2024
Gender differences in PTSD severity and pain outcomes: Baseline results from the LAMP trial
Friedman J, Taylor B, Campbell E, Allen K, Bangerter A, Branson M, Bronfort G, Calvert C, Cross L, Driscoll M, Evans R, Ferguson J, Haley A, Hennessy S, Meis L, Burgess D. Gender differences in PTSD severity and pain outcomes: Baseline results from the LAMP trial. PLOS ONE 2024, 19: e0293437. PMID: 38753651, PMCID: PMC11098421, DOI: 10.1371/journal.pone.0293437.Peer-Reviewed Original ResearchConceptsPain outcomesPost-traumatic stress disorder symptomsChronic painPost-traumatic stress disorderWomen veteransChronic pain clinical trialsPain clinical trialsSensation of painHierarchical linear regression modelsGender differencesPain intensityPain catastrophizingPain interferenceClinical trialsPainAssociated with higher levelsComorbid conditionsExamined gender differencesLinear regression modelsSevere outcomesMultivariate modelMutual maintenanceClinical implicationsSymptomsVeterans
2022
Post-9/11 deployment history and the incidence of breast cancer among women veterans
Gaffey A, Han L, Ramsey C, Skanderson M, Dziura J, Driscoll M, Burg M, Brandt C, Bastian L, Haskell S. Post-9/11 deployment history and the incidence of breast cancer among women veterans. Annals Of Epidemiology 2022, 77: 98-102. PMID: 36470323, DOI: 10.1016/j.annepidem.2022.11.010.Peer-Reviewed Original ResearchConceptsOEF/OIF deploymentBreast cancerWomen veteransHealthcare utilizationHormone replacement therapy useRetrospective cohort studyVeterans Affairs (VA) careHealthy soldier effectOEF/OIFCohort studyTherapy useBC incidenceHormonal contraceptivesLifestyle factorsPrimary careBC diagnosisLower incidenceOperations Enduring Freedom/Iraqi FreedomWomenIncidenceGreater likelihoodIraqi FreedomVeteransCancerCarePatient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools
Piette JD, Newman S, Krein SL, Marinec N, Chen J, Williams DA, Edmond SN, Driscoll M, LaChappelle KM, Kerns RD, Maly M, Kim HM, Farris KB, Higgins DM, Buta E, Heapy AA. Patient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools. JAMA Internal Medicine 2022, 182: 975-983. PMID: 35939288, PMCID: PMC9361183, DOI: 10.1001/jamainternmed.2022.3178.Peer-Reviewed Original ResearchConceptsCBT-CPComparative effectiveness trialTherapist timeSecondary outcomesMore patientsEffectiveness trialInteractive voice responseCP groupMeaningful improvementsPatient-centered pain careRoland-Morris Disability QuestionnaireVeterans Affairs Health SystemMorris Disability QuestionnairePain intensity scoresChronic back painLess therapist timeMobile health toolsCognitive behavioral therapyRandomized noninferiorityDisability QuestionnaireNoninferiority criteriaOpioid analgesicsPain intensityPain therapyPrimary outcomeRurality impacts pain care for female veterans similarly to male veterans
Hadlandsmyth K, Driscoll MA, Mares JG, Au V, Miell KR, Lund BC. Rurality impacts pain care for female veterans similarly to male veterans. The Journal Of Rural Health 2022, 39: 313-319. PMID: 35170073, DOI: 10.1111/jrh.12646.Peer-Reviewed Original ResearchConceptsSpecialty care visitsPain careCare visitsChronic painImpact of ruralityClinic visitsPsychiatric medicationsMost psychiatric medicationsLong-term opioidsPrimary care visitsHealth care utilizationCohort of veteransChronic pain careVA administrative dataRural-dwelling veteransMultiple comorbiditiesOpioid prescribingCare utilizationRural veteransMore painMuscle relaxantsUrban veteransMale veteransPainFemale veterans
