Debra Weiner

Summary

Affiliation: University of Pittsburgh
Country: USA

Publications

  1. pmc The role of chiropractic care in older adults
    Paul E Dougherty
    Research Department, New York Chiropractic College, 2360 State Route 89, Seneca Falls, NY 13148, USA
    Chiropr Man Therap 20:3. 2012
  2. ncbi request reprint Pain in nursing home residents: management strategies
    D K Weiner
    Division of Geriatric Medicine, University of Pittsburgh, Philadelphia 15213, USA
    Drugs Aging 18:13-29. 2001
  3. ncbi request reprint The state of chronic pain education in geriatric medicine fellowship training programs: results of a national survey
    Debra K Weiner
    Department of Medicine, Division of Geriatric Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    J Am Geriatr Soc 53:1798-805. 2005
  4. ncbi request reprint Efficacy of periosteal stimulation therapy for the treatment of osteoarthritis-associated chronic knee pain: an initial controlled clinical trial
    Debra K Weiner
    Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15206, USA
    J Am Geriatr Soc 55:1541-7. 2007
  5. ncbi request reprint Chronic low back pain in older adults: prevalence, reliability, and validity of physical examination findings
    Debra K Weiner
    Department of Medicine, Division of Geriatric Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    J Am Geriatr Soc 54:11-20. 2006
  6. ncbi request reprint The relationship between pain, neuropsychological performance, and physical function in community-dwelling older adults with chronic low back pain
    Debra K Weiner
    Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15206, USA
    Pain Med 7:60-70. 2006
  7. ncbi request reprint Low back pain in older adults: are we utilizing healthcare resources wisely?
    Debra K Weiner
    Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pennsylvania, USA
    Pain Med 7:143-50. 2006
  8. ncbi request reprint Postherpetic pain: more than sensory neuralgia?
    Debra K Weiner
    Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15206, USA
    Pain Med 7:243-9; discussion 250. 2006
  9. ncbi request reprint Office management of chronic pain in the elderly
    Debra K Weiner
    Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Penn, USA
    Am J Med 120:306-15. 2007
  10. pmc Efficacy of percutaneous electrical nerve stimulation and therapeutic exercise for older adults with chronic low back pain: a randomized controlled trial
    Debra K Weiner
    Department of Medicine, University of Pittsburgh, PA, USA
    Pain 140:344-57. 2008

