Featured Publications
Experiences of Burnout among Drug Counselors in A Large Opioid Treatment Program: A Qualitative Investigation
Beitel M, Oberleitner L, Muthulingam D, Oberleitner D, Madden LM, Marcus R, Eller A, Bono MH, Barry DT. Experiences of Burnout among Drug Counselors in A Large Opioid Treatment Program: A Qualitative Investigation. Substance Abuse 2018, 39: 211-217. PMID: 29522381, DOI: 10.1080/08897077.2018.1449051.Peer-Reviewed Original ResearchConceptsExperience of burnoutDrug counselorsTreatment programJob-related demandsIndividual semi-structured interviewsWork engagementCounselor burnoutBurnoutCounselor feedbackPhysiological symptomsSemi-structured interviewsCounselorsQualitative investigationParticipantsPossible experienceSystem-level changesCounselor descriptionsExperienceProgram settingsOpioid treatment programsTreatment gapMultidisciplinary teamEngagementProgramTranscribedPsychotherapy With American Indians: An Exploration of Therapist-Rated Techniques in Three Urban Clinics
Beitel M, Myhra LL, Gone JP, Barber JP, Miller A, Rasband A, Cutter CJ, Schottenfeld RS, Barry DT. Psychotherapy With American Indians: An Exploration of Therapist-Rated Techniques in Three Urban Clinics. Psychotherapy 2018, 55: 45-51. PMID: 29565621, DOI: 10.1037/pst0000156.Peer-Reviewed Original ResearchDrug 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 investigationFactorsHypersensitivityDo psychologically‐minded clients expect more from counselling?
Beitel M, Hutz A, Sheffield KM, Gunn C, Cecero JJ, Barry DT. Do psychologically‐minded clients expect more from counselling? Psychology And Psychotherapy Theory Research And Practice 2009, 82: 369-383. PMID: 19527565, DOI: 10.1348/147608309x436711.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAwarenessCharacterCognitive Behavioral TherapyCounselingCross-Sectional StudiesFemaleHumansMaleMiddle AgedPatient ParticipationPatient SatisfactionPersonality InventoryProfessional-Patient RelationsPsychoanalytic TherapyPsychometricsReproducibility of ResultsSurveys and QuestionnairesTreatment OutcomeYoung AdultConceptsPsychological mindednessPositive outcomesPsychological Mindedness ScaleClient expectationsParticipant volunteersPersonality stylesCounselling questionnaireCross-sectional designDispositional optimismSession behaviorLife orientationSouthwestern US universityStudy variablesMindednessGreat expectationsCounsellingExpectationsClientsUS universitiesHigh levelsRelationshipTherapistsCounselorsParticipantsOptimismPsychopathology 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 disorderReflections by Inner-City Drug Users on a Buddhist-Based Spirituality-Focused Therapy: A Qualitative Study
Beitel M, Genova M, Schuman-Olivier Z, Arnold R, Avants SK, Margolin A. Reflections by Inner-City Drug Users on a Buddhist-Based Spirituality-Focused Therapy: A Qualitative Study. American Journal Of Orthopsychiatry 2007, 77: 1-9. PMID: 17352579, DOI: 10.1037/0002-9432.77.1.1.Peer-Reviewed Original ResearchConceptsSpirituality-focused interventionsSpiritual Self-Schema TherapyHIV risk behaviorsInner-city drug usersTreatment of addictionClinical trialsHIV preventionQualitative studyDrug usersDrug abstinenceTherapyTherapy development processAddiction treatmentInterventionSemistructured interviewsFocus groupsTreatmentAddicted clientsPersonal experienceClient's personal experienceAbstinence
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
A qualitative investigation of addiction counselors' perceptions and experiences implementing an open-access model for treating opioid use disorder
