Research Topics
| S K DobschaSummaryCountry: USA Publications
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Publications
Use of videoconferencing for depression research: enrollment, retention, and patient satisfactionSteven K Dobscha
Behavior Health and Clinical Neurosciences Division, Portland VA Medical Center, Portland, Oregon 97207, USA
Telemed J E Health 11:84-9. 2005..Videoconferencing allows patients in rural and remote locations to participate in psychiatric research and expands sources of recruitment for research projects...- Psychiatry resident graduate comfort with general medical issues: impact of an integrated psychiatry-primary medical care training trackSteven K Dobscha
Portland VA Medical Center, Behavior Health and Clinical Neurosciences Division, Oregon 97207, USA
Acad Psychiatry 29:448-51. 2005..To determine if a psychiatry-primary medical care (PPMC) training track impacts comfort and behaviors related to addressing general medical issues after residency... - Reducing drug costs at a Veterans Affairs hospital by increasing market-share of generic fluoxetineSteven K Dobscha
Behavioral Health and Clinical Neurosciences Division, Portland VA Medical Center, Portland, OR 97207, USA
Community Ment Health J 43:75-84. 2007..The results highlight the robustness and flexibility of the intervention approach... - Measuring depression and pain with home health monitorsSteven K Dobscha
Behavior Health and Clinical Neuroscience Division, Portland VA Medical Center, Portland, Oregon 97207, USA
Telemed J E Health 12:702-6. 2006..These results suggest that with modifications, home health monitoring shows promise for monitoring symptom severity for a variety of medical and mental health conditions, for either clinical or research purposes... - Oregon physicians' responses to requests for assisted suicide: a qualitative studySteven K Dobscha
Department of Veterans Affairs, Portland, Oregon 97207, USA
J Palliat Med 7:451-61. 2004..Physicians rarely sought support from colleagues; instead, they tended to discuss emotional aspects of their experiences with their spouses... 
Associations between race and ethnicity and receipt of advice about alcohol use in the Department of Veterans AffairsSteven K Dobscha
Portland Department of Veterans Affairs VA Medical Center, P O Box 1034 P3MHADM, Portland, OR 97207, USA
Psychiatr Serv 60:663-70. 2009..This study sought to identify racial and ethnic differences in rates of alcohol-related advice given to veterans treated in Veterans Affairs (VA) facilities...- A program for teaching psychiatric residents to provide integrated psychiatric and primary medical careS K Dobscha
Behavior Health and Clinical Neurosciences Division, Portland Veterans Affairs Medical Center, OR 97207, USA
Psychiatr Serv 52:1651-3. 2001..Patients frequently missed appointments. Barriers to starting and maintaining the program included space constraints and the amount of supervision required... - Oregon physicians' perceptions of patients who request assisted suicide and their familiesLinda Ganzini
Department of Veterans Affairs, Oregon Health and Science University, Portland, Oregon 97239, USA
J Palliat Med 6:381-90. 2003..Many family members were reluctant to support these requests until they recognized the strength of the preference... - Effectiveness of an intervention to improve primary care provider recognition of depressionS K Dobscha
Division of Hospital and Specialty Medicine, Portland Veterans Affairs Medical Center, Portland, Ore, USA
Eff Clin Pract 4:163-71. 2001..While systematic screening has the potential to improve recognition, providers may overlook screening results because of barriers to accessing the information and the need to address multiple health care issues... 
