2018
Relationships Between Temporomandibular Disorders, MSD Conditions, and Mental Health Comorbidities: Findings from the Veterans Musculoskeletal Disorders Cohort
Fenton BT, Goulet JL, Bair MJ, Cowley T, Kerns RD. Relationships Between Temporomandibular Disorders, MSD Conditions, and Mental Health Comorbidities: Findings from the Veterans Musculoskeletal Disorders Cohort. Pain Medicine 2018, 19: s61-s68. PMID: 30203016, DOI: 10.1093/pm/pny145.Peer-Reviewed Original ResearchConceptsMental health comorbiditiesTemporomandibular disordersRace/ethnicityHealth comorbiditiesTMD casesAssociation of TMDNational Veterans Health AdministrationNonwhite race/ethnicityNontraumatic joint disordersChronic painful conditionsVeterans Health AdministrationChi-square testCross-sectional analysisObservational cohortBack painPainful conditionsJoint disordersComorbidity patternsMood disordersHispanic ethnicityHispanic womenMale veteransComorbiditiesHealth AdministrationDisorder cohortAssociation Between Facility-Level Utilization of Non-pharmacologic Chronic Pain Treatment and Subsequent Initiation of Long-Term Opioid Therapy
Carey EP, Nolan C, Kerns RD, Ho PM, Frank JW. Association Between Facility-Level Utilization of Non-pharmacologic Chronic Pain Treatment and Subsequent Initiation of Long-Term Opioid Therapy. Journal Of General Internal Medicine 2018, 33: 38-45. PMID: 29633137, PMCID: PMC5902343, DOI: 10.1007/s11606-018-4324-y.Peer-Reviewed Original ResearchConceptsLong-term opioid therapyNon-pharmacologic treatmentsFacility-level variationNon-opioid medicationsChronic painOpioid therapyTreatment modalitiesVeterans Health Administration facilitiesPatient-reported painChronic pain treatmentChronic pain careImproved patient outcomesUtilization patternsOpioid treatmentPrior calendar yearMedication utilizationPatient characteristicsPain treatmentPain careKey ResultsAmongPrimary carePatient outcomesPainGreater utilizationAdministration facilitiesA 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
Cost-effectiveness of a chronic pain intervention for people living with HIV (PLWH)
Merlin JS, Westfall AO, Johnson MO, Kerns RD, Bair MJ, Kertesz S, Turan JM, Clay OJ, Starrels JL, Kilgore M. Cost-effectiveness of a chronic pain intervention for people living with HIV (PLWH). Journal Of Medical Economics 2017, 21: 122-126. PMID: 28880698, PMCID: PMC6028014, DOI: 10.1080/13696998.2017.1377719.Peer-Reviewed Original ResearchConceptsIncremental cost-effectiveness ratioCost/QALYChronic painPilot trialPreliminary efficacyPain self-management interventionChronic pain interventionsModerate chronic painHIV clinical settingsSelf-management interventionsCost-effectiveness ratioStandard gamble methodCostly comorbiditiesSTOMP interventionUsual carePain interventionsMean ageInclusion criteriaClinic perspectivePainClinical settingPilot studyTrialsPLWHHIV
2016
Psychiatric 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 ProgramAssociation 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
Combined Use of Opioids and Antidepressants in the Treatment of Pain: A Review of Veterans Health Administration Data for Patients with Pain Both With and Without Co-morbid Depression
Sellinger JJ, Sofuoglu M, Kerns RD, Rosenheck RA. Combined Use of Opioids and Antidepressants in the Treatment of Pain: A Review of Veterans Health Administration Data for Patients with Pain Both With and Without Co-morbid Depression. Psychiatric Quarterly 2015, 87: 585-593. PMID: 26646578, DOI: 10.1007/s11126-015-9411-1.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationMusculoskeletal painAntidepressant useVeterans Health Administration dataAnnual opioid prescriptionsNational VHA databasesUse of antidepressantsCo-morbid depressionTreatment of painHealth Administration dataMajor depressive disorderNon-depressed groupOpioid therapyAnalgesic benefitOpioid prescribingOpioid prescriptionsPrescribing patternsOpioid useVHA databasesFiscal year 2012Depressive disorderDepression diagnosisPainAntidepressantsOpioids
2014
