Robert D Kerns
Biographic Data
| ID | 187699 |
|---|---|
| NAME | Robert D Kerns |
| GIVEN NAMES | Robert D |
| FAMILY NAME | Kerns |
| SIGNATURE | KERNS R D |
| AFFILIATIONS | Yale University |
| ORCID | 0000-0001-7609-2771 |
| VERIFIED | Yes |
| TOTAL WORKS | 23 |
| TOTAL CITATIONS | 33 |
| AUTHOR COUNT | 23 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1984 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 3 |
Pain, Substance Use Disorders, Mental Health, and Buprenorphine Treatment among Patients With and Without HIV
Treatment of opioid use disorder (OUD) with buprenorphine improves outcomes and mortality among people with HIV (PWH). However, engagement is low and is influenced by comorbidities. We examined the impact of patterns of co-occurring pain, substance use disorders (SUDs), and mental health diagnoses on buprenorphine initiation and retention in PWH. The Veterans Aging Cohort Study contained 7,875 patients (2,702 PWH and 5,173 without HIV) with new O…
Mapping the Design Space of Technology-Based Solutions for Better Chronic Pain Care: Introducing the Pain Tech Landscape
OBJECTIVES: Technology has substantial potential to transform and extend care for persons with chronic pain, a burdensome and costly condition. To catalyze the development of impactful applications of technology in this space, we developed the Pain Tech Landscape (PTL) model, which integrates pain care needs with characteristics of technological solutions. METHODS: Our interdisciplinary group representing experts in pain and human factors researc…
Sociodemographic and clinical correlates of gabapentin receipt with and without opioids among a national cohort of patients with HIV
Gabapentin is commonly prescribed for chronic pain, including to patients with HIV (PWH). There is growing concern regarding gabapentin's potential for harm, particularly in combination with opioids. Among PWH, we examined factors associated with higher doses of gabapentin receipt and determined if receipt varied by opioid use. We examined data from the Veterans Aging Cohort Study, a national prospective cohort including PWH, from 2002 through 20…
Self-Reported Cannabis Use and HIV Viral Control among Patients with HIV Engaged in Care: Results from a National Cohort Study
Background: The association between cannabis use and HIV-1 RNA (viral load) among people with HIV (PWH) engaged in care is unclear. Methods: We used data collected from 2002 to 2018 on PWH receiving antiretroviral therapy (ART) enrolled in the Veterans Aging Cohort Study. Generalized estimating equations were used to estimate associations between self-reported past-year cannabis use and detectable viral load (≥500 copies/mL), with and without adj…
Social and Behavioral Sciences: Response to the Opioid and Pain Crises in the United States
A randomized controlled trial of cognitive behavioral therapy compared with diabetes education for diabetic peripheral neuropathic pain
A randomized controlled trial compared cognitive behavioral therapy (CBT) and diabetes education (ED) as an adjunctive treatment for diabetic peripheral neuropathic pain (DPNP). We examined change from baseline to 12- and 36-week follow-up in overall pain intensity (NRS), neuropathic pain intensity/quality, pain interference, and mental health functioning, among others. Although CBT participants demonstrated improvement in pain intensity NRS, the…
Long-term Patterns of Self-reported Opioid Use, Vacs Index, and Mortality Among People with HIV Engaged in Care
Psychology’s role in addressing the dual crises of chronic pain and opioid-related harms: Introduction to the special issue
Chronic pain is considered a public health crisis due to its high prevalence, impact, costs, and disparities in pain prevalence and treatment. In parallel, drug overdose, particularly due to opioids, has become an epidemic in the United States, prompting a public health crisis concerning harms associated with both prescribed opioid therapy for chronic pain and illicit opioid use. The purpose of this special issue is to highlight state-of-the-art …
Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016
Chronic pain, one of the most common reasons adults seek medical care (1), has been linked to restrictions in mobility and daily activities (2,3), dependence on opioids (4), anxiety and depression (2), and poor perceived health or reduced quality of life (2,3). Population-based estimates of chronic pain among U.S. adults range from 11% to 40% (5), with considerable population subgroup variation. As a result, the 2016 National Pain Strategy called…
A Randomized Pilot Trial of a Novel Behavioral Intervention for Chronic Pain Tailored to Individuals with HIV
Core competencies for the emerging specialty of pain psychology
The Institute of Medicine (IOM) has reported that approximately 100 million Americans experience chronic pain. The IOM report on pain and the subsequent National Pain Strategy (NPS) issued by the U.S. Department of Health and Human Services have both noted the educational gaps regarding pain management and highlighted the pivotal role that psychology plays in the field of pain management. Fishman and colleagues (2013) emphasized the need for all …
Gender Differences in Demographic and Clinical Correlates among Veterans with Musculoskeletal Disorders
Multiple Sources of Prescription Payment and Risky Opioid Therapy Among Veterans
