R D Kerns
- Preliminary validation of a German version of pain stages of change questionnaireCarsten Maurischat
Department of Rehabilitation Psychology, Institute of Psychology, University of Freiburg, Belfortstr 16, 79098 Freiburg, Germany
Eur J Pain 6:43-8. 2002..All scales evidenced sufficient indices of reliability and discriminant validity. Deviations from the original American version and suggestions for future refinements in the new measure are discussed...
- Psychological treatments for persistent pain: an introductionRobert D Kerns
Psychology Service, VA Connecticut Healthcare System, VA Central Office and Yale University, West Haven, CT 06516, USA
J Clin Psychol 62:1327-31. 2006....
- Evidence that cognitive decline mediates the relationship between pain and disability in the elderlyRobert D Kerns
Pain Med 7:1-2. 2006
- Identification of pain-reduction strategies used by community-dwelling older personsLisa C Barry
Department of Epidemiology, Yale University School of Medicine, New Haven, CT, USA
J Gerontol A Biol Sci Med Sci 60:1569-75. 2005..In this cross-sectional study of older persons with chronic nonmalignant pain, we sought to identify strategies perceived as effective in reducing pain and to ascertain factors associated with their use...
- Further support for the pain stages of change model: suggestions for improved measurementCarsten Maurischat
Department of Rehabilitation Psychology, University of Freiburg, D 79085 Freiburg, Germany
Eur J Pain 10:41-9. 2006..Implications of these findings for future research exploring the relevance of the pain stages of change model are discussed...
- Pain in multiple sclerosis: a biopsychosocial perspectiveRobert D Kerns
VA Connecticut Healthcare System and Yale University, West Haven, CT 06516, USA
J Rehabil Res Dev 39:225-32. 2002..Such an approach needs to consider the exacerbating nature of MS, MS-related pain, and interventions aimed at their management. Suggestions for future research on MS-related pain conclude the article...
- A critical review of the pain readiness to change modelRobert D Kerns
Departments of Psychiatry, Neurology and Psychology, Yale University, New Haven, Connecticut, USA
J Pain 5:357-67. 2004..The aim of this article is to review the work in this area and discuss implications for clinical practice and further research...
- Veterans' reports of pain and associations with ratings of health, health-risk behaviors, affective distress, and use of the healthcare systemRobert D Kerns
Psychology Service, Department of Veterans Affairs Connecticut Healthcare System, West Haven, CT 06516, USA
J Rehabil Res Dev 40:371-9. 2003..Results support the goals of the VHA National Pain Management Strategy designed to reduce unnecessary pain and suffering among veterans receiving care in VHA facilities...
- Identification of subgroups of persons with chronic pain based on profiles on the pain stages of change questionnaireRobert D Kerns
VA Connecticut Healthcare System and Yale University, Campbell Avenue, West Haven, CT 06516, USA
Pain 116:302-10. 2005..Future research should examine the utility of PSOCQ profiles, relative to individual PSOCQ scale scores alone, in predicting response to self-management treatment approaches...
- Predicting responses to self-management treatments for chronic pain: application of the pain stages of change modelR D Kerns
VA Connecticut Healthcare System, and Yale University, West Haven, USA
Pain 84:49-55. 2000..This study supports the predictive validity and utility of the PSOCQ, as well as the relevance of the stages of change model to self-management of chronic pain...
- Cognitive-behavioral therapy for chronic pain in the elderlyR D Kerns
Psychology Service, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut 06516, USA
Clin Geriatr Med 17:503-23, vii. 2001..This article concludes with suggestions for future refinements in the application of this approach in the management of chronic pain in the elderly...
- Readiness to adopt a self-management approach to chronic pain: the Pain Stages of Change Questionnaire (PSOCQ)R D Kerns
VA Connecticut Healthcare System, West Haven 06516, USA
Pain 72:227-34. 1997..There was also substantial support for each factor's discriminant and criterion-related validity...
- Persistent pain and uncomfortable sensations in persons with multiple sclerosisOlympia Hadjimichael
Yale University School of Medicine, New Haven, CT, USA
Pain 127:35-41. 2007....