Oberleitner LMS, Madden LM, Muthulingam D, Marcus R, Oberleitner DE, Beitel M, Gaeta M, Tamberelli JF, Barry DT. A qualitative investigation of addiction counselors' perceptions and experiences implementing an open-access model for treating opioid use disorder. Journal Of Substance Use And Addiction Treatment 2020, 121: 108191. PMID: 33357602, PMCID: PMC7770334, DOI: 10.1016/j.jsat.2020.108191.Peer-Reviewed Original ResearchConceptsMethadone maintenance treatmentTreatment programOpioid treatment programsOpioid use disorderMaintenance treatmentTreatment optionsMethadone maintenanceUse disordersProspective patientsIndividual semi-structured interviewsCounselors' perceptionsTreatment organizationsInterdisciplinary teamCliniciansAddiction counselorsSemi-structured interviewsAlexithymia 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 measuresCorrelates of Homelessness Among Patients in Methadone Maintenance Treatment
Gaeta M, Beitel M, Oberleitner LMS, Oberleitner DE, Madden LM, Tamberelli JF, Barry DT. Correlates of Homelessness Among Patients in Methadone Maintenance Treatment. Medical Care 2020, 58: 1030-1034. PMID: 32925463, PMCID: PMC7668351, DOI: 10.1097/mlr.0000000000001414.Peer-Reviewed Original ResearchConceptsOpioid use disorderImportant public health roleLogistic regressionMethadone maintenance treatment programImportant public health issueTreatment-related correlatesCorrelates of homelessnessPercent of patientsMethadone maintenance treatmentFinal logistic regression modelMaintenance treatment programPublic health roleSymptoms of depressionBivariate logistic regressionPublic health issueLogistic regression modelsMaintenance treatmentUse disordersPatientsSignificant independent variablesHealth roleBivariate analysisTreatment programPast monthHigher symptomsCorrelates of sleep quality and excessive daytime sleepiness in people with opioid use disorder receiving methadone treatment
Baldassarri SR, Beitel M, Zinchuk A, Redeker NS, Oberleitner DE, Oberleitner LMS, Carrasco D, Madden LM, Lipkind N, Fiellin DA, Bastian LA, Chen K, Yaggi HK, Barry DT. Correlates of sleep quality and excessive daytime sleepiness in people with opioid use disorder receiving methadone treatment. Sleep And Breathing 2020, 24: 1729-1737. PMID: 32556918, PMCID: PMC7680294, DOI: 10.1007/s11325-020-02123-z.Peer-Reviewed Original ResearchConceptsOpioid use disorderExcessive daytime sleepinessDaytime sleepinessSleep qualityChronic painExcessive daytimeUse disordersConclusionsPoor sleep qualityCurrent chronic painModifiable risk factorsImpaired sleep qualityMultivariable linear regression modelsBody mass indexPoor sleep qualityNon-significant associationMass indexMultivariable analysisPain interferenceRelated comorbiditiesMethadone treatmentClinical correlatesMean PSQIRisk factorsSleep disordersResultsNinety percent
2007
A preliminary study of spiritual self‐schema (3‐S+) therapy for reducing impulsivity in HIV‐positive drug users
Margolin A, Schuman‐Olivier Z, Beitel M, Arnold R, Fulwiler C, Avants S. A preliminary study of spiritual self‐schema (3‐S+) therapy for reducing impulsivity in HIV‐positive drug users. Journal Of Clinical Psychology 2007, 63: 979-999. PMID: 17828761, DOI: 10.1002/jclp.20407.Peer-Reviewed Original Research
2006
A controlled study of a spirituality-focused intervention for increasing motivation for HIV prevention among drug users.
Margolin A, Beitel M, Schuman-Olivier Z, Avants S. A controlled study of a spirituality-focused intervention for increasing motivation for HIV prevention among drug users. AIDS Education And Prevention 2006, 18: 311-22. PMID: 16961448, DOI: 10.1521/aeap.2006.18.4.311.Peer-Reviewed Original ResearchConceptsHIV risk behaviorsHIV preventive behaviorsHIV preventionStandard careTreatment completionSpiritual Self-Schema TherapyPreventive behaviorsRisk behaviorsMethadone-maintained clientsDrug usersSeverity measuresTherapySpirituality-focused interventionsPreventionTherapy sessionsGreater increasePretreatment behaviorsAddiction severity measuresCareInterventionAttendanceSessionsCompletionCorrelational analysisWeeks