Research Topics
Species | Ajay Darsh WasanSummaryAffiliation: Massachusetts General Hospital Country: USA Publications
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Publications
Does report of craving opioid medication predict aberrant drug behavior among chronic pain patients?Ajay D Wasan
Department of Anesthesia, Pain Management Center, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
Clin J Pain 25:193-8. 2009..To examine the relationship between the self-report of craving prescription medication and subsequent opioid misuse among chronic pain patients prescribed opioids for pain...
Craving of prescription opioids in patients with chronic pain: a longitudinal outcomes trialAjay D Wasan
Pain Management Center, Department of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Boston, Massachusetts, USA
J Pain 13:146-54. 2012..We found craving to be highly correlated with the urge to take more medication, fluctuations in mood, and preoccupation with the next dose, and to diminish with a behavioral intervention to improve opioid compliance...
Enhanced reactivity to pain in patients with rheumatoid arthritisRobert R Edwards
Department of Anesthesiology, Harvard Medical School, Brigham and Women s Hospital, Chestnut Hill, MA 02467, USA
Arthritis Res Ther 11:R61. 2009..In the present study, we compared psychophysical and physiological responses to standardized noxious stimulation in 19 RA patients and 21 healthy controls...
The relationship between disease activity, sleep, psychiatric distress and pain sensitivity in rheumatoid arthritis: a cross-sectional studyYvonne C Lee
Division of Rheumatology, Immunology and Allergy, Brigham and Women s Hospital, 75 Francis Street, PBB B3, Boston, MA 02115, USA
Arthritis Res Ther 11:R160. 2009..The etiology of RA pain is likely multifactorial, including both inflammatory and non-inflammatory components. In this study, we examine the association between disease activity, sleep, psychiatric distress and pain sensitivity in RA...
Differences in pain, psychological symptoms, and gender distribution among patients with left- vs right-sided chronic spinal painAjay D Wasan
Department of Anesthesiology, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts, USA
Pain Med 11:1373-80. 2010..To determine pain levels, function, and psychological symptoms in relation to predominant sidedness of pain (right or left) and gender in patients being treated for chronic spinal pain...
The impact of placebo, psychopathology, and expectations on the response to acupuncture needling in patients with chronic low back painAjay Darsh Wasan
Department of Anesthesiology, Women s Hospital and Harvard Medical School, Boston, Massachusetts, USA
J Pain 11:555-63. 2010..Using a blinded, crossover design, we report that it does not predict outcome, nor does it seem to modify the effect of expectancy (a known predictor) on acupuncture response...
Neural correlates of chronic low back pain measured by arterial spin labelingAjay D Wasan
Brigham and Women s Hospital, and Harvard Medical School, Boston, Massachusetts, USA
Anesthesiology 115:364-74. 2011..Arterial spin labeling is a perfusion-based imaging technique allowing the absolute quantification of regional cerebral blood flow, which is a surrogate measure of neuronal activity...
Psychopathology predicts the outcome of medial branch blocks with corticosteroid for chronic axial low back or cervical pain: a prospective cohort studyAjay D Wasan
Department of Anesthesiology, Brigham and Women s Hospital and Harvard Medical School, Boston, MA, USA
BMC Musculoskelet Disord 10:22. 2009..The objective of this study was to determine whether high levels of psychopathology are predictive of pain relief after MBB injections in the lumbar or cervical spine...
Safety and efficacy of duloxetine in the treatment of diabetic peripheral neuropathic pain in older patientsAjay D Wasan
Department of Anesthesiology, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts, USA
Curr Drug Saf 4:22-9. 2009..We present a post-hoc analysis of the safety and efficacy of duloxetine, a selective serotonin/norepinephrine reuptake inhibitor, for treatment of diabetic peripheral neuropathic pain (DPNP) in older patients...
Reasons for participation in pain research: can they indicate a lack of informed consent?Ajay D Wasan
Departments of Anesthesiology and Psychiatry, Harvard Medical School Brigham and Women s Hospital, Boston, Massachusetts, USA
Pain Med 10:111-9. 2009..This is the belief that research participation is equivalent to clinical care...
Practice patterns and treatment choices among psychiatrists in New Delhi, India: a qualitative and quantitative studyAjay D Wasan
Departments of Anesthesiology and Psychiatry, Harvard Medical School and Brigham and Women s Hospital, Boston, MA, USA
Soc Psychiatry Psychiatr Epidemiol 44:109-19. 2009..Little is known about the practice patterns of psychiatrists in India, such as daily practice routines or treatment approaches, which we describe in New Delhi, India...