- Identification of strategies used to cope with chronic pain in older persons receiving primary care from a Veterans Affairs Medical CenterLisa C Barry
Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut 06520, USA
J Am Geriatr Soc 52:950-6. 2004..To identify the strategies used by older persons to cope with chronic noncancer pain, determine the perceived effectiveness of the strategies, and ascertain factors associated with their use...
- Functional self-efficacy and pain-related disability among older veterans with chronic pain in a primary care settingLisa C Barry
Department of Epidemiology and Public Health, Yale University School of Medicine, 60 College Street, New Haven, CT 06520, USA
Pain 104:131-7. 2003..05, 95% CI 1.03-4.06) and low vs. high (OR=4.77, 95% CI 1.96-11.61) functional self-efficacy. Functional self-efficacy was a strong and independent factor associated with pain-related disability among older veterans with chronic pain...
- An examination of the relationship between chronic pain and post-traumatic stress disorderJohn D Otis
Psychology Service, Department of Veterans Affairs Boston Healthcare System, Boston, MA 02130 4893, USA
J Rehabil Res Dev 40:397-405. 2003..Future directions for research and clinical implications are discussed...
- Prevalence of chronic pain, posttraumatic stress disorder, and persistent postconcussive symptoms in OIF/OEF veterans: polytrauma clinical triadHenry L Lew
Physical Medicine and Rehabilitation PM and R Service, Department of Veterans Affairs VA Boston Healthcare System, 150 South Huntington Avenue, Boston, MA 02130, USA
J Rehabil Res Dev 46:697-702. 2009..These results underscore the complexity of the presenting complaints in OIF/OEF veterans and support the importance of a multidisciplinary team approach to assessment and treatment...
- Intersession coping skill practice mediates the relationship between readiness for self-management treatment and goal accomplishmentAlicia Heapy
VA Connecticut Healthcare System, Psychology Service 116B, 950 Campbell Avenue, West Haven, CT 06516, USA
Pain 118:360-8. 2005..These data provide support for a motivational model of pain treatment that asserts adherence to therapist recommendations for coping skill practice mediates readiness to change and self-reported goal attainments...
- The prevalence and age-related characteristics of pain in a sample of women veterans receiving primary careSally G Haskell
Department of Medicine, VA Connecticut Healthcare System, Connecticut, USA
J Womens Health (Larchmt) 15:862-9. 2006....
- The moderating effect of obesity on cognitive-behavioral pain treatment outcomesJohn J Sellinger
Department of Veterans Affairs VA Connecticut Healthcare System, West Haven, Connecticut 06516, USA
Pain Med 11:1381-90. 2010..To assess the effects of body mass index on cognitive-behavioral pain treatment outcomes for chronic low back pain...
- Patient-provider interactions in the management of chronic pain: current findings within the context of shared medical decision makingLisa Maria E Frantsve
Psychology Service, VA Connecticut Healthcare System, Yale University School of Medicine, West Haven, Connecticut 06516, USA
Pain Med 8:25-35. 2007..This article reviews the literature on patient-provider interactions among patients with chronic pain conditions with an emphasis on shared medical decision making...
- Use of opioid medications for chronic noncancer pain syndromes in primary careM Carrington Reid
Clinical Epidemiology Unit, VA Connecticut Healthcare System, West Haven Conn 06516, USA
J Gen Intern Med 17:173-9. 2002..We also sought to determine the proportion of patients who manifested prescription opioid abuse behaviors and the factors associated with these behaviors...
- The development of an integrated treatment for veterans with comorbid chronic pain and posttraumatic stress disorderJohn D Otis
VA Boston Healthcare System, Boston, MA 02130 4893, USA
Pain Med 10:1300-11. 2009..The purpose of this article is to describe the development of the first integrated treatment for Veterans with comorbid chronic pain and posttraumatic stress disorder (PTSD)...
- Pain-related disability among older male veterans receiving primary careM Carrington Reid
Clinical Epidemiology Unit, VA Connecticut Healthcare System, West Haven 06516, USA
J Gerontol A Biol Sci Med Sci 57:M727-32. 2002..We sought to identify factors associated with disability due to pain in a sample of older veterans receiving primary care...