Prevalence of depression and anxiety in patients requesting physicians' aid in dying: cross sectional surveyLinda Ganzini
Columbia Center for the Study of Chronic, Comorbid Mental and Physical Disorders, Health Services Research and Development, Portland Veterans Affairs Medical Center, PO Box 1034, Portland, OR 97239, USA
BMJ 337:a1682. 2008..To determine the prevalence of depression and anxiety in terminally ill patients pursuing aid in dying from physicians...- Veterans affairs primary care clinicians' attitudes toward chronic pain and correlates of opioid prescribing ratesSteven K Dobscha
Columbia Center for the Study of Chronic, Comorbid Mental and Physical Disorders, Portland VA Medical Center, Portland, Oregon 97207, USA
Pain Med 9:564-71. 2008..A secondary objective was to explore relationships between clinician and practice characteristics and an objective measure of opioid prescribing rates... - Rationale, design, and baseline findings from a randomized trial of collaborative care for chronic musculoskeletal pain in primary careSteven K Dobscha
Columbia Center for Study of Chronic, Comorbid Physical and Mental Disorders, Portland VA Medical Center, Portland, Oregon 97207, USA
Pain Med 9:1050-64. 2008..This article describes the rationale, design, and baseline findings from an ongoing study of collaborative care for chronic musculoskeletal pain and comorbid depression... - Collaborative care for chronic pain in primary care: a cluster randomized trialSteven K Dobscha
Portland Center for the Study of Chronic, Comorbid Mental and Physical Disorders, Portland, OR, USA
JAMA 301:1242-52. 2009..Chronic pain is common in primary care patients and is associated with distress, disability, and increased health care use... - Oregonians' reasons for requesting physician aid in dyingLinda Ganzini
Research Service, Portland Veterans Affairs Medical Center, PO Box 1034, Portland, OR 97239, USA
Arch Intern Med 169:489-92. 2009..Oregon is the only US jurisdiction with a legal process, the Oregon Death with Dignity Act, that allows terminally ill patients to obtain physician aid in dying (PAD)... - Suicide risk assessment and content of VA health care contacts before suicide completion by veterans in OregonLauren M Denneson
Portland Center for the Study of Chronic, Comorbid Physical and Mental Disorders, Portland Veterans Affairs Medical Center, 3710 S W U S Veterans Hospital Rd, Portland, OR 97207, USA
Psychiatr Serv 61:1192-7. 2010..This study described health care contacts at a Department of Veterans Affairs (VA) medical center in Oregon in the year before death of veterans who completed suicide... - Mental health outcomes of family members of Oregonians who request physician aid in dyingLinda Ganzini
Portland Center for the Study of Chronic, Comorbid Mental and Physical Disorders, Health Services Research and Development, Research Service R and D 66, Portland Veterans Affairs Medical Center, Portland, Oregon 97239, USA
J Pain Symptom Manage 38:807-15. 2009..In summary, pursuit of aid in dying does not have negative effects on surviving family members and may be associated with greater preparation and acceptance of death... - Associations between race and ethnicity and treatment for chronic pain in the VASteven K Dobscha
Portland Center for the Study of Chronic, Comorbid Physical and Mental Disorders, Portland Veterans Affairs Medical Center, Portland, Oregon 97207, USA
J Pain 10:1078-87. 2009..Further research is needed to understand the reasons for these differences and their potential clinical implications... - Systematic review of the literature on pain in patients with polytrauma including traumatic brain injurySteven K Dobscha
Portland Center for the Study of Chronic, Comorbid Physical and Mental Disorders, Portland Veterans Affairs Medical Center, Portland, OR 97207, USA
Pain Med 10:1200-17. 2009.... - Problems of quality and equity in pain management: exploring the role of biomedical cultureMegan Crowley-Matoka
University of Pittsburgh and Research Scientist, Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA 15206, USA
Pain Med 10:1312-24. 2009..To explore how social scientific analyses of the culture of biomedicine may contribute to advancing our understanding of ongoing issues of quality and equity in pain management... - VA healthcare costs of a collaborative intervention for chronic pain in primary careKathryn C Dickinson
Portland Center for the Study of Chronic, Comorbid Mental and Physical Disorders, Portland VA Medical Center, Portland, OR 97207, USA
Med Care 48:38-44. 2010..The objectives of this article are to report the incremental benefit and incremental health services costs of a collaborative intervention for chronic pain from a veterans affairs (VA) healthcare perspective... - Clinical characteristics of veterans prescribed high doses of opioid medications for chronic non-cancer painBenjamin J Morasco
Mental Health and Clinical Neurosciences Division, Portland VA Medical Center, Department of Psychiatry, Oregon Health and Science University, Portland, OR 97239, USA
Pain 151:625-32. 2010..0% received concurrent benzodiazepine prescriptions, which may increase risk for overdose and death. Further study is needed to identify better predictors of high-dose usage, as well as the efficacy and safety of such dosing... - Pain, substance use disorders and opioid analgesic prescription patterns in veterans with hepatitis CAshlee J Whitehead
