Robert D Kerns
- Access to the US Department of Veterans Affairs health system: self-reported barriers to care among returnees of Operations Enduring Freedom and Iraqi FreedomChristine A Elnitsky
School of Nursing, College of Health and Human Services, The University of North Carolina at Charlotte, 9201 University City Blvd, Charlotte, NC 28223, USA
BMC Health Serv Res 13:498. 2013..These perspectives can inform policy with regard to the optimal delivery of care to returning veterans...
- 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....
- Psychological treatment of chronic painRobert D Kerns
VA Connecticut Healthcare System, West Haven, Connecticut 06516, USA
Annu Rev Clin Psychol 7:411-34. 2011..In particular, race and ethnicity are considered, and special considerations for the management of pain in children and older adults are discussed...
- 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...
- 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...
- 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...
- 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....
- 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...
- Trauma, social support, family conflict, and chronic pain in recent service veterans: does gender matter?Mary A Driscoll
Department of Psychology, VA Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT, 06516, USA
Pain Med 16:1101-11. 2015....
- Trends in Any and High-Dose Opioid Analgesic Receipt Among Aging Patients With and Without HIVWilliam C Becker
Internal Medicine, West Haven VA Medical Center, VA Connecticut Healthcare System, Mail Stop 151B, 950 Campbell Avenue, West Haven, CT, 06516, USA
AIDS Behav 20:679-86. 2016..Correlates of high-dose receipt included HIV, PTSD, major depression and drug use disorders. These findings suggest a need for appropriate balance of risks and benefits, especially as these populations age...
- A research agenda for enhancing appropriate opioid prescribing in primary careWilliam C Becker
VA Connecticut Healthcare System, 151B, 950 Campbell Avenue, West Haven, CT, 06516, USA
J Gen Intern Med 28:1364-7. 2013....
- Pain coping but not readiness to change is associated with pretreatment pain-related functioningPatrick H Finan
VA Connecticut Healthcare System, West Haven, CT 06516, USA
Clin J Pain 28:687-92. 2012....
- Agreement between electronic medical record-based and self-administered pain numeric rating scale: clinical and research implicationsJoseph L Goulet
VA Connecticut Healthcare System, West Haven Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06516, USA
Med Care 51:245-50. 2013..Many health care systems use the numeric rating scale (NRS) for pain screening, and record the score in the patients' electronic medical record (EMR)...
- 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....
- Cigarette Smoking Status and Receipt of an Opioid Prescription Among Veterans of Recent WarsLori A Bastian
Pain Research, Informatics, Multimorbidities, and Education Prime Center, VA Connecticut Healthcare System, West Haven, Connecticut Yale University School of Medicine, New Haven, Connecticut
Pain Med . 2016..The effect was stronger for current smokers than former smokers, highlighting the need to determine whether smoking cessation is associated with a reduction in opioid use among veterans...
- Long-term Prescription of Opioids and/or Benzodiazepines and Mortality Among HIV-Infected and Uninfected PatientsDaniel F Weisberg
Yale University School of Medicine, New Haven, CT VA Connecticut Healthcare System, West Haven, CT Departments of Psychiatry Internal Medicine, Yale University School of Medicine, New Haven, CT Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, NJ Center for Interdisciplinary Research on AIDS, Yale University School of Public Health, New Haven, CT Yale University School of Public Health, New Haven, CT Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA VA Pittsburgh Healthcare System, Pittsburgh, PA and Pain Research, Informatics, Multi morbidities and Education PRIME Center, VA Connecticut Healthcare System, West Haven, CT
J Acquir Immune Defic Syndr 69:223-33. 2015..We sought to evaluate the association between long-term opioids and/or benzodiazepines and mortality in HIV-infected patients receiving antiretroviral therapy and uninfected patients...
- Prescription headache medication in OEF/OIF veterans: results from the Women Veterans Cohort StudyElizabeth K Seng
VA Connecticut Healthcare System, Yale School of Medicine, West Haven, CT, USA, New Haven, CT, USA
Headache 53:1312-22. 2013....
- 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...
- 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...
- 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...
- 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)...
- Complicating factors associated with mild traumatic brain injury: impact on pain and posttraumatic stress disorder treatmentJohn D Otis
Research Service, VA Boston Healthcare System, Boston, MA 02130 4893, USA
J Clin Psychol Med Settings 18:145-54. 2011..Finally, the paper concludes with a discussion of the need for a multidisciplinary treatment approach, as well as a call for continued research to further refine existing treatments for these conditions...
- 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...