2021
I smoke to cope with pain: patients’ perspectives on the link between cigarette smoking and pain
Lee M, Snow J, Quon C, Selander K, DeRycke E, Lawless M, Driscoll M, Ditre JW, Mattocks KM, Becker WC, Bastian LA. I smoke to cope with pain: patients’ perspectives on the link between cigarette smoking and pain. Wiener Klinische Wochenschrift 2021, 133: 1012-1019. PMID: 34460005, DOI: 10.1007/s00508-021-01931-x.Peer-Reviewed Original ResearchConceptsChronic painCigarette smokingMean pain intensity scorePain intensity scoresGreater pain intensitySmoking cessation trialPain-related distressYears of ageSelf-management strategiesBackgroundFor peopleConclusionMany patientsPain reliefPain intensityRetrospective thematic analysisCessation trialMedian numberPatient's perspectivePainKey ResultsParticipantsSmokingSmoking behaviorIntensity scoresSmoking studiesGreater painPatientsSex Differences in Use of a Clinical Complexity Measure to Predict Primary Care Utilization
Haskell SG, Han L, Abel EA, Bastian L, Driscoll M, Dziura J, Burg MM, Skanderson M, Brandt CA. Sex Differences in Use of a Clinical Complexity Measure to Predict Primary Care Utilization. Journal Of Women's Health 2021, 31: 71-78. PMID: 34388023, DOI: 10.1089/jwh.2021.0103.Peer-Reviewed Original ResearchConceptsPrimary care utilizationCare utilizationWomen veteransCare Assessment Need (CAN) scoreComplex high-risk patientsHigh-risk patientsRisk stratification toolPotential confounding factorsCorporate Data WarehouseSex differencesVA careVisit utilizationCare coordinationHigher oddsReproductive healthConfounding factorsVeterans AffairsPsychosocial variablesStrong associationQuintileWomenNeed scoresMenVeteransGood predictive accuracyMilitary sexual trauma and suicidal ideation in VHA-care-seeking OEF/OIF/OND veterans without mental health diagnosis or treatment
Decker SE, Ramsey CM, Ronzitti S, Kerns RD, Driscoll MA, Dziura J, Skanderson M, Bathulapalli H, Brandt CA, Haskell SG, Goulet JL. Military sexual trauma and suicidal ideation in VHA-care-seeking OEF/OIF/OND veterans without mental health diagnosis or treatment. Psychiatry Research 2021, 303: 114089. PMID: 34247061, DOI: 10.1016/j.psychres.2021.114089.Peer-Reviewed Original ResearchConceptsMental health diagnosesMilitary sexual traumaVeterans Healthcare AdministrationSuicidal ideationHealth diagnosisSexual traumaRelative risk estimatesOEF/OIF/OND veteransSample of veteransPost-9/11 veteransSuicide risk factorsMental health concernsClinical remindersRisk factorsRelative riskHigh riskMen veteransMental healthcareHealth concernRisk estimatesMST survivorsWomenDiagnosisTraumaVeteransIncorporating walking into cognitive behavioral therapy for chronic pain: safety and effectiveness of a personalized walking intervention
Heapy AA, Tankha H, Higgins DM, Driscoll M, LaChappelle KM, Goulet JL, Buta E, Piette JD, Kerns RD, Krein SL. Incorporating walking into cognitive behavioral therapy for chronic pain: safety and effectiveness of a personalized walking intervention. Journal Of Behavioral Medicine 2021, 44: 260-269. PMID: 33386530, DOI: 10.1007/s10865-020-00193-8.Peer-Reviewed Original ResearchConceptsAdverse eventsCognitive behavioral therapyChronic painBehavioral therapyCBT-CPLongstanding painWalking interventionsDaily stepsTreatment groupsPainInteractive voice responseStudy sampleWeekly goalsSignificant differencesSignificant increaseTherapyTreatmentParticipantsVoice responseSafetyPersonsBaselineWeeks
2020