Research Grants

Detail Information

Publications40

  1. pmc The role of chiropractic care in older adults
    Paul E Dougherty
    Research Department, New York Chiropractic College, 2360 State Route 89, Seneca Falls, NY 13148, USA
    Chiropr Man Therap 20:3. 2012
    ..Given the utilization of chiropractic services by the older adult, it is imperative that providers be familiar with the evidence for and the prudent use of different management strategies for older adults...
  2. ncbi request reprint Pain in nursing home residents: management strategies
    D K Weiner
    Division of Geriatric Medicine, University of Pittsburgh, Philadelphia 15213, USA
    Drugs Aging 18:13-29. 2001
    ..Effective pain management may impact any or all of these functional domains and, therefore, substantially improve the nursing home resident's quality of life...
  3. ncbi request reprint The state of chronic pain education in geriatric medicine fellowship training programs: results of a national survey
    Debra K Weiner
    Department of Medicine, Division of Geriatric Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    J Am Geriatr Soc 53:1798-805. 2005
    ..g., internal medicine, family medicine, geriatric medicine) should pay more systematic attention to educating trainees about chronic pain to optimize patient care, decrease suffering, and diminish healthcare expenditures...
  4. ncbi request reprint Efficacy of periosteal stimulation therapy for the treatment of osteoarthritis-associated chronic knee pain: an initial controlled clinical trial
    Debra K Weiner
    Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15206, USA
    J Am Geriatr Soc 55:1541-7. 2007
    ..To examine the efficacy of periosteal stimulation therapy (PST, osteopuncture) for the treatment of chronic pain associated with advanced knee osteoarthritis...
  5. ncbi request reprint Chronic low back pain in older adults: prevalence, reliability, and validity of physical examination findings
    Debra K Weiner
    Department of Medicine, Division of Geriatric Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    J Am Geriatr Soc 54:11-20. 2006
    ....
  6. ncbi request reprint The relationship between pain, neuropsychological performance, and physical function in community-dwelling older adults with chronic low back pain
    Debra K Weiner
    Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15206, USA
    Pain Med 7:60-70. 2006
    ..Chronic pain and cognitive impairment are prevalent and disabling in older adults (OA), but their interrelationship has not been rigorously tested. We did so in OA with chronic low back pain (CLBP)...
  7. ncbi request reprint Low back pain in older adults: are we utilizing healthcare resources wisely?
    Debra K Weiner
    Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pennsylvania, USA
    Pain Med 7:143-50. 2006
    ....
  8. ncbi request reprint Postherpetic pain: more than sensory neuralgia?
    Debra K Weiner
    Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15206, USA
    Pain Med 7:243-9; discussion 250. 2006
    ..To describe a series of older adult patients with postherpetic myofascial pain, a heretofore rarely described complication of herpes zoster...
  9. ncbi request reprint Office management of chronic pain in the elderly
    Debra K Weiner
    Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Penn, USA
    Am J Med 120:306-15. 2007
    ..While common, chronic pain is not a normal part of aging, and it should be treated with an emphasis on improved physical function and quality of life...
  10. pmc Efficacy of percutaneous electrical nerve stimulation and therapeutic exercise for older adults with chronic low back pain: a randomized controlled trial
    Debra K Weiner
    Department of Medicine, University of Pittsburgh, PA, USA
    Pain 140:344-57. 2008
    ..GCAE was more effective than PENS alone in reducing fear avoidance beliefs, but not in reducing pain or in improving physical function...
  11. ncbi request reprint Efficacy of percutaneous electrical nerve stimulation for the treatment of chronic low back pain in older adults
    Debra K Weiner
    Department of Medicine, Division of Geriatric Medicine, University of Pittsburgh, Pennsylvania, USA
    J Am Geriatr Soc 51:599-608. 2003
    ..To determine the efficacy of a complementary analgesic modality, percutaneous electrical nerve stimulation (PENS), for the treatment of chronic low back pain (CLBP) in community-dwelling older adults...
  12. ncbi request reprint Attitudinal barriers to effective treatment of persistent pain in nursing home residents
    Debra K Weiner
    Department of Medicine, Division of Geriatric Medicine, University of Pittsburgh, Pennsylvania, USA
    J Am Geriatr Soc 50:2035-40. 2002
    ..To systematically explore nursing home (NH) resident and staff attitudes that serve as barriers to detection and management of persistent pain...
  13. ncbi request reprint How does low back pain impact physical function in independent, well-functioning older adults? Evidence from the Health ABC Cohort and implications for the future
    Debra K Weiner
    Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15206, USA
    Pain Med 4:311-20. 2003
    ..To determine the relationships between low back pain (LBP) frequency and intensity and self-reported and performance-based physical function in a large cohort of well-functioning older adults...
