A5089009097- Musculoskeletal pain and rehabilitation
- Pain Management and Placebo Effect
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Opioid Use Disorder Treatment
- Pain Management and Opioid Use
- Mindfulness and Compassion Interventions
- Psychosomatic Disorders and Their Treatments
- Pain Mechanisms and Treatments
- Pediatric Pain Management Techniques
- Digital Mental Health Interventions
- Health Policy Implementation Science
- Substance Abuse Treatment and Outcomes
- Gastrointestinal motility and disorders
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Optimism, Hope, and Well-being
- Migration, Health and Trauma
- Mental Health and Psychiatry
- Posttraumatic Stress Disorder Research
- Child Abuse and Trauma
- Healthcare professionals’ stress and burnout
- Child and Adolescent Psychosocial and Emotional Development
- Health Systems, Economic Evaluations, Quality of Life
- Infant Health and Development
- Workplace Health and Well-being
- Health, psychology, and well-being
Stanford University
2017-2025
Stanford Medicine
2017-2025
Palo Alto University
2017-2024
Tufts University
2018-2024
Leeds Beckett University
2024
University of California System
2024
Université de Sherbrooke
2024
University of California, Davis
2024
Western University
2024
University of Toronto
2024
<h3>Importance</h3> Chronic low back pain (CLBP), the most prevalent chronic condition, imparts substantial disability and discomfort. Cognitive behavioral therapy (CBT) reduces effect of CLBP, but access is limited. <h3>Objective</h3> To determine whether a single class in evidence-based management skills (empowered relief) noninferior to 8-session CBT superior health education at 3 months after treatment for improving catastrophizing, intensity, interference, other secondary outcomes....
Abstract Introduction: We previously conducted a 3-arm randomized trial (263 adults with chronic low back pain) which compared group-based (1) single-session pain relief skills intervention (Empowered Relief; ER); (2) 8-session cognitive behavioral therapy (CBT) for pain; and (3) health education class (HE). Results suggested non-inferiority of ER vs. CBT at 3 months post-treatment on an array outcomes. Methods: Here, we tested the durability treatment effects 6 post-treatment. examined...
Abstract Many Iraqi refugees suffer from posttraumatic stress. Efficient, culturally sensitive interventions are needed, and so we adapted narrative exposure therapy into a brief version (brief NET) tested its effects in sample of traumatized refugees. the United States reporting elevated stress ( N = 63) were randomized to NET or waitlist control conditions 2:1 ratio; was 3 sessions, conducted individually, Arabic. Positive indicators (posttraumatic growth well‐being) symptoms stress,...
Current clinical guidelines identify several psychological treatments for irritable bowel syndrome (IBS). IBS patients, however, have elevated trauma, life stress, relationship conflicts, and emotional avoidance, which few therapies directly target. We tested the effects of awareness expression training (EAET) compared to an evidence-based comparison condition-relaxation training-and a waitlist control condition.
This study aims to assess the feasibility of digital perioperative behavioral pain medicine intervention in breast cancer surgery and evaluate its impact on catastrophizing, pain, opioid cessation after surgery.A randomized controlled clinical trial was conducted at Stanford University (Palo Alto, CA, USA) comparing a ("My Surgical Success" [MSS]) with general health education (HE).A convenience sample 127 participants were treatment group. The analytic 68 patients (N = 36 MSS, N 32 HE).The...
This study examined mental health problems among children of Iraqi refugees, most whom were Christian. Exposure to potentially traumatic events was hypothesized predict more symptoms depression and stress. Moreover, youth reports supportive relationships with parents positive feelings about school in relation problems. These promotive factors expected mitigate the association between event exposure Participants 211 recruited from agencies programs serving refugees a large metropolitan area...
Critical for the diagnosis and treatment of chronic pain is anatomical distribution pain. Several body maps allow patients to indicate areas on paper; however, each has its limitations.To provide a comprehensive map that can be universally applied across conditions, we developed electronic Collaborative Health Outcomes Information Registry (CHOIR) self-report by performing an environmental scan assessing existing maps.After initial validation using Delphi technique, compared (1) location...
