Featured Publications
Drug Counselor Responses to Patients’ Pain Reports: A Qualitative Investigation of Barriers and Facilitators to Treating Patients with Chronic Pain in Methadone Maintenance Treatment
Beitel M, Oberleitner L, Kahn M, Kerns RD, Liong C, Madden LM, Ginn J, Barry DT. Drug Counselor Responses to Patients’ Pain Reports: A Qualitative Investigation of Barriers and Facilitators to Treating Patients with Chronic Pain in Methadone Maintenance Treatment. Pain Medicine 2017, 18: 2152-2161. PMID: 28177509, DOI: 10.1093/pm/pnw327.Peer-Reviewed Original ResearchConceptsOpioid use disorderMethadone maintenance treatmentChronic painDrug counselorsMaintenance treatmentTreatment needsUse disordersMedical providersCo-occurring chronic painMethadone maintenance treatment programPain management referralsChronic noncancer painPatient-related barriersMethadone-maintained patientsTreatment of patientsMaintenance treatment programPatients' treatment needsNoncancer painMedication regimensPain managementManagement referralsTreatment adherencePatient improvementPatient reportsPainPhysical activity, psychiatric distress, and interest in exercise group participation among individuals seeking methadone maintenance treatment with and without chronic pain
Beitel M, Stults-Kolehmainen M, Cutter CJ, Schottenfeld RS, Eggert K, Madden LM, Kerns RD, Liong C, Ginn J, Barry DT. Physical activity, psychiatric distress, and interest in exercise group participation among individuals seeking methadone maintenance treatment with and without chronic pain. American Journal On Addictions 2016, 25: 125-131. PMID: 26824197, DOI: 10.1111/ajad.12336.Peer-Reviewed Original ResearchConceptsMethadone maintenance treatmentPhysical activity levelsExercise group participationChronic painPhysical activityPsychiatric distressMaintenance treatmentActivity levelsPast weekVigorous-intensity physical activityExercise of patientsIntensity physical activityExercise groupExercise interventionPainBrief self-report instrumentPatientsLow levelsSelf-report instrumentDistressWeeksDepressionTreatmentGroup participationParticipantsThe psychometric properties of the iowa personality disorder screen in methadone-maintained patients: an initial investigation.
Beitel M, Peters S, Savant JD, Cutter CJ, Cecero JJ, Barry DT. The psychometric properties of the iowa personality disorder screen in methadone-maintained patients: an initial investigation. Journal Of Personality Disorders 2013, 29: 131-44. PMID: 23398100, PMCID: PMC3659190, DOI: 10.1521/pedi_2013_27_081.Peer-Reviewed Original ResearchMeSH KeywordsAdultFactor Analysis, StatisticalFemaleHumansInterview, PsychologicalIowaMaleMass ScreeningMethadoneMiddle AgedOpiate Substitution TreatmentOpioid-Related DisordersPersonality AssessmentPersonality DisordersPersonality InventoryPredictive Value of TestsPsychometricsReproducibility of ResultsSurveys and QuestionnairesConceptsMethadone-maintained patientsIowa Personality Disorder ScreenRace/ethnicityDisorder ScreenSubstance useSelf-reported substance usePsychometric propertiesPain variablesTreatment characteristicsClinical utilityMeasures of psychopathologyInternalizing tendenciesPatientsTotal scoreFurther investigationTwo-factor structureTwo-factor solutionExploratory factor analysisPsychopathologyEthnicityPainInitial investigationFactorsHypersensitivityPsychopathology and Pain Correlates of Dispositional Optimism in Methadone‐Maintained Patients
Beitel M, Savant JD, Cutter CJ, Peters S, Belisle N, Barry DT. Psychopathology and Pain Correlates of Dispositional Optimism in Methadone‐Maintained Patients. American Journal On Addictions 2012, 21: s56-s62. PMID: 23786512, PMCID: PMC3703875, DOI: 10.1111/j.1521-0391.2012.00293.x.Peer-Reviewed Original ResearchConceptsMethadone maintenance treatmentMMT patientsChronic painDispositional optimismCurrent chronic painOpioid-dependent patientsOpioid treatment programsOpioid use disorderEmotional strainPosttraumatic stress disorderPain correlateMultivariable analysisMaintenance treatmentClinical correlatesDependent patientsLow levelsPersonality disorder criteriaPaucity of studiesHigh levelsUse disordersPatientsPainTreatment programDisorder criteriaStress disorder
2022
Chapter 22 Cognitive behavioral therapy for chronic pain and opioid use disorder
Gazzola M, Beitel M, Cutter C, Barry D. Chapter 22 Cognitive behavioral therapy for chronic pain and opioid use disorder. 2022, 235-246. DOI: 10.1016/b978-0-12-820237-1.00022-3.Peer-Reviewed Original ResearchOpioid use disorderCognitive behavioral therapyChronic painUse disordersBehavioral therapyClinical management challengesComorbid chronic painPain management interventionsChronic medical conditionsCommon clinical problemPoor pain managementNonopioid pharmacotherapyPromising psychotherapyPain managementIllicit opioidsPsychiatric comorbidityOptimal treatmentMedical conditionsPainClinical problemPatientsSubstance useDisordersBiopsychosocial modelTherapy
2021
Psychiatric comorbidity and order of condition onset among patients seeking treatment for chronic pain and opioid use disorder
Barry DT, Beitel M, Cutter CJ, Fiellin DA, Madden LM, Lipkind N, Bollampally P, Liong C, Schottenfeld RS. Psychiatric comorbidity and order of condition onset among patients seeking treatment for chronic pain and opioid use disorder. Drug And Alcohol Dependence 2021, 221: 108608. PMID: 33667784, PMCID: PMC8026725, DOI: 10.1016/j.drugalcdep.2021.108608.Peer-Reviewed Original ResearchConceptsOpioid use disorderChronic painPsychiatric comorbidityCondition onsetUse disordersNonopioid substance use disordersDSM-IV-TR Axis I DisordersFirst groupComorbid chronic painStructured Clinical InterviewAxis I DisordersAxis II disordersSubstance use disordersDSM-IV personality disordersStandardized training protocolSame time groupsPotential treatment implicationsClinical trialsDoctoral-level providersI disordersMultinomial logistic regressionPrimary drugClinical InterviewPainDiagnostic Interview
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 measures
2019
(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
2014
Prevalence of psychiatric disorders among treatment-seeking individuals with co-occurring chronic pain and opioid dependence
Barry D, Cutter C, Beitel M, Liong C, Schottenfeld R. Prevalence of psychiatric disorders among treatment-seeking individuals with co-occurring chronic pain and opioid dependence. Drug And Alcohol Dependence 2014, 140: e11-e12. DOI: 10.1016/j.drugalcdep.2014.02.053.Peer-Reviewed Original Research
2010
Allopathic, Complementary, and Alternative Medical Treatment Utilization for Pain among Methadone‐Maintained Patients
Barry D, Beitel M, Cutter C, Garnet B, Joshi D, Schottenfeld R, Rounsaville B. Allopathic, Complementary, and Alternative Medical Treatment Utilization for Pain among Methadone‐Maintained Patients. American Journal On Addictions 2010, 18: 379-385. DOI: 10.1080/10550490903077671.Peer-Reviewed Original ResearchChronic severe painPain treatmentTreatment utilizationMethadone maintenance treatment program (MMTP) patientsMedical treatment utilizationPain treatment utilizationAlternative medicine utilizationPain reductionSevere painProgram patientsSP patientsMedicine utilizationPainPatientsEquivalent high ratesTreatmentHigh rateSimilar ratesProgram planningMMTPMethadone