2024
Clinical characteristics associated with problematic pornography use among individuals seeking treatment for opioid use disorder.
Stefanovics E, Kraus S, Madden L, Farnum S, Cannata E, Potenza M, Barry D. Clinical characteristics associated with problematic pornography use among individuals seeking treatment for opioid use disorder. Journal Of Behavioral Addictions 2024 PMID: 39298267, DOI: 10.1556/2006.2024.00037.Peer-Reviewed Original ResearchBrief Pornography ScreenOpioid use disorderPornography useOpioid use disorder treatmentUse disorderMeasures of substance useMeasures of impulsivityProblematic pornography useMinority of individualsNegative urgencyPositive urgencyPsychotic symptomsSelf-reported dataBehavioral addictionsGambling disorderPsychiatric disordersPsychiatric symptomsSensation-seekingEmotional labilitySelf-harmSubstance useDisordersOpioidIndividualsSymptoms
2023
Opioid Use Disorder With Chronic Pain Increases Disease Burden and Service Use
MacLean RR, Sofuoglu M, Stefanovics E, Rosenheck R. Opioid Use Disorder With Chronic Pain Increases Disease Burden and Service Use. Psychological Services 2023, 20: 157-165. PMID: 34968125, PMCID: PMC9358616, DOI: 10.1037/ser0000607.Peer-Reviewed Original ResearchConceptsOpioid use disorderChronic painMental health diagnosesService useUse disordersHealth AdministrationConcurrent opioid use disorderHealth diagnosisOngoing opioid epidemicOutpatient service useVeterans Health AdministrationMental health disordersSubstance use diagnosesSingle disorder groupsClinical service useOpioid prescriptionsAdditional comorbiditiesMultinomial regression analysisDisease burdenMedication fillsOpioid epidemicPrescription opiatesMedical conditionsMedical disordersUse diagnoses
2021
The association of opioid use disorder and homelessness nationally in the veterans health administration
Manhapra A, Stefanovics E, Rosenheck R. The association of opioid use disorder and homelessness nationally in the veterans health administration. Drug And Alcohol Dependence 2021, 223: 108714. PMID: 33865213, DOI: 10.1016/j.drugalcdep.2021.108714.Peer-Reviewed Original ResearchConceptsOpioid use disorderSubstance use disordersVeterans Health AdministrationRisk factorsUse disordersHealth AdministrationUnited States Veterans Health AdministrationCo-morbid risk factorsPrevalence of OUDMajor risk factorMultivariate logistic regressionHomeless veteransHigher unadjusted oddsCross-sectional analysisClinical factorsVHA patientsNon-homeless veteransUnadjusted oddsVHA careFiscal year 2012US veteransOdds ratioHigh prevalenceHigher oddsPsychiatric diagnosisSex Differences in Opioid Use Disorder Prevalence and Multimorbidity Nationally in the Veterans Health Administration
Peltier MR, Sofuoglu M, Petrakis IL, Stefanovics E, Rosenheck RA. Sex Differences in Opioid Use Disorder Prevalence and Multimorbidity Nationally in the Veterans Health Administration. Journal Of Dual Diagnosis 2021, 17: 124-134. PMID: 33982642, PMCID: PMC8887838, DOI: 10.1080/15504263.2021.1904162.Peer-Reviewed Original ResearchConceptsOpioid use disorderPain-related diagnosesVeterans Health AdministrationSex-specific differencesAnxiolytics/sedatives/hypnoticsRates of OUDHealth AdministrationFemale veteransOpioid use disorder prevalenceOpioid agonist medicationsVHA health carePeripheral vascular diseaseHealth service utilizationPatterns of multimorbiditySedative/hypnoticsSex-specific treatmentsCo-occurring disordersSubstance use treatmentHigh rateSubstantial sex-specific differencesAgonist prescriptionAgonist medicationsRelated complicationsRenal diseaseVHA patients
2020
Initiating Opioid Agonist Treatment for Opioid use Disorder Nationally in the Veterans Health Administration: Who Gets What?
Manhapra A, Stefanovics E, Rosenheck R. Initiating Opioid Agonist Treatment for Opioid use Disorder Nationally in the Veterans Health Administration: Who Gets What? Substance Use & Addiction Journal 2020, 41: 110-120. PMID: 31403914, DOI: 10.1080/08897077.2019.1640831.Peer-Reviewed Original ResearchConceptsOpioid agonist treatmentOpioid use disorderMethadone maintenance treatmentUse disordersOAT initiationAgonist treatmentHigher oddsMultivariate logistic regression modelVeterans Health AdministrationNational administrative dataDrug use variablesLogistic regression modelsMMT initiationPatient characteristicsIndependent predictorsMaintenance treatmentBlack raceFiscal year 2012Inpatient treatmentLower oddsBuprenorphineHealth AdministrationOpioid crisisSociodemographic characteristicsPatients
2019
Adverse Consequences of Co-Occurring Opioid Use Disorder and Cannabis Use Disorder Compared to Opioid Use Disorder Only
De Aquino JP, Sofuoglu M, Stefanovics E, Rosenheck R. Adverse Consequences of Co-Occurring Opioid Use Disorder and Cannabis Use Disorder Compared to Opioid Use Disorder Only. The American Journal Of Drug And Alcohol Abuse 2019, 45: 527-537. PMID: 31112429, DOI: 10.1080/00952990.2019.1607363.Peer-Reviewed Original ResearchConceptsDrug use disordersOpioid use disorderUse disordersOpioid prescriptionsCo-occurring opioid use disordersNational Veterans Health Administration dataVeterans Health Administration dataCo-occurring opioidEmergency department visitsHealth Administration dataInpatient psychiatric admissionCannabis use disorderOpioid prescribingClinical characteristicsED visitsDepartment visitsInpatient admissionsPsychiatric admissionsFiscal year 2012Lower riskPatientsBivariate analysisAdministration dataDisordersHigher likelihood
2018
Opioid use disorder and homelessness in the Veterans Health Administration: The challenge of multimorbidity.
Iheanacho T, Stefanovics E, Rosenheck R. Opioid use disorder and homelessness in the Veterans Health Administration: The challenge of multimorbidity. Journal Of Opioid Management 2018, 14: 171-182. PMID: 30044482, DOI: 10.5055/jom.2018.0447.Peer-Reviewed Original ResearchConceptsOpioid use disorderVeterans Health AdministrationUse disordersAgonist therapyHomeless veteransRisk ratioRisk factorsService useHealth AdministrationOpioid agonist therapyGreater service useMajor risk factorChallenges of multimorbidityAlcohol use disorderPercent of veteransMore multimorbidityClinical correlatesVHA usersFiscal year 2012Vulnerable veteransMultimorbidityBivariate analysisGreater riskLogistic regressionMajor cause