Persistent Pain and Comorbidity Among Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn Veterans
Higgins DM, Kerns RD, Brandt CA, Haskell SG, Bathulapalli H, Gilliam W, Goulet JL. Persistent Pain and Comorbidity Among Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn Veterans. Pain Medicine 2014, 15: 782-790. PMID: 24548466, DOI: 10.1111/pme.12388.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-Chronic PainComorbidityDepressive DisorderFemaleHumansIraq War, 2003-2011Logistic ModelsLongitudinal StudiesMaleMiddle AgedMultivariate AnalysisObesityPrevalenceStress Disorders, Post-TraumaticSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsVeterans Health AdministrationTraumatic brain injuryPersistent painBody mass indexMental health conditionsChronic painOperation Enduring FreedomHealth conditionsElectronic medical record dataChronic pain conditionsPredictors of incidentMedical record dataLongitudinal clinical dataImportant clinical implicationsSubstance use disordersOEF/OIF/OND veteransPost-traumatic stress disorderArmy service membersLogistic regression modelsPain conditionsComorbid conditionsClinical evidenceMass indexBrain injuryClinical data
2011
Complicating Factors Associated with Mild Traumatic Brain Injury: Impact on Pain and Posttraumatic Stress Disorder Treatment
Otis JD, McGlinchey R, Vasterling JJ, Kerns RD. Complicating Factors Associated with Mild Traumatic Brain Injury: Impact on Pain and Posttraumatic Stress Disorder Treatment. Journal Of Clinical Psychology In Medical Settings 2011, 18: 145-154. PMID: 21626354, DOI: 10.1007/s10880-011-9239-2.Peer-Reviewed Original ResearchMeSH KeywordsAfghan Campaign 2001-Brain ConcussionChronic DiseaseCombat DisordersCombined Modality TherapyComorbidityCooperative BehaviorHumansInterdisciplinary CommunicationIraq War, 2003-2011Military PersonnelMultiple TraumaOutcome and Process Assessment, Health CarePainPatient Care TeamPsychotherapyStress Disorders, Post-TraumaticVeteransConceptsPosttraumatic stress disorderOEF/OIF veteransMild traumatic brain injuryOIF veteransPsychological treatmentTraumatic brain injuryEvidence-based psychological treatmentsPosttraumatic stress disorder (PTSD) treatmentBrain injuryEvidence-based treatmentsChronic painStress disorderNeeds of individualsOperation Enduring FreedomComorbidity of painNature of combatDisorder treatmentEnduring FreedomIraqi FreedomVeteransTreatment approachesMultidisciplinary treatment approachSymptomatologyPainComorbidities
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
2003
An examination of the relationship between chronic pain and post-traumatic stress disorder
Otis JD, Keane TM, Kerns RD. An examination of the relationship between chronic pain and post-traumatic stress disorder. The Journal Of Rehabilitation Research And Development 2003, 40: 397. PMID: 15080224, DOI: 10.1682/jrrd.2003.09.0397.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderChronic painStress disorderVeterans Affairs Healthcare SystemCurrent literature pertainingClinical practiceClinical implicationsPainPhysical disabilityAffective distressDisordersHealthcare systemHigh rateLiterature pertainingSignificant levelsComorbiditiesPrevalence
2002
Use of Opioid Medications for Chronic Noncancer Pain Syndromes in Primary Care
Reid MC, Engles‐Horton L, Weber MB, Kerns RD, Rogers EL, O'Connor PG. Use of Opioid Medications for Chronic Noncancer Pain Syndromes in Primary Care. Journal Of General Internal Medicine 2002, 17: 173-179. PMID: 11929502, PMCID: PMC1495018, DOI: 10.1046/j.1525-1497.2002.10435.x.Peer-Reviewed Original ResearchConceptsChronic noncancer painChronic pain disordersPrimary care centersPrimary care settingNoncancer painOpioid medicationsAbuse/dependenceSubstance use disordersPain disordersPsychiatric comorbidityPCC patientsPrimary careCare settingsUse disordersLifetime historyVA primary care clinicsAlcohol abuse/dependenceRetrospective cohort studyProportion of patientsMedical record reviewPrimary care clinicsChronic pain diagnosesAbuse behaviorsDegenerative joint diseaseLifetime prevalence rates