Interpreting urine drug tests: prevalence of morphine metabolism to hydromorphone in chronic pain patients treated with morphineAjay D Wasan
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, USA
Pain Med 9:918-23. 2008..We investigated whether hydromorphone may be a metabolite of morphine normally appearing in UDT of patients prescribed morphine...
A case-matching study of the analgesic properties of electroconvulsive therapyAjay D Wasan
Department of Psychiatry and Anesthesiology, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
Pain Med 5:50-8. 2004..This study reports on the analgesia of ECT, controlling for treatment of depression...
The association between negative affect and opioid analgesia in patients with discogenic low back painAjay D Wasan
Brigham and Women s Hospital Harvard Medical School, Department of Anesthesiology, Pain Mangement Center, 850 Boylston Street, Chestnut Hill, MA 02467, USA
Pain 117:450-61. 2005..These results have implications for the prescription of oral opioids to patients with chronic low back pain and psychopathology...
The association between psychopathology and placebo analgesia in patients with discogenic low back painAjay D Wasan
Department of Anesthesiology, Brigham and Women s Hospital Harvard Medical School, Boston, Massachusetts 02467, USA
Pain Med 7:217-28. 2006..We previously found that psychopathology is associated with increased placebo analgesia in this patient group...
Psychiatric history and psychologic adjustment as risk factors for aberrant drug-related behavior among patients with chronic painAjay D Wasan
Pain Management Center, Department of Anesthesia, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02467, USA
Clin J Pain 23:307-15. 2007..To investigate the role of psychiatric history and psychologic adjustment on aberrant drug-related behavior among patients prescribed opioids for noncancer pain...
Patients with chronic pain on opioid therapy taking dronabinol: incidence of false negatives using radioimmunoassaySanjeet Narang
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, USA
J Opioid Manag 4:21-6. 2008..Serum blood toxicology screens are believed to be important to monitor compliance and to identify levels of illicit substances in patients taking opioids for their chronic pain...
Gender differences in risk factors for aberrant prescription opioid useRobert N Jamison
Pain Management Center, Departments of Anesthesia and Psychiatry, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02467, USA
J Pain 11:312-20. 2010..This study suggests that women are at greater risk to misuse opioids because of emotional issues and affective distress, whereas men tend to misuse opioids because of legal and problematic behavioral issues...
Substance misuse treatment for high-risk chronic pain patients on opioid therapy: a randomized trialRobert N Jamison
Department of Anesthesiology, Pain Management Center, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02467, USA
Pain 150:390-400. 2010..05). The results of this study demonstrate support for the benefits of a brief behavioral intervention in the management of opioid compliance among chronic back pain patient at high-risk for prescription opioid misuse...
Efficacy of dronabinol as an adjuvant treatment for chronic pain patients on opioid therapySanjeet Narang
Department of Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, USA
J Pain 9:254-64. 2008..The results of our preliminary study suggest that dronabinol, a synthetic THC, may have an additive effect on pain relief...
Dealing with difficult patients in your pain practiceAjay D Wasan
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA
Reg Anesth Pain Med 30:184-92. 2005..Issues of comorbid psychopathology, hostility, suicidality, aberrant drug behavior, and chronic noncompliance are discussed. Specific recommendations are also given of the best ways to manage patients with difficult behavior...
Urine toxicology screening among chronic pain patients on opioid therapy: frequency and predictability of abnormal findingsEdward Michna
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
Clin J Pain 23:173-9. 2007..To examine the incidence of abnormal urine toxicology screening among chronic pain patients prescribed opioids for their pain and to relate these results to patient descriptors and type, number, and dose of prescribed opioids...
Iatrogenic addiction in patients treated for acute or subacute pain: a systematic reviewAjay D Wasan
Department of Anesthesia, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
J Opioid Manag 2:16-22. 2006..1 percent)...
Phase 1A safety assessment of intravenous amitriptylinePeter Fridrich
Trauma Hospital, Lorenz Boehler, Vienna, and Department of Anesthesiology and Critical Care Medicine, Medical University Innsbruck, Austria
J Pain 8:549-55. 2007..As this occurs at very low plasma concentrations, a single preoperative intravenous infusion of amitriptyline could provide long-lasting pain relief and decrease the incidence of chronic pain...
Comment on Ballantyne and LaForge, Opioid dependence and addiction during opioid treatment of chronic pain. Pain 2007;129:235-55Robert N Jamison
Pain 132:218-9; author reply 219. 2007
Research Grants
- Oral Opioid Treatment and Psychiatric ComorbidityAjay Wasan; Fiscal Year: 2007..abstract_text> ..
