Steven K Dobscha

Summary

Country: USA

Publications

  1. ncbi Measuring depression and pain with home health monitors
    Steven K Dobscha
    Behavior Health and Clinical Neuroscience Division, Portland VA Medical Center, Portland, Oregon 97207, USA
    Telemed J E Health 12:702-6. 2006
  2. ncbi Associations between race and ethnicity and treatment for chronic pain in the VA
    Steven 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
  3. ncbi Screening for posttraumatic stress disorder in VA primary care patients with depression symptoms
    Martha S Gerrity
    Division of Hospital and Specialty Medicine, Portland VA Medical Center, Portland, OR, USA
    J Gen Intern Med 22:1321-4. 2007
  4. ncbi Brief assessment for suicidal ideation in OEF/OIF veterans with positive depression screens
    Steven K Dobscha
    Portland Center for the Study of Chronic, Comorbid Physical and Mental Disorders, Portland Veterans Affairs Medical Center, Portland, OR, USA Department of Psychiatry, Oregon Health and Science University, Portland, OR, USA Electronic address
    Gen Hosp Psychiatry 35:272-8. 2013
  5. ncbi Correlates of prescription opioid initiation and long-term opioid use in veterans with persistent pain
    Steven K Dobscha
    Mental Health and Clinical Neurosciences Division, Portland VA Medical Center, OR 97239, USA
    Clin J Pain 29:102-8. 2013
  6. ncbi Veterans affairs primary care clinicians' attitudes toward chronic pain and correlates of opioid prescribing rates
    Steven 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
  7. ncbi Collaborative care for chronic pain in primary care: a cluster randomized trial
    Steven K Dobscha
    Portland Center for the Study of Chronic, Comorbid Mental and Physical Disorders, Portland, OR, USA
    JAMA 301:1242-52. 2009
  8. ncbi Depression treatment preferences of VA primary care patients
    Steven 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
  9. ncbi Systematic review of the literature on pain in patients with polytrauma including traumatic brain injury
    Steven 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
  10. ncbi Depression decision support in primary care: a cluster randomized trial
    Steven 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