Co-Operative Pain Education and Self-management (COPES) Expanding Treatment for Real-World Access (ExTRA): Pragmatic Trial Protocol
Heapy AA, Driscoll MA, Buta E, LaChappelle KM, Edmond S, Krein SL, Piette JD, Mattocks K, Murphy JL, DeBar L, MacLean RR, Ankawi B, Kawecki T, Martino S, Wagner T, Higgins DM. Co-Operative Pain Education and Self-management (COPES) Expanding Treatment for Real-World Access (ExTRA): Pragmatic Trial Protocol. Pain Medicine 2020, 21: s21-s28. PMID: 33313733, PMCID: PMC7734659, DOI: 10.1093/pm/pnaa365.Peer-Reviewed Original ResearchConceptsCBT-CPMusculoskeletal painPragmatic trialInteractive voice responseHealth care system factorsPragmatic trial protocolChronic musculoskeletal painVA Medical CenterVeterans Affairs cliniciansDepression symptom severityBudget impact analysisReal-world accessCognitive behavioral therapySecondary outcomesPain intensityPrimary outcomeChronic painPain interferenceSuperiority trialGlobal ImpressionPain educationPatient preferencesTrial protocolMedical CenterReal-world settingIncident Musculoskeletal Conditions Among Men and Women Veterans Returning From Deployment
Haskell SG, Brandt C, Bastian L, Driscoll M, Bathulapalli H, Dziura J. Incident Musculoskeletal Conditions Among Men and Women Veterans Returning From Deployment. Medical Care 2020, 58: 1082-1090. PMID: 32925458, DOI: 10.1097/mlr.0000000000001403.Peer-Reviewed Original ResearchConceptsMSK conditionsAnkle/footVeterans AffairsUpper extremityMen veteransClinical Modification diagnostic codesPercent of womenOperation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn VeteransMSK diagnosesCohort studyNinth RevisionUnadjusted ratesMusculoskeletal conditionsDiagnostic codesIncidence rateOperation New Dawn veteransFirst visitMusculoskeletal injuriesNew Dawn veteransInternational ClassificationWomen veteransLast deploymentWomenVeteransMenThe Relationship Between Body Mass Index and Pain Intensity Among Veterans with Musculoskeletal Disorders: Findings from the MSD Cohort Study
Higgins DM, Buta E, Heapy AA, Driscoll MA, Kerns RD, Masheb R, Becker WC, Hausmann LRM, Bair MJ, Wandner L, Janke EA, Brandt CA, Goulet JL. The Relationship Between Body Mass Index and Pain Intensity Among Veterans with Musculoskeletal Disorders: Findings from the MSD Cohort Study. Pain Medicine 2020, 21: 2563-2572. PMID: 32186722, PMCID: PMC7778330, DOI: 10.1093/pm/pnaa043.Peer-Reviewed Original ResearchConceptsBody mass indexVeterans Health AdministrationPain intensityMass indexFunction of BMILow back pain groupOdds of painBack pain groupOverweight/obesityElectronic health record dataHealth record dataUS military veteransMusculoskeletal disorder diagnosisCohort studyOsteoarthritis groupPain groupMean ageNational cohortHigh prevalenceMSD diagnosisMusculoskeletal disordersPainHealth AdministrationDisorder diagnosisCross-sectional dataPain and emotional eating: further investigation of the Yale Emotional Overeating Questionnaire in weight loss seeking patients
Masheb RM, Douglas ME, Kutz AM, Marsh AG, Driscoll M. Pain and emotional eating: further investigation of the Yale Emotional Overeating Questionnaire in weight loss seeking patients. Journal Of Behavioral Medicine 2020, 43: 479-486. PMID: 32107681, DOI: 10.1007/s10865-020-00143-4.Peer-Reviewed Original Research
2019
Women Veterans’ Experiences with Perceived Gender Bias in U.S. Department of Veterans Affairs Specialty Care