  14. ncbi request reprint Complementary and alternative approaches to the treatment of persistent musculoskeletal pain
    Debra K Weiner
    Department of Medicine, Division of Geriatric Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213 3313, USA
    Clin J Pain 20:244-55. 2004
    ..To review common complementary and alternative treatment modalities for the treatment of persistent musculoskeletal pain in older adults...
  15. ncbi request reprint Do medical factors predict disability in older adults with persistent low back pain?
    Debra K Weiner
    Department of Medicine, Division of Geriatric Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
    Pain 112:214-20. 2004
    ..These findings also underscore the need to optimize pain treatment in independent older adults to optimize physical function and delay the onset of dependent living status...
  16. pmc The relationship between pain and mental flexibility in older adult pain clinic patients
    Jordan F Karp
    Intervention Research Center and Advanced Center for Intervention and Services Research for Late Life Mood Disorders, University of Pittburgh School of Medicine, Pittsburgh, Pennsylvania, USA
    Pain Med 7:444-52. 2006
    ..Mental flexibility, memory, and information-processing speed may be particularly vulnerable in the aging brain. We investigated the effects of persistent pain on these cognitive domains among community-dwelling, nondemented older adults...
  17. ncbi request reprint Chronic low back pain in older adults: What physicians know, what they think they know, and what they should be taught
    Danelle Cayea
    Department of Medicine, Division of Geriatrics and Gerontology, School of Medicine, Johns Hopkins University, Baltimore, Maryland 21224, USA
    J Am Geriatr Soc 54:1772-7. 2006
    ..05 for all comparisons). The results point to a need for more PCP education about CLBP in older adults. It also suggests that accurate needs assessment should not rely on physician confidence ratings alone...
  18. pmc Impact of chronic musculoskeletal pathology on older adults: a study of differences between knee OA and low back pain
    Natalia E Morone
    Department of Medicine, Division of General Internal Medicine, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    Pain Med 10:693-701. 2009
    ....
  19. pmc The impact of chronic low back pain on older adults: a comparative study of patients and controls
    Thomas E Rudy
    Department of Anesthesiology, Pain Evaluation and Treatment Institute and University of Pittsburgh, Pittsburgh, PA 15206, USA
    Pain 131:293-301. 2007
    ..These results should help to guide investigators that perform studies of CLBP in older adults and practitioners that want an easily adaptable battery for use in clinical settings...
  20. doi request reprint Chronic pain is associated with brain volume loss in older adults: preliminary evidence
    Neilly Buckalew
    School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    Pain Med 9:240-8. 2008
    ..The primary aim of this pilot investigation was to identify structural brain differences in older adults with chronic low back pain (CLBP) as compared with pain-free individuals...
  21. pmc Persistent pain biases item response on the Geriatric Depression Scale (GDS): preliminary evidence for validity of the GDS-PAIN
    Jordan F Karp
    Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
    Pain Med 9:33-43. 2008
    ..We hypothesized that in older adults with persistent pain, items of the Geriatric Depression Scale (GDS) would evidence DIF based on presence or intensity of pain...
  22. pmc Pain interference impacts response to treatment for anxiety disorders
    CARRIE FARMER TEH
    Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    Depress Anxiety 26:222-8. 2009
    ..Anxiety disorders and pain are commonly comorbid, though little is known about the effect of pain on the course and treatment of anxiety...
  23. ncbi request reprint Is chronic nonmalignant pain associated with decreased appetite in older adults? Preliminary evidence
    Brooke N Bosley
    School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    J Am Geriatr Soc 52:247-51. 2004
    ..To examine the association between self-reported appetite impairment and pain intensity in community-dwelling older adults with chronic nonmalignant pain...
  24. pmc "I felt like a new person." the effects of mindfulness meditation on older adults with chronic pain: qualitative narrative analysis of diary entries
    Natalia E Morone
    Department of Medicine, Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    J Pain 9:841-8. 2008
    ....
  25. doi request reprint White matter hyperintensity burden and disability in older adults: is chronic pain a contributor?
    Neilly Buckalew
    Department of Geriatric Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
    PM R 5:471-80; quiz 480. 2013
    ..To secondarily compare WMH of the participants with CLBP with the pain-free controls...
  26. ncbi request reprint Body pain and treatment response in late-life depression
    Jordan F Karp
    Western Psychiatric Institute and Clinic, 3811 O Hara St, Pittsburgh, PA 15213, USA
    Am J Geriatr Psychiatry 13:188-94. 2005
    ..They hypothesized that higher levels of body pain would predict a longer time to and lower likelihood of response, and increased levels of suicidal ideation...
  27. pmc The impact of pain and depression on recovery after coronary artery bypass grafting