- The association of sexual trauma with persistent pain in a sample of women veterans receiving primary careSally G Haskell
Department of Medicine, VA Connecticut Healthcare System, Yale University School of Medicine, West Haven, Connecticut 06516, USA
Pain Med 9:710-7. 2008..We sought to determine whether the presence and intensity of persistent pain, as well as level of pain-related interference, in the VA Connecticut Women's Clinic population was positively associated with reports of sexual trauma...
- Vulvodynia: an introduction and critical review of a chronic pain conditionR M Masheb
Yale University School of Medicine, Yale Psychiatric Institute, New Haven, CT 06520 8038, USA
Pain 86:3-10. 2000..Finally, suggestions are made for considering vulvodynia from a multidimensional, chronic pain perspective...
- Pain among Veterans of Operations Enduring Freedom and Iraqi Freedom: do women and men differ?Sally G Haskell
VA Connecticut Healthcare System, West Haven, CT 06516, USA
Pain Med 10:1167-73. 2009....
- Systematic review: opioid treatment for chronic back pain: prevalence, efficacy, and association with addictionBridget A Martell
Yale University School of Medicine, New Haven, Connecticut 06520 8025, USA
Ann Intern Med 146:116-27. 2007..The prevalence, efficacy, and risk for addiction for persons receiving opioids for chronic back pain are unclear...
- Prevalence and correlates of depression in treatment-seeking women with vulvodyniaR M Masheb
Yale University School of Medicine, New Haven, Connecticut 06520 8098, USA
J Obstet Gynaecol 25:786-91. 2005..Rates of current MDD appeared to be lower than rates of MDD among other samples of treatment seeking chronic pain patients. In summary, co-morbid MDD is related to greater pain severity and worse functioning among women with vulvodynia...
- A randomized clinical trial for women with vulvodynia: Cognitive-behavioral therapy vs. supportive psychotherapyRobin M Masheb
Yale University School of Medicine, P O Box 208098, New Haven, CT 06520 8098, USA
Pain 141:31-40. 2009..CBT, a directed treatment approach that involves learning and practice of specific pain-relevant coping and self-management skills, yielded better outcomes and greater patient satisfaction than a less directive approach...
- Self-appraised problem solving and pain-relevant social support as predictors of the experience of chronic painRobert D Kerns
Psychology Service, VA Connecticut Healthcare System and Yale University School of Medicine, West Haven 06516, USA
Ann Behav Med 24:100-5. 2002..The results support the assessment of problem-solving skills in chronic pain patients and the investigation and utility of interventions aimed at increasing adaptive pain-relevant social support...
- On the reliability and validity of physician ratings for vulvodynia and the discriminant validity of its subtypesRobin M Masheb
Yale University School of Medicine, PO Box 208098, New Haven, CT 06520 8098, USA
Pain Med 5:349-58. 2004..This study aimed to test the reliability and validity of physician ratings in a broadly defined sample of women with vulvodynia and to examine the external validity of the vulvodynia subtypes...
- Motivation and maternal presence during induction of anesthesiaAlison A Caldwell-Andrews
Department of Anesthesiology, Center for the Advancement of Perioperative Health, New Haven, CT 06510, USA
Anesthesiology 103:478-83. 2005..The authors developed a measure to determine whether maternal motivation to be present during induction (Motivation for Parental Presence during Induction of Anesthesia [MPPIA]) is related to children's anxiety during the induction process...
- Support and coronary heart disease: the importance of significant other responsesNorman I Itkowitz
New England Institute for Behavioral Medicine, Stanford, Connecticut, USA
J Behav Med 26:19-30. 2003....
- Perioperative pain management in the opioid-tolerant individualDeb Gordon
VA Connecticut Healthcare System, Yale University School of Medicine, New Haven, CT, USA
J Pain 9:383-7. 2008
- Initial development and validation of a multidimensional pain readiness to change questionnaireWarren R Nielson
Department of Medicine, University of Western Ontario, London, Ontario, Canada
J Pain 4:148-58. 2003..The results provide preliminary support for the reliability and validity of this instrument. Further research is needed to clarify the construct validity of the MPRCQ and its clinical utility...