Mattocks K, Casares J, Brown A, Bean-Mayberry B, Goldstein KM, Driscoll M, Haskell S, Bastian L, Brandt C. Women Veterans’ Experiences with Perceived Gender Bias in U.S. Department of Veterans Affairs Specialty Care. Women's Health Issues 2019, 30: 113-119. PMID: 31735581, DOI: 10.1016/j.whi.2019.10.003.Peer-Reviewed Original ResearchConceptsSpecialty care providersPrimary care settingSpecialty careCare providersWomen veteransCare settingsVeterans AffairsWomen veterans' experiencesHealth clinicsHealth trainingWomen's Health TrainingMental health care settingsPrimary care providersWomen's health clinicQuality of careHealth care settingsPatient satisfactionSpecialty providersHormonal fluctuationsVA facilitiesVeterans' experiencesHealth conditionsCareSymptomsWomen
2018
Understanding Gender Differences in Resilience Among Veterans: Trauma History and Social Ecology
Portnoy GA, Relyea MR, Decker S, Shamaskin‐Garroway A, Driscoll M, Brandt CA, Haskell SG. Understanding Gender Differences in Resilience Among Veterans: Trauma History and Social Ecology. Journal Of Traumatic Stress 2018, 31: 845-855. PMID: 30431668, DOI: 10.1002/jts.22341.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaTrauma exposureTraumatic eventsTrauma typesCombat exposureResilience scoresSexual abuseSocial supportTraumatic Life Events QuestionnaireStranger violencePoor psychological outcomesLife Events QuestionnaireUnexpected traumaInterpersonal violenceGender differencesHierarchical linear regressionGreater social supportNoninterpersonal traumaPsychological resilienceInterpersonal traumaDeployment preparednessPsychological outcomesSexual traumaSocial-ecological frameworkTrauma historyPatient Experiences Navigating Chronic Pain Management in an Integrated Health Care System: A Qualitative Investigation of Women and Men
Driscoll MA, Knobf MT, Higgins DM, Heapy A, Lee A, Haskell S. Patient Experiences Navigating Chronic Pain Management in an Integrated Health Care System: A Qualitative Investigation of Women and Men. Pain Medicine 2018, 19: s19-s29. PMID: 30203009, DOI: 10.1093/pm/pny139.Peer-Reviewed Original ResearchConceptsIntegrated health care systemHealth care systemPain careCare systemNational integrated health care systemRate of painChronic pain managementChronic pain patientsVeterans Affairs (VA) careMedication usePain managementPain patientsIntegrated health careProvider communicationPatient educationMedical CenterPatient expectationsPainProvider behaviorConstant comparative approachCareHealth careLogistical barriersWomenWomen's perceptionsVariation in National Opioid Prescribing Patterns Following Surgery for Kidney Stones
Leapman MS, DeRycke E, Skanderson M, Becker WC, Makarov DV, Gross CP, Driscoll M, Motamedinia P, Bathulapalli H, Mattocks K, Brandt CA, Haskell S, Bastian LA. Variation in National Opioid Prescribing Patterns Following Surgery for Kidney Stones. Pain Medicine 2018, 19: s12-s18. PMID: 30203013, DOI: 10.1093/pm/pny125.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderWomen Veterans Cohort StudyOpioid prescribingOpioid prescriptionsSurgical treatmentKidney stonesSignificant public health problemOpioid Prescribing PatternsPostoperative opioid prescribingDiagnosis of PTSDPublic health problemExtracorporeal shockwave lithotripsyOpioid dosingPostoperative painPrescribing patternsCohort studyDose prescribedMedian ageSurgery typeMultivariable analysisOpioid misuseSurgical interventionMedian numberPercutaneous nephrolithotomyMultivariable regressionA Brief, Integrated, Telephone-Based Intervention for Veterans Who Smoke and Have Chronic Pain: A Feasibility Study