    Natalia E Morone
    Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    Psychosom Med 72:620-5. 2010
    ..To describe the relationship between pain and depression on recovery after coronary artery bypass grafting (CABG)...
  28. pmc The association between noncancer pain, cognitive impairment, and functional disability: an analysis of the Canadian study of health and aging
    Joseph W Shega
    Section of Geriatrics and Palliative Medicine MC 6098, Department of Medicine, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA
    J Gerontol A Biol Sci Med Sci 65:880-6. 2010
    ..Noncancer pain and cognitive impairment affect many older adults and each is associated with functional disability, but their combined impact has yet to be rigorously studied...
  29. doi request reprint Validity of pain behaviors in persons with mild to moderate cognitive impairment
    Joseph W Shega
    Department of Medicine, Division of Hematology and Oncology, Northwestern University, Chicago, Illinois 60611, USA
    J Am Geriatr Soc 56:1631-7. 2008
    ..To evaluate the validity of traditional pain behaviors (guarding, bracing, rubbing, grimacing, and sighing) in persons with and without cognitive impairment and chronic low back pain (CLBP)...
  30. pmc A mind-body program for older adults with chronic low back pain: results of a pilot study
    Natalia E Morone
    Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    Pain Med 10:1395-407. 2009
    ....
  31. pmc Nitric oxide for inhalation in the acute treatment of sickle cell pain crisis: a randomized controlled trial
    Mark T Gladwin
    Division of Pulmonary, Allergy, and Critical Care Medicine, Vascular Medicine Institute, University of Pittsburgh, 3459 Fifth Ave, 628 NW, Pittsburgh, PA 15213
    JAMA 305:893-902. 2011
    ..Inhaled nitric oxide has shown evidence of efficacy in mouse models of sickle cell disease (SCD), case series of patients with acute chest syndrome, and 2 small placebo-controlled trials for treatment of vaso-occlusive pain crisis (VOC)...
  32. pmc Mindfulness meditation for the treatment of chronic low back pain in older adults: a randomized controlled pilot study
    Natalia E Morone
    Department of Medicine, Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA, USA
    Pain 134:310-9. 2008
    ..008, P=.004) and SF-36 Physical Function (P=.03). An 8-week mindfulness-based meditation program is feasible for older adults with CLBP. The program may lead to improvement in pain acceptance and physical function...
  33. pmc Older people's experiences of patient-centered treatment for chronic pain: a qualitative study
    Carrie F Teh
    Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    Pain Med 10:521-30. 2009
    ..Older adults with chronic pain who seek treatment often are in a health care environment that emphasizes patient-directed care, a change from the patriarchal model of care to which many older adults are accustomed...
  34. ncbi request reprint Pain in nursing home residents: what does it really mean, and how can we help?
    Debra K Weiner
    J Am Geriatr Soc 52:1020-2. 2004
  35. ncbi request reprint Cross-sectional associations between trunk muscle composition, back pain, and physical function in the health, aging and body composition study
    Gregory E Hicks
    Clinical Research Branch, National Institute on Aging, Baltimore, MD 21201, USA
    J Gerontol A Biol Sci Med Sci 60:882-7. 2005
    ..We hypothesized that lower trunk muscle area and attenuation (higher fat infiltration) are associated with decreased functional capacity...
  36. ncbi request reprint Pain and aging: a call to those with the power of inquiry, the skills to teach, and the desire to heal
    Debra K Weiner
    Pain Med 7:57-9. 2006
  37. ncbi request reprint Pain in persons with dementia: complex, common, and challenging
    Joseph Shega
    Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA
    J Pain 8:373-8. 2007
  38. ncbi request reprint Improving pain management for older adults: an urgent agenda for the educator, investigator, and practitioner
    Debra K Weiner
    Pain 97:1-4. 2002
  39. ncbi request reprint An interdisciplinary expert consensus statement on assessment of pain in older persons
    Thomas Hadjistavropoulos
    Centre on Aging and Health, University of Regina, Regina, SK, Canada
    Clin J Pain 23:S1-43. 2007
    ..The literature underlying the consensus recommendations is reviewed. Multiple revisions led to final reviews of 2 complete drafts before consensus was reached...
  40. ncbi request reprint Trunk muscle composition as a predictor of reduced functional capacity in the health, aging and body composition study: the moderating role of back pain
    Gregory E Hicks
    PT, Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, 100 Penn St, Baltimore, MD 21201, USA
    J Gerontol A Biol Sci Med Sci 60:1420-4. 2005
    ..We hypothesize that lower trunk muscle attenuation will be associated with lower functional capacity 3 years later and that back pain status will moderate this relationship...

Research Grants5

  1. Osteopuncture for OA-Associated Knee Pain & Disability
    Debra Weiner; Fiscal Year: 2005
    ..In addition, mechanisms of action will be explored, and the impact of osteopuncture on health care costs determined. ..
  2. Functional Impact of PENS for 65+ Chronic Low Back Pain
    Debra Weiner; Fiscal Year: 2006
    ....