Detail Information

Publications52

  1. ncbi Measuring depression and pain with home health monitors
    Steven 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...
  2. ncbi Associations between race and ethnicity and treatment for chronic pain in the VA
    Steven 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...
  3. ncbi Screening for posttraumatic stress disorder in VA primary care patients with depression symptoms
    Martha 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...
  4. ncbi Brief assessment for suicidal ideation in OEF/OIF veterans with positive depression screens
    Steven K Dobscha
    Portland Center for the Study of Chronic, Comorbid Physical and Mental Disorders, Portland Veterans Affairs Medical Center, Portland, OR, USA Department of Psychiatry, Oregon Health and Science University, Portland, OR, USA Electronic address
    Gen Hosp Psychiatry 35:272-8. 2013
    ..We describe processes, rates, and patient and system correlates of brief structured assessments (BSAs) for suicidal ideation among Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans with positive depression screens...
  5. ncbi Correlates of prescription opioid initiation and long-term opioid use in veterans with persistent pain
    Steven K Dobscha
    Mental Health and Clinical Neurosciences Division, Portland VA Medical Center, OR 97239, USA
    Clin J Pain 29:102-8. 2013
    ..We sought to describe patterns of prescription opioid initiation, identify correlates of opioid initiation, and examine correlates of receipt of chronic opioid therapy (COT) among veterans with persistent noncancer pain...
  6. ncbi Veterans affairs primary care clinicians' attitudes toward chronic pain and correlates of opioid prescribing rates
    Steven 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...
  7. ncbi Collaborative care for chronic pain in primary care: a cluster randomized trial
    Steven 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...
  8. ncbi Depression treatment preferences of VA primary care patients
    Steven 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...
  9. ncbi Systematic review of the literature on pain in patients with polytrauma including traumatic brain injury
    Steven 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
    ....
  10. ncbi Depression decision support in primary care: a cluster randomized trial
    Steven 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...
  11. ncbi Rationale, design, and baseline findings from a randomized trial of collaborative care for chronic musculoskeletal pain in primary care
    Steven 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...
  12. ncbi Primary care clinician adherence to guidelines for the management of chronic musculoskeletal pain: results from the study of the effectiveness of a collaborative approach to pain
    Kathryn Corson
    Portland Center for the Study of Chronic, Comorbid Mental and Physical Disorders, Portland VA Medical Center, Portland, Oregon 97207, USA
    Pain Med 12:1490-501. 2011
    ..The intervention featured patient and primary care clinician education, symptom monitoring and feedback to clinicians by the intervention team...
  13. ncbi The effects of age on initiation of mental health treatment after positive PTSD screens among Veterans Affairs primary care patients
    Mary W Lu
    Mental Health and Neurosciences Division, Portland VA Medical Center, Portland, OR, USA
    Gen Hosp Psychiatry 34:654-9. 2012
    ..The objective was to examine differences by age in mental health treatment initiation in Veterans Health Administration (VA) primary care patients after positive posttraumatic stress disorder (PTSD) screens...
  14. ncbi Association between substance use disorder status and pain-related function following 12 months of treatment in primary care patients with musculoskeletal pain
    Benjamin J Morasco
    Mental Health and Clinical Neurosciences Division, Portland VA Medical Center, Portland, Oregon, USA
    J Pain 12:352-9. 2011
    ..Providers should assess for SUD status and provide more intensive interventions for these patients...
  15. ncbi Use of videoconferencing for depression research: enrollment, retention, and patient satisfaction
    Steven 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...
  16. ncbi Prevalence of depression and anxiety in patients requesting physicians' aid in dying: cross sectional survey
    Linda 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...
  17. ncbi Oregon physicians' responses to requests for assisted suicide: a qualitative study
    Steven 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...
  18. ncbi Associations between race and ethnicity and receipt of advice about alcohol use in the Department of Veterans Affairs
    Steven 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...
  19. ncbi Clinical characteristics of veterans prescribed high doses of opioid medications for chronic non-cancer pain
    Benjamin 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...
  20. ncbi Pain, substance use disorders and opioid analgesic prescription patterns in veterans with hepatitis C
    Ashlee 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...
  21. ncbi Prescription medication misuse and substance use disorder in VA primary care patients with chronic pain
    Benjamin 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
    ....
  22. ncbi Characteristics and VA health care utilization of U.S. Veterans who completed suicide in Oregon between 2000 and 2005
    Chandra Basham
    ZoomCare, P C, Hillsboro, OR, USA
    Suicide Life Threat Behav 41:287-96. 2011
    ..Of these, 33% completed suicide within 30 days of a hospitalization. Further development of suicide prevention strategies for veterans in the community, including general medical treatment settings, is indicated...
  23. ncbi Mental health outcomes of family members of Oregonians who request physician aid in dying
    Linda 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...
  24. ncbi Oregonians' reasons for requesting physician aid in dying
    Linda 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)...
  25. ncbi Prescription opioids for back pain and use of medications for erectile dysfunction
    Richard A Deyo
    Departments of Family Medicine, Medicine, Public Health and Preventive Medicine, Center for Research on Occupational and Environmental Toxicology, and Kaiser Center for Health Research, Portland, OR Kaiser Permanente Center for Health Research, Portland, OR Public Health and Preventive Medicine, Portland, OR and Department of Psychiatry and Portland VA Medical Center, Portland, OR
    Spine (Phila Pa 1976) 38:909-15. 2013
    ..These findings may be important in the process of decision making for the long-term use of opioids.Level of Evidence: 4...
  26. ncbi VA healthcare costs of a collaborative intervention for chronic pain in primary care
    Kathryn 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...
  27. ncbi Reducing drug costs at a Veterans Affairs hospital by increasing market-share of generic fluoxetine
    Steven 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...
  28. ncbi Why Oregon patients request assisted death: family members' views
    Linda 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...
  29. ncbi Clinical outcomes of integrated psychiatric and general medical care