Driscoll MA, Perez E, Edmond SN, Becker WC, DeRycke EC, Kerns RD, Bastian LA. A Brief, Integrated, Telephone-Based Intervention for Veterans Who Smoke and Have Chronic Pain: A Feasibility Study. Pain Medicine 2018, 19: s84-s92. PMID: 30203011, DOI: 10.1093/pm/pny144.Peer-Reviewed Original ResearchConceptsChronic painEvidence-based smoking cessationWorst pain intensity scorePain intensity scoresTelephone-delivered interventionChronic pain reportVA healthcare systemCo-occurring smokingCurrent smokingPain intensityPain outcomesSmoking cessationTelephone interventionPrimary carePain reportsVeteran populationSmokingIntensity scoresMeaningful improvementsStudy participantsPilot studyFunctional interferenceHealthcare systemInterventionPainImpact of Cigarette Smoking Status on Pain Intensity Among Veterans With and Without Hepatitis C
Lynch SM, Wilson SM, DeRycke EC, Driscoll MA, Becker WC, Goulet JL, Kerns RD, Mattocks KM, Brandt CA, Bathulapalli H, Skanderson M, Haskell SG, Bastian LA. Impact of Cigarette Smoking Status on Pain Intensity Among Veterans With and Without Hepatitis C. Pain Medicine 2018, 19: s5-s11. PMID: 30203017, DOI: 10.1093/pm/pny146.Peer-Reviewed Original ResearchConceptsHepatitis C virusSevere pain intensityPain intensityElectronic medical recordsCurrent smokersSmoking statusVeterans Health Administration primary care clinicsOperations Enduring Freedom/Iraqi Freedom/New DawnIndependent risk factorInteraction of smokingNumeric rating scalePrimary care clinicsHigher pain intensityCigarette smoking statusICD-9 codesOEF/OIF/OND veteransCross-sectional analysisCohort studyCurrent smokingHepatitis C.Severe painPain managementTobacco smokingCare clinicsChronic painPredictors of Participation in a Nonpharmacological Intervention for Chronic Back Pain
Higgins DM, LaChappelle KM, Serowik KL, Driscoll MA, Lee A, Heapy AA. Predictors of Participation in a Nonpharmacological Intervention for Chronic Back Pain. Pain Medicine 2018, 19: s76-s83. PMID: 30753730, DOI: 10.1093/pm/pny077.Peer-Reviewed Original ResearchConceptsChronic back painPredictors of enrollmentCBT-CPBack painCognitive behavioral therapyEligible patientsMost patientsChronic painPain careEligible participantsPredictors of participationNonpharmacological interventionsNoninferiority trialMedical CenterDuration of participationTreatment doseTrial screeningPatientsPainBehavioral therapyOpioidsRegression analysisEnrollmentPredictorsDoseThe feasibility of a group stress management Liver SMART intervention for patients with end-stage liver disease: A pilot study
Jutagir DR, Saracino RM, Cunningham A, Foran-Tuller KA, Driscoll MA, Sledge WH, Emre SH, Fehon DC. The feasibility of a group stress management Liver SMART intervention for patients with end-stage liver disease: A pilot study. Palliative & Supportive Care 2018, 17: 35-41. PMID: 29860964, PMCID: PMC6279612, DOI: 10.1017/s147895151800024x.Peer-Reviewed Original ResearchConceptsRelaxation training interventionCognitive-behavioral stress management interventionTraining interventionStress managementEnd-stage liver diseaseStress management interventionsPreliminary efficacyDepressive symptomsBeck Anxiety InventoryBeck Depression Inventory-IIPsychological interventionsLiver diseaseAnxiety InventoryNew skillsInventory-IIIntervention effectivenessSmart interventionsEnd-stage liver disease patientsPostintervention surveysSingle transplantation centerLiver disease patientsCourse of treatmentManagement interventionsParticipantsIntervention