Veterans Mental Illness Research Publications - 2018 | NW MIRECC - MIRECC / CoE
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Veterans Mental Illness Research Publications - 2018 | NW MIRECC

2018 NW MIRECC Staff Publications and Presentations

The following is a sampling of publications and presentations from 2018 by VISN 20 Northwest Mental Illness Research, Education and Cllinical Center MIRECC fellowship program faculty. Where available, a link to the full article is provided at the end of the summary. For a sampling of additional articles, please see 2019, 2017, 2016, 2015, and 2014.

Adams, M. H., Dobscha, S. K., Smith, N. X., Yarborough, B. J., Deyo, R. A., & Morasco, B. J. (2018). Prevalence and correlates of low pain interference among patients with high pain intensity who are prescribed long-term opioid therapy. Journal of Pain, 19(9), 1074-1081.
The pain experience may vary greatly among individuals reporting equally high levels of pain. We sought to examine the demographic and clinical characteristics associated with pain interference in patients with high pain intensity. Among patients with chronic musculoskeletal pain who were prescribed long-term opioid therapy... Read full research article: Prevalence and correlates of low pain interference among patients with high pain intensity who are prescribed long-term opioid therapy

Balba, N. M., Elliott, J. E., Weymann, K. B., Opel, R. A., Duke, J. W., Oken, B. S., Morasco, B. J., Heinricher, M. M., & Lim, M. M. (2018). Increased sleep disturbances and pain in veterans with comorbid Traumatic Brain Injury and Posttraumatic Stress Disorder. Journal of Clinical Sleep Medicine 14(11), 1865-1878.
Veterans are at an increased risk for traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD), both of which are associated with sleep disturbances and increased pain. Furthermore, sleep disturbances and pain are reciprocally related such that each can exacerbate the other. Although both TBI and PTSD are independently linked to sleep disturbances and pain, it remains unclear whether Veterans with comorbid TBI+PTSD show worse sleep disturbances and pain compared to those with only TBI or PTSD. We hypothesized that sleep and pain would be worse in Veterans with comorbid TBI+PTSD compared to Veterans with only TBI or PTSD. Read full research article: Increased sleep disturbances and pain in veterans with comorbid Traumatic Brain Injury and Posttraumatic Stress Disorder

Carlson, K. F., Gilbert, T. A., Morasco, B. J., Wright, D., Otterloo, J. V., Herrndorf, A., & Cook, L. J. (2018). Linkage of VA and state prescription drug monitoring program data to examine concurrent opioid and sedative-hypnotic prescriptions among veterans. Health Services Research, 53, 5285-5308.
Examines the prevalence of concurrent Veterans Health Administration (VA) and non‐VA prescriptions for opioids and sedative‐hypnotic medications among post‐9/11 veterans in Oregon.... Read full research article: Linkage of VA and state prescription drug monitoring program data to examine concurrent opioid and sedative-hypnotic prescriptions among veterans

Dash, G. F., Wilson, A. C., Morasco, B. J., & Feldstein Ewing, S. W. (2018). A model of the intersection of pain and opioid misuse in children and adolescents. Clinical Psychological Science, 6(5), 629-646.
Despite being a significant public health concern, the role of opioid prescriptions in potentiating risk of opioid misuse in the context of pediatric pain has been underinvestigated. To address this gap, the present review identifies theory-based hypotheses about these associations, reviews the extant literature on opioid prescriptions that supports these hypotheses, and provides routes for future empirical studies. Read full research article: A model of the intersection of pain and opioid misuse in children and adolescents

Kumthekar, A. A., Shull, S., Lovejoy, T., Morasco, B., Chang, M., & Barton, J. (2018). Eradication of Hepatitis C among US veterans: Examination of changes in pain severity and prescription opioid use following treatment. Journal of Investigative Medicine, 66(1), 78.
Hepatitis C virus is associated with chronic wide spread pain, fatigue, myalgia, arthritis, sicca symptoms and vasculitis. Data regarding prior interferon-based treatment of Hepatitis C virus on pain is conflicting and the impact of direct acting antivirals on extrahepatic manifestations is unknown. The study objective is to assess the impact of direct acting antivirals treatment on pain and opioid use among patients treated at a single VA medical center. Read full research article: Eradication of Hepatitis C among US veterans: Examination of changes in pain severity and prescription opioid use following treatment

Lovejoy, T. I., Morasco, B. J., Demidenko, M. I., Meath, T. H. A., & Dobscha, S. K. (2018). Clinician referrals for non-opioid pain care following discontinuation of long-term opioid therapy differ based on reasons for discontinuation. JGIM: Journal of General Internal Medicine, 33, 24-30.
Little is known about pain care offered to patients discontinued from long-term opioid therapy (LTOT) by their prescriber due to aberrant behaviors versus other reasons. This study aimed to compare rates of non-opioid analgesic pharmacotherapy initiation and clinician referrals for non-pharmacologic pain treatment, complementary and integrative pain therapies, and specialty mental health and substance use disorder treatment between patients discontinued from opioid therapy due to aberrant behaviors versus other reasons. Read full research article: Clinician referrals for non-opioid pain care following discontinuation of long-term opioid therapy differ based on reasons for discontinuation

