Reviewed Original Research
1985
Comparison of Cognitive-Behavioral and Behavioral Approaches to the Outpatient Treatment of Chronic Pain
Kerns R, Turk D, Holzman A, Rudy T. Comparison of Cognitive-Behavioral and Behavioral Approaches to the Outpatient Treatment of Chronic Pain. The Clinical Journal Of Pain 1985, 1: 195-203. DOI: 10.1097/00002508-198501040-00003.Peer-Reviewed Original ResearchChronic painOutpatient treatmentChronic pain refractoryList control conditionWaiting list conditionHealth care systemPain refractoryPain severitySurgical treatmentActive treatmentClinical efficacyInstrumental activitiesTreatment phasePatientsPainAffective distressCare systemTreatmentList conditionCB treatmentCognitive behavioralSelf-report measuresMultiple self-report measuresControl conditionPresent study