    Kristen 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...
  30. ncbi Screening for depression and suicidality in a VA primary care setting: 2 items are better than 1 item
    Kathryn Corson
    Portland VA Medical Center, Portland, OR 97207, USA
    Am J Manag Care 10:839-45. 2004
    ....
  31. ncbi Suicide risk assessment and content of VA health care contacts before suicide completion by veterans in Oregon
    Lauren 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...
  32. ncbi Opioids for back pain patients: primary care prescribing patterns and use of services
    Richard A Deyo
    Department of Family Medicine, Oregon Health and Science University, Portland, OR 972329, USA
    J Am Board Fam Med 24:717-27. 2011
    ..We examined whether the prevalence of unhealthy lifestyles, psychologic distress, health care utilization, and co-prescribing of sedative-hypnotics increased with increasing duration of prescription opioid use...
  33. ncbi Complementary and alternative medicine use among veterans with chronic noncancer pain
    Lauren M Denneson
    Portland VA Medical Center, PO Box 1034 P3DEP_PC, Portland, OR 97207, USA
    J Rehabil Res Dev 48:1119-28. 2011
    ..Implications for VA policy and practice and for clinicians treating veterans with chronic pain are discussed...
  34. ncbi Measuring adherence to depression treatment guidelines in a VA primary care clinic
    Steven 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...
  35. ncbi Alcohol consumption and health status in very old veterans
    Lauren M Denneson
    Portland Center for Study of Chronic, Comorbid Physical and Mental Disorders, Portland Veterans Affairs Medical Center, Portland, OR 97207, USA
    J Geriatr Psychiatry Neurol 24:39-43. 2011
    ..These results suggest many very old veterans abstain from alcohol and, among men, the associations between health status and drinking observed in younger groups may not be present in very old age...
  36. ncbi Systematic review of prevalence, correlates, and treatment outcomes for chronic non-cancer pain in patients with comorbid substance use disorder
    Benjamin J Morasco
    Department of Psychiatry, Oregon Health and Science University, USA
    Pain 152:488-97. 2011
    ..Research is needed to increase understanding of the prevalence, correlates, and responses to treatment of CNCP patients with comorbid SUDs...
  37. ncbi Correlates of utilization of PTSD specialty treatment among recently diagnosed veterans at the VA
    Mary W Lu
    Mental Health and Neurosciences Division, Portland VA Medical Center, 3710 SW US Veterans Hospital Rd, Portland, OR 97239, USA
    Psychiatr Serv 62:943-9. 2011
    ..It also identified predictors of receiving minimally adequate specialty treatment, defined as attending at least nine clinic visits within 365 days of screening positive for PTSD...
  38. ncbi Chronic pain treatment and health service utilization of veterans with hepatitis C virus infection
    Travis I Lovejoy
    Mental Health and Clinical Neurosciences Division, Portland VA Medical Center, Portland, Oregon 97239, USA
    Pain Med 13:1407-16. 2012
    ..The primary purpose of this study was to compare health service utilization of U.S. military veterans with HCV with and without the presence of comorbid chronic pain...
  39. ncbi The relationship between PTSD and chronic pain: mediating role of coping strategies and depression
    Benjamin J Morasco
    Mental Health and Clinical Neurosciences Division, Portland VA Medical Center, Portland, OR 97239, USA
    Pain 154:609-16. 2013
    ..Future research should examine whether changes in types of coping strategies after targeted treatments predict improvements in pain-related function for chronic pain patients with concurrent PTSD...
  40. ncbi Smoking cigarettes as a coping strategy for chronic pain is associated with greater pain intensity and poorer pain-related function
    Alexander L Patterson
    Mental Health and Clinical Neurosciences Division, Portland VA Medical Center, Portland, OR, USA
    J Pain 13:285-92. 2012
    ..Understanding this relationship may illuminate the broader relationship between smoking and chronic pain and provide new directions for effective interdisciplinary pain treatment...
  41. ncbi Patterns and correlates of prescription opioid use in OEF/OIF veterans with chronic noncancer pain
    Tara A Macey
    Mental Health and Clinical Neurosciences Division, Portland VA Medical Center, Portland, Oregon 97239, USA
    Pain Med 12:1502-9. 2011
    ..We sought to describe the prevalence of prescription opioid use, types, and doses of opioids received and to identify correlates of receiving prescription opioids for CNCP among OEF/OIF veterans...
  42. ncbi Prevalence, assessment, and treatment of mild traumatic brain injury and posttraumatic stress disorder: a systematic review of the evidence
    Kathleen F Carlson
    Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center 152 2E, Minneapolis, Minnesota 55417, USA
    J Head Trauma Rehabil 26:103-15. 2011
    ..A synthesis of the evidence on prevalence, diagnostic accuracy, andtreatment effectiveness for mTBI/PTSD would be of use to clinicians, researchers, and policymakers...
  43. ncbi Integration and coordination of pain management in primary care
    John 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...
  44. ncbi Problems of quality and equity in pain management: exploring the role of biomedical culture
    Megan 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...
  45. ncbi Adherence to clinical guidelines for opioid therapy for chronic pain in patients with substance use disorder
    Benjamin J Morasco
    Mental Health and Clinical Neurosciences Division, Portland VA Medical Center, Department of Psychiatry, Oregon Health and Science University, 3710 SW US Veterans Hospital Road, Portland, OR 97239, USA
    J Gen Intern Med 26:965-71. 2011
    ..SUD complicates pain treatment and may lead to worse outcomes. However, little information is available describing adherence to opioid treatment guidelines for CNCP generally, or guideline adherence for patients with comorbid SUD...
  46. ncbi Clarifying distinctions between contemplating and completing physician-assisted suicide
    Linda Ganzini
    Oregon Health and Sciences University, Portland, USA
    J Clin Ethics 15:119-22. 2004
  47. ncbi Oregon physicians' perceptions of patients who request assisted suicide and their families
    Linda 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...
  48. ncbi Risk for prescription opioid misuse among patients with a history of substance use disorder
    Benjamin J Morasco
    Mental Health and Clinical Neurosciences Division, Portland VA Medical Center, United States
    Drug Alcohol Depend 127:193-9. 2013
    ....
  49. ncbi Psychiatry resident graduate comfort with general medical issues: impact of an integrated psychiatry-primary medical care training track
    Steven 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...
  50. ncbi Strategies to decrease costs of prescribing selective serotonin reuptake inhibitors at a VA Medical Center
    Steven 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...
  51. ncbi Depression and suicidal ideation in patients who discontinue the life-support treatment of dialysis
    Lewis 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...
  52. ncbi If it isn't depression
    Linda Ganzini
    J Palliat Med 6:927-30. 2003