- Cognitive-behavioral therapy for chronic low back pain in older persons: a preliminary studyM Carrington Reid
Division of Geriatrics and Gerontology, Weill Medical College, Cornell University, New York, New York 10021, USA
Pain Med 4:223-30. 2003..To determine the feasibility and potential efficacy of providing cognitive-behavioral therapy (CBT) to older persons with chronic low back pain (CLBP)...
- Rapid improvement in pain management: the Veterans Health Administration and the institute for healthcare improvement collaborativeCharles S Cleeland
Pain Research Group, Department of Symptom Research, U T M D Anderson Cancer Center, Houston, Texas, USA
Clin J Pain 19:298-305. 2003..With the goal of rapid improvement in pain management, a joint Collaborative (Veterans Health Administration and Institute for Healthcare Improvement) was conducted from May 2000 to January 2001...
- Toward the development of a motivational model of pain self-managementMark P Jensen
Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Washington 98195, USA
J Pain 4:477-92. 2003..In particular, there is a need to determine whether (and which) motivation enhancement interventions increase active participation in self-management treatment programs for chronic pain...
- Meta-analysis of psychological interventions for chronic low back painBenson M Hoffman
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA
Health Psychol 26:1-9. 2007..The rigor of the methods used, as well as the results that reflect mild to moderate heterogeneity and minimal publication bias, suggest confidence in the conclusions of this review...
- Core outcome measures for chronic pain clinical trials: IMMPACT recommendationsRobert H Dworkin
Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
Pain 113:9-19. 2005
- Identifying the activities affected by chronic nonmalignant pain in older veterans receiving primary careBao D Duong
Division of Emergency Medicine, Stanford Kaiser Emergency Medicine Residency Program, Stanford University, Palo Alto, California, USA
J Am Geriatr Soc 53:687-94. 2005..To identify the specific types of activities affected by chronic pain in older persons and the extent to which older individuals modify, perform less frequently, or terminate activities because of pain...
- Perceived barriers to trying self-management approaches for chronic pain in older personsJonathan S Austrian
Division of Geriatrics and Gerontology, Weill Medical College, Cornell University, New York, New York 10021, USA
J Am Geriatr Soc 53:856-61. 2005..To examine older persons' willingness to participate in exercise and relaxation programs for managing chronic pain, to identify characteristics associated with willingness to participate, and to ascertain their barriers to participation...
- Higher levels of pain readiness to change and more positive affect reduce pain reports--a weekly assessment study on arthritis patientsElin B Strand
Institute of Basic Medical Science, Department of Behavioural Sciences in Medicine, University of Oslo, Oslo, Norway
Pain 127:204-13. 2007..Results encourage continued investigation of apparent interactions between chronic pain, affect, and pain self-management...
- The future of health psychology interventionsPerry M Nicassio
Clinical Psychology Program, California School of Professional Psychology, San Diego, CA, USA
Health Psychol 23:132-7. 2004..In accordance, greater effort should be devoted to disseminating information on treatment effectiveness to professional and lay groups to maximize the public health benefit of established intervention approaches...
- Further development of the multidimensional pain readiness to change questionnaire: the MPRCQ2Warren R Nielson
Department of Medicine, University of Western Ontario and the Beryl and Richard Ivey Rheumatology Day Programs, St Joseph s Health Care London, Ontario, Canada
J Pain 9:552-65. 2008..The MPRCQ2 may be helpful in future research investigating the relationship between readiness to change pain-related coping and adoption of coping behaviors and adjustment to chronic pain...
- Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendationsRobert H Dworkin
Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
J Pain 9:105-21. 2008..Provisional benchmarks for identifying clinically important changes in specific outcome measures that can be used for outcome studies of treatments for chronic pain are proposed...
- Clinical research as a foundation for Veterans Health Administration Pain Management StrategyRobert D Kerns
J Rehabil Res Dev 40:ix-xi. 2003
- Developing patient-reported outcome measures for pain clinical trials: IMMPACT recommendationsDennis C Turk
University of Washington, Seattle, WA 98195, USA
Pain 125:208-15. 2006