- Musculoskeletal pain and rehabilitation
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Pain Mechanisms and Treatments
- Osteoarthritis Treatment and Mechanisms
- Sleep and related disorders
- Pain Management and Placebo Effect
- Pediatric Pain Management Techniques
- Resilience and Mental Health
- Pain Management and Opioid Use
- HIV-related health complications and treatments
- Optimism, Hope, and Well-being
- Opioid Use Disorder Treatment
- Pharmacological Effects and Toxicity Studies
- Mindfulness and Compassion Interventions
- HIV/AIDS Research and Interventions
- Heart Rate Variability and Autonomic Control
- Stroke Rehabilitation and Recovery
- Stress Responses and Cortisol
- Spine and Intervertebral Disc Pathology
- Workplace Health and Well-being
- Vitamin D Research Studies
- Sleep and Work-Related Fatigue
- Health Systems, Economic Evaluations, Quality of Life
- Sleep and Wakefulness Research
- Anesthesia and Pain Management
Washington University in St. Louis
2023-2025
University of Alabama at Birmingham
2016-2025
Wake Forest University
2024
University of Alabama
2015-2023
Brigham and Women's Hospital
2022
Harvard University
2009-2022
University of Florida
2011-2022
Florida College
2011-2022
Birmingham VA Medical Center
2022
Seattle University
2022
Objective To identify psychological profiles in persons with knee osteoarthritis (OA) and to determine the relationship between these specific pain sensory characteristics, including temporal summation conditioned modulation. Methods Individuals OA (n = 194) completed psychological, health, assessments. Hierarchical cluster analysis was used derive that were compared across several clinical pain/disability experimental responses. Results Cluster 1 had high optimism low negative affect,...
Objective Symptomatic knee osteoarthritis (OA) is a condition commonly associated with increased pain, disability, and functional limitations. Given the poor correspondence between radiographic evidence clinical central sensitization has been implicated as potential mechanism underlying pain facilitation in OA. Sex may be moderator of centrally mediated changes OA pain; however, few studies have systematically assessed this. Therefore, aim this study was to examine differences peripheral men...
Objective Knee osteoarthritis (OA) contributes significantly to disability in older individuals, and racial/ethnic minorities are disproportionately affected. The present study aimed characterize differences clinical experimental pain, including pain inhibition, among African American (AA) non‐Hispanic white (NHW) subjects with knee OA. Methods AA NHW OA (n = 267) completed functional assessments, quantitative sensory testing (QST). We hypothesized that, when compared subjects, would display...
Abstract Pain among individuals with knee osteoarthritis (OA) is associated significant disability in older adults, and recent evidence demonstrates enhanced experimental pain sensitivity. Although previous research showed considerable heterogeneity the OA clinical presentation, less known regarding variability responses to pain. The present study included (n = 292) who participated Understanding Limitations Osteoarthritic Disease completed demographic psychological questionnaires followed...
Objective Enhanced pain facilitation is reportedly an important contributor to the clinical experiences of individuals with knee osteoarthritis (OA). Ethnic differences in prevalence and severity OA addition associated are also well documented. Temporal summation (TS) a widely applicable quantitative sensory testing method that invokes neural mechanisms related facilitatory processes. This study tested whether TS pain, index facilitation, differentially predicts African Americans...
Objective. Research on chronic low back pain (cLBP) has focused heavily structural abnormalities with emphasis diagnostic imaging. However, for many cLBP patients, clinical and disability are not clearly associated identifiable pathology of the spine or tissues. Therefore, alternative determinants such as psychological factors dysfunctional modulatory processes have been suggested to be important.
Evidence indicates that over half of all people with HIV (PWH) will experience nonmalignant chronic pain throughout their lifetimes, increasing prevalence as they age. Peripheral neuropathy resulting from the neurotoxic effects itself and medications used to treat were widely considered primary cause acute early on in antiretroviral treatment era. However, recent studies suggest a predominance non-neuropathic (e.g., musculoskeletal) PWH uncertain etiology. Chronic is often widespread PWH,...
Neurosurgeons and hospitals devote tremendous resources to improving recovery from lumbar spine surgery. Current efforts predict surgical rely on one-time patient report health record information. However, longitudinal mobile (mHealth) assessments integrating symptom dynamics ecological momentary assessment (EMA) wearable biometric data may capture important influences recovery. Our objective was evaluate whether a preoperative mHealth EMA with Fitbit monitoring improved predictions of surgery
Abstract Objective Low circulating serum levels of 25‐hydroxyvitamin D (referred to hereafter as vitamin D) have been correlated with many health conditions, including chronic pain. Recent clinical practice guidelines define <20 ng/ml deficient and 21–29 insufficient . Vitamin insufficiency, the most severe deficiency, is more prevalent in black Americans. Ethnic race group differences reported both experimental pain, Americans reporting increased The purpose this study was examine...
Studies have shown that perceived racial discrimination is a significant predictor of clinical pain severity among African Americans. It remains unknown whether also alters the nociceptive processing painful stimuli, which, in turn, could influence severity. This study examined associations between and responses to noxious thermal stimuli Americans non-Hispanic Whites. Mistrust medical researchers was assessed given its potential affect stimuli.One-hundred 30 (52% American, 48% White)...