Northwest Hepatitis C Resource Center, Portland, OR, USA
J Pain Symptom Manage 36:39-45. 2008..13.4 days, P<0.001). These data demonstrate that pain and SUD diagnoses were common among HCV+ patients, and that opioids were frequently prescribed. Co-occurring SUD was not associated with indicators of prescription opioid misuse... - Prescription medication misuse and substance use disorder in VA primary care patients with chronic painBenjamin J Morasco
Behavioral Health and Clinical Neurosciences Division, Portland VA Medical Center, Department of Psychiatry, Oregon Health and Science University, Portland, OR 97219, USA
Gen Hosp Psychiatry 30:93-9. 2008.... - Strategies to decrease costs of prescribing selective serotonin reuptake inhibitors at a VA Medical CenterSteven K Dobscha
Portland Veterans Affairs Medical Center, Oregon 97207, USA
Psychiatr Serv 54:195-200. 2003..The authors examined the efficacy of a multifaceted intervention designed to contain the cost of prescribing selective serotonin reuptake inhibitors (SSRIs) to inpatients and outpatients served by a Veterans Affairs (VA) medical center... - Measuring adherence to depression treatment guidelines in a VA primary care clinicSteven K Dobscha
Behavior Health and Clinical Neurosciences Division, Portland VA Medical, Center, Portland, OR
Gen Hosp Psychiatry 25:230-7. 2003..More research is needed to determine the validity of the DGM and the impact of guideline adherence on depression outcomes... - Screening for depression and suicidality in a VA primary care setting: 2 items are better than 1 itemKathryn Corson
Portland VA Medical Center, Portland, OR 97207, USA
Am J Manag Care 10:839-45. 2004.... - Integration and coordination of pain management in primary careJohn D Otis
Psychology Service, VA Boston Healthcare System and Boston University, Boston, MA 02130, USA
J Clin Psychol 62:1333-43. 2006..The article concludes with a discussion of issues that frequently arise when integrating psychological treatment for pain in primary care settings... - Depression decision support in primary care: a cluster randomized trialSteven K Dobscha
Portland Veterans Affairs Medical Center, Oregon Health and Science University, and Oregon State University, Portland, Oregon 97207, USA
Ann Intern Med 145:477-87. 2006..Intensive collaborative interventions improve depression outcomes, but the benefit of less intensive interventions is not clear... - Screening for posttraumatic stress disorder in VA primary care patients with depression symptomsMartha S Gerrity
Division of Hospital and Specialty Medicine, Portland VA Medical Center, Portland, OR, USA
J Gen Intern Med 22:1321-4. 2007..Unrecognized posttraumatic stress disorder (PTSD) is common and may be an important factor in treatment-resistant depression. Brief screens for PTSD have not been evaluated for patients with depression... - Depression treatment preferences of VA primary care patientsSteven K Dobscha
Center for the Study of Chronic, Comorbid Mental and Physical Disorders, Portland VA Medical Center, Portland, OR 97207, USA
Psychosomatics 48:482-8. 2007..quot; Although the treatment that was offered was associated with treatment preferences, being offered preferred treatment was not associated with receiving treatment or with changes in depression severity or satisfaction over time... - Why Oregon patients request assisted death: family members' viewsLinda Ganzini
Columbia Center for the Study of Chronic, Comorbid Mental and Physical Disorders, Health Services Research and Development, Research Service R and D 66, Portland VAMC, Portland, OR 97239, USA
J Gen Intern Med 23:154-7. 2008..Physician assisted death (PAD) was legalized through Oregon's Death with Dignity Act in 1994 and enacted in 1997... - Clarifying distinctions between contemplating and completing physician-assisted suicideLinda Ganzini
Oregon Health and Sciences University, Portland, USA
J Clin Ethics 15:119-22. 2004 - Clinical outcomes of integrated psychiatric and general medical careKristen Snyder
Department of Veterans Affairs, Veterans Health Administration, Mental Health Division, Acute Psychiatry, Portland, OR, USA
Community Ment Health J 44:147-54. 2008..This study suggests that integrated care can be provided to chronically mentally ill patients in a primary care setting and generate outcomes comparable to those of standard care... - Adherence with referrals for outpatient follow-up from a VA psychiatric emergency roomS K Dobscha
Mental Health Division, Portland VA Medical Center, OR 92707, USA
Community Ment Health J 35:451-8. 1999..At twelve weeks, the diagnosis of substance abuse was associated with worse ongoing adherence. The results underscore the need to develop interventions targeting patients at highest risk of poor adherence... - If it isn't depressionLinda Ganzini
J Palliat Med 6:927-30. 2003 - Depression and suicidal ideation in patients who discontinue the life-support treatment of dialysisLewis M Cohen
Department of Psychiatry, Baystate Medical Center, Springfield, Massachusetts 01199, USA
Psychosom Med 64:889-96. 2002..The objective of this study was to determine the prevalence of major depression and suicidal ideation in patients who stop the life-support treatment of dialysis...