Lovejoy, T., Morasco, B., Meath, T., Wyse, J., & Dobscha, S. (2018). (182) - Pain care utilization following episodes of specialty substance use disorder treatment. Journal of Pain, 19, S35-S36. (Full article not available)

Lozier, C. C., Nugent, S. M., Smith, N. X., Yarborough, B. J., Dobscha, S. K., Deyo, R. A., & Morasco, B. J. (2018). Correlates of use and perceived effectiveness of non-pharmacologic strategies for chronic pain among patients prescribed long-term opioid therapy. JGIM: Journal of General Internal Medicine, 33, 46-53.
Non-pharmacologic treatments (NPTs) are recommended for chronic pain. Information is limited on patient use or perceptions of non-pharmacologic treatments. We examined the frequency and correlates of use and self-rated helpfulness of NPTs for chronic pain among patients who are prescribed long-term opioid therapy. Read full research article: Correlates of use and perceived effectiveness of non-pharmacologic strategies for chronic pain among patients prescribed long-term opioid therapy

McPherson, S., Smith, C. L., Dobscha, S. K., Morasco, B. J., Demidenko, M. I., Meath, T. H. A., ... Lederhos Smith, C. (2018). Changes in pain intensity after discontinuation of long-term opioid therapy for chronic noncancer pain. Pain (03043959), 159(10), 2097-2104.
Little is known about changes in pain intensity that may occur after discontinuation of long-term opioid therapy. The objective of this study was to characterize pain intensity after opioid discontinuation over 12 months. This retrospective U.S. Department of Veterans Affairs (VA) administrative data study identified 551 patients nationally who discontinued long-term opioid therapy. Read full research article: Changes in pain intensity after discontinuation of long-term opioid therapy for chronic noncancer pain

Morasco, B., Lovejoy, T., Hyde, S., Shull, S., & Dobscha, S. (2018). (231) - Limitations of pain numeric rating scale scores collected during usual care: Need for enhanced assessment. Journal of Pain, 19, S57-S58. (Full article not available)

Morasco, B. J., Lovejoy, T. I., & Ilgen, M. A. (2018). Management of chronic pain in patients with a comorbid substance use disorder. In D. C. Turk & R. J. Gatchel (Eds.), Psychological approaches to pain management: A practitioner's handbook, 3rd ed. (pp. 530-540). New York, NY: The Guilford Press. (Full article not available)

Morasco, B. J., Shull, S. E., Adams, M. H., Dobscha, S. K., & Lovejoy, T. I. (2018). Development of an algorithm to identify cannabis urine drug test results within a multi-site electronic health record system. Journal of Medical Systems, 42(9), 1. (Full article not available)

Nugent, S. M., Yarborough, B. J., Smith, N. X., Dobscha, S. K., Deyo, R. A., Green, C. A., & Morasco, B. J. (2018). Patterns and correlates of medical cannabis use for pain among patients prescribed long-term opioid therapy. General Hospital Psychiatry, 50, 104-110.
Little is known about co-occurring long-term opioid therapy and medical cannabis use. We compared characteristics of patients prescribedlong-term opioid therapy who endorsed using medical cannabis for pain to patients who did not report cannabis use. Read full research article: Patterns and correlates of medical cannabis use for pain among patients prescribed long-term opioid therapy

Wyse, J. J., Gordon, A. J., Dobscha, S. K., Morasco, B. J., Tiffany, E., Drexler, K., ... Lovejoy, T. I. (2018). Medications for opioid use disorder in the Department of Veterans Affairs (VA) health care system: Historical perspective, lessons learned, and next steps. Substance Abuse, 39(2), 139-144.
The US Department of Veterans Affairs (VA), the largest health care system in the US, has been confronted with the health care consequences of opioid disorder (OUD). Increasing access to quality OUD treatment, including pharmacotherapy, is a priority for the VA. We examine the history of medications (e.g., methadone, buprenorphine, injectable naltrexone) used in the treatment of OUD within VA, document early and ongoing efforts to increase access and build capacity, primarily through the use of buprenorphine, and summarize research examining barriers and facilitators to prescribing and medication receipt. (Link to full article not available)

Yarborough, B. J. H., Stumbo, S. P., Stoneburner, A., Smith, N., Dobscha, S. K., Deyo, R. A., Morasco, B. J. (2018). Correlates of benzodiazepine use and adverse outcomes among patients with chronic pain prescribed long-term opioid therapy. Pain Medicine. Advance online publication. doi: 10.1093/pm/pny179
Objective: to examine the correlates and odds of receiving overlapping benzodiazepine and opioid prescriptions and whether co-prescription was associated with greater odds of falling or visiting the emergency department. Read full research article: Correlates of benzodiazepine use and adverse outcomes among patients with chronic pain prescribed long-term opioid therapy


For additional articles, please see: 2019 | 2018 | 2017 | 2016 | 2015 | 2014