Background Cognitive behavioral therapy–pain is an evidence-based treatment for chronic pain that can have significant patient burden, including health care cost, travel, multiple sessions, and lack of access in remote areas. Objective The study aims to pilot test the efficacy a single-session videoconference-delivered empowered relief (ER) intervention compared waitlist control (WLC) conditions among individuals with pain. We hypothesized ER would be superior WLC reducing catastrophizing,...
Cognitive appraisals, most notably pain catastrophizing, play an important role in chronic pain. The of metacognition and its impact on the relationship between catastrophizing health are understudied. identification as a moderator psychological constructs may have clinical empirical implications. We hypothesized that negative metacognitive beliefs would moderate relationships emotional functioning physical activity.Participants (N = 211) with mixed aetiology were primarily Caucasian females...
Palliative medicine is a rewarding field, but providers encounter patient trauma on routine basis. Compassion fatigue, marked by burnout, secondary traumatic stress, and low satisfaction may result. However, professionals differ markedly in how they respond to trauma. The objective of the current study was determine whether personality traits neuroticism agreeableness relate aspects compassion after accounting for time spent working field.Sixty-six palliative physicians, nurses, social...
Background Patients with chronic pain on long-term opioid therapy often face barriers to accessing effective nonpharmacological treatments, including the burden of multiple sessions, lack trained clinicians, and travel time. Empowered Relief (ER), a 2-hour, single-session relief skills class, can improve quality life among patients when delivered in person or virtually. Objective This study examined impact Zoom-delivered ER people therapy. We assessed (1) feasibility acceptability ER; (2)...
Lifetime trauma, relationship adversities, and emotional conflicts are elevated in primary care patients with medically unexplained symptoms (MUS), these risk factors likely trigger or exacerbate symptoms. Helping disclose stressors, increase awareness expression of inhibited emotions, link emotions to physical may improve health. We developed an interview that targets stressful life experiences then tested its effects on MUS.Patients (N = 75) MUS were recruited at a family medicine clinic...
Abstract Objective Women with chronic urogenital pain (CUP) conditions have elevated rates of lifetime trauma, relational stress, and emotional conflicts, but directly assessing treating psychological stress is rarely done in women’s health care settings. We developed tested the effects on patients’ somatic symptoms a life interview that encourages disclosure about stressors uses experiential techniques to increase awareness links between emotions, symptoms. Methods In this randomized trial,...
Pain catastrophizing is understood as a negative cognitive and emotional response to pain. Researchers, advocates patients have reported stigmatizing effects of the term in clinical settings media. We conducted an international study investigate patient perspectives on pain catastrophizing. Open-ended electronic caregiver proxy surveys were promoted internationally by collaborator stakeholders through social 3,521 received from 47 countries (77.3% U.S.). The sample was mainly female (82.1%),...
Chronic pain conditions present in various forms, yet all feature symptomatic impairments physical, mental, and social domains. Rather than assessing symptoms as manifestations of illness, we used them to develop a chronic classification system. A cohort real-world treatment-seeking patients completed multidimensional patient-reported registry part routine initial evaluation multidisciplinary academic clinic. We applied hierarchical clustering on training subset 11,448 using nine...
Abstract Empirical data on the health impacts of COVID-19 pandemic remain scarce, especially among patients with chronic pain. We conducted a cross-sectional study matched by season to examine patient-reported symptoms pain pre- and post-COVID-19 onset. Survey responses were analyzed from 7535 during their initial visit at tertiary clinic between April 2017–October 2020. Surveys included measures pain-related physical, emotional, social function. The onset cohort 1798 evaluations, control...
BACKGROUND: Behavioral pain treatments may improve postsurgical analgesia and recovery; however, effective scalable options are not widely available. This study tested a digital perioperative behavioral medicine intervention in orthopedic trauma surgery patients for feasibility efficacy reducing intensity, catastrophizing, opioid cessation up to 3 months after surgery. METHODS: A randomized controlled clinical trial was conducted at an unit major academic hospital compare management (“My...