- The musculoskeletal diagnosis cohort: examining pain and pain care among veteransJoseph L Goulet
aPain Research, Informatics, Multi Morbidities, and Education Center PRIME, VA Connecticut Healthcare System, West Haven, CT, USA bVA Center of Health Information and Communication, Richard L Roudebush VAMC, Indianapolis, IN, USA cHSR and D Center of Innovation to Implementation, VA Palo Alto Health Care System, Palo Alto, CA, USA dCenter for Chronic Disease Outcomes Research, Minneapolis Veterans Affairs Healthcare System, Minneapolis, MN, USA eCenter to Improve Veteran Involvement in Care CIVIC, VA Portland Health Care System, Portland, OR, USA fAnesthesiology, Critical Care, and Pain Medicine Service Research Service, VA Boston Healthcare System, Boston, MA, USA gGeriatrics Research, Education and Clinical Center, James J Peters VAMC, Bronx, NY, USA hVA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA iHealth Economics Resource Center, VA Palo Alto Health Care System, Menlo Park, CA, USA
Pain 157:1696-703. 2016..Patients entering the cohort in recent years had more concurrent MSD diagnoses and higher NRS scores. The MSD Cohort is a rich resource for collaborative pain-relevant health service research. ..
- Cooperative pain education and self-management (COPES): study design and protocol of a randomized non-inferiority trial of an interactive voice response-based self-management intervention for chronic low back painAlicia A Heapy
VA Connecticut Healthcare System, Pain Research, Informatics, Multimorbidities, and Education PRIME Health Services Research and Development Center of Innovation, 11ACLGS, 950 Campbell Avenue, West Haven, CT, 06516, USA
BMC Musculoskelet Disord 17:85. 2016..Although CBT is efficacious, many patients have limited or no access to CBT. Technology-assisted delivery of CBT may improve access while maintaining efficacy...
- A partnered approach to opioid management, guideline concordant care and the stepped care model of pain managementLindsey Dorflinger
PRIME Center 11ACSLG, VA Connecticut Healthcare System, 950 Campbell Ave, West Haven, CT, 06516, USA
J Gen Intern Med 29:870-6. 2014....
- Differences in pain-related characteristics among younger and older veterans receiving primary careM Carrington Reid
Clinical Epidemiology Unit, VA Connecticut Healthcare System, West Haven, Connecticut 06516, USA
Pain Med 3:102-7. 2002..To characterize the nature of pain complaints among younger and older veterans receiving primary care, and to determine whether characteristics of pain vary as a function of age...
- Integrating interdisciplinary pain management into primary care: development and implementation of a novel clinical programLindsey M Dorflinger
VA Connecticut Healthcare System, West Haven, Connecticut, USA Yale University School of Medicine, New Haven, Connecticut, USA
Pain Med 15:2046-54. 2014..The aims of this study were to develop and implement an interdisciplinary pain program integrated in primary care to address stakeholder-identified gaps...
- Instruments to assess patient-reported safety, efficacy, or misuse of current opioid therapy for chronic pain: a systematic reviewWilliam C Becker
VA Connecticut Healthcare System, West Haven, CT, USA
Pain 154:905-16. 2013..Lack of testing in clinical practice limited assessment of feasibility. The dearth of safety and efficacy items and lack of testing in clinical practice demonstrates areas for further research...
- 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...
- 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...
- Combined Use of Opioids and Antidepressants in the Treatment of Pain: A Review of Veterans Health Administration Data for Patients with Pain Both With and Without Co-morbid DepressionJohn J Sellinger
VA Connecticut Healthcare System, Psychology Service 116B, 950 Campbell Avenue, West Haven, CT, 06516, USA
Psychiatr Q 87:585-593. 2016..Increasing use of antidepressants in conjunction with escalating opioid prescribing, particularly in the absence of diagnosed depression, suggests that antidepressants are being used in both groups to complement opioid therapy...
- Integrated, Team-Based Chronic Pain Management: Bridges from Theory and Research to High Quality Patient CareMary A Driscoll
VA Connecticut Healthcare System, West Haven, CT, USA
Adv Exp Med Biol 904:131-47. 2016..The role of mental health professionals, especially psychologists, in the management of chronic pain is particularly highlighted. ..
- 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...
- 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...
- 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
- 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...
- 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
- 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...
- 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)...
- 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...
- 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...
- 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...
- 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...
- 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...
- Evidence that cognitive decline mediates the relationship between pain and disability in the elderlyRobert D Kerns
Pain Med 7:1-2. 2006
- 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...
- 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....
- 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...
- 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...
- 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...
- 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...
- Clinical research as a foundation for Veterans Health Administration Pain Management StrategyRobert D Kerns
J Rehabil Res Dev 40:ix-xi. 2003
- 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...
- 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
- 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....
- 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...
- 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...
- 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...
- 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...