BACKGROUND: Opioid overdose and other related harms are a major source of morbidity and mortality among US Veterans, in part due to high-risk opioid prescribing. OBJECTIVES: We sought to determine whether having multiple sources of payment for opioids-as a marker for out-of-system access-is associated with risky opioid therapy among veterans. RESEARCH DESIGN: Cross-sectional study examining the association between multiple sources of payment and …
Trends in Any and High-Dose Opioid Analgesic Receipt Among Aging Patients With and Without HIV
Receipt of Prescription Opioids in a National Sample of Pregnant Veterans Receiving Veterans Health Administration Care
Agreement Between Electronic Medical Record-based and Self-administered Pain Numeric Rating Scale: Clinical and Research Implications
BACKGROUND: Pain screening may improve the quality of care by identifying patients in need of further assessment and management. Many health care systems use the numeric rating scale (NRS) for pain screening, and record the score in the patients' electronic medical record (EMR). OBJECTIVE: Determine the level of agreement between EMR and patient survey NRS, and whether discrepancies vary by demographic and clinical characteristics. METHODS: We li…
Patient race and physicians' decisions to prescribe opioids for chronic low back pain
Core outcome measures for chronic pain clinical trials: IMMPACT recommendations
Dworkin, Robert H.a,*; Turk, Dennis C.b; Farrar, John T.c; Haythornthwaite, Jennifer A.d; Jensen, Mark P.b; Katz, Nathaniel P.e; Kerns, Robert D.f; Stucki, Geroldg; Allen, Robert R.h; Bellamy, Nicholasi; Carr, Daniel B.j; Chandler, Juliek; Cowan, Penneyl; Dionne, Raymondm; Galer, Bradley S.n; Hertz, Sharono; Jadad, Alejandro R.p; Kramer, Lynn D.q; Manning, Donald C.r; Martin, Susans; McCormick, Cynthia G.t; McDermott, Michael P.u; McGrath, Patric…
Explaining high rates of depression in chronic pain: A diathesis-stress framework
The role of denial in recovery from coronary heart disease
This longitudinal study investigated the relationship between denial of illness and the course of recovery in patients with coronary heart disease. Using a newly developed interview instrument, the Levine Denial of Illness Scale (LDIS), the level and modes of denial were assessed in 45 male patients who were hospitalized for myocardial infarction or for coronary bypass surgery, of whom 30 were followed for 1 year after discharge. The reliability,…
Type A behavior pattern, inhibited power motivation, and activity inhibition
The constructs of the Type A behavior pattern and the Inhibited Power Motive Syndrome (IPMS) have many features in common. The empirical relation between the two constructs was investigated in this study with 45 employed, male medical and surgical patients. Four different measures of the Type A pattern were examined. Results showed that, of the four measures, the Structured Interview and the Hostility Scale were related significantly to the IPMS.…
The West Haven-Yale Multidimensional Pain Inventory (WHYMPI)
The complexity of chronic pain has represented a major dilemma for clinical researchers interested in the reliable and valid assessment of the problem and the evaluation of treatment approaches. The West Haven-Yale Multidimensional Pain Inventory (WHYMPI) was developed in order to fill a widely recognized void in the assessment of clinical pain. Assets of the inventory are its brevity and clarity, its foundation in contemporary psychological theo…
Depression and Chronic Pain: The Mediating Role of the Spouse
Relationships among measures of pain intensity, depressed mood, marital satisfaction, and spouse supportiveness were studied in a sample of 30 male, chronic pain patients and their wives. Over one-half of the patients and spouses reported significant depression and marital dissatisfaction. The lack of significant relationship between pain intensity and either depression or marital satisfaction, and the presence of significant correlations between…
Patient race and physicians' decisions to prescribe opioids for chronic low back pain
Explaining high rates of depression in chronic pain: A diathesis-stress framework
Depression and Chronic Pain: The Mediating Role of the Spouse
Relationships among measures of pain intensity, depressed mood, marital satisfaction, and spouse supportiveness were studied in a sample of 30 male, chronic pain patients and their wives. Over one-half of the patients and spouses reported significant depression and marital dissatisfaction. The lack of significant relationship between pain intensity and either depression or marital satisfaction, and the presence of significant correlations between…
Depression and Chronic Pain: The Mediating Role of the Spouse
Relationships among measures of pain intensity, depressed mood, marital satisfaction, and spouse supportiveness were studied in a sample of 30 male, chronic pain patients and their wives. Over one-half of the patients and spouses reported significant depression and marital dissatisfaction. The lack of significant relationship between pain intensity and either depression or marital satisfaction, and the presence of significant correlations between…
The West Haven-Yale Multidimensional Pain Inventory (WHYMPI)
The complexity of chronic pain has represented a major dilemma for clinical researchers interested in the reliable and valid assessment of the problem and the evaluation of treatment approaches. The West Haven-Yale Multidimensional Pain Inventory (WHYMPI) was developed in order to fill a widely recognized void in the assessment of clinical pain. Assets of the inventory are its brevity and clarity, its foundation in contemporary psychological theo…
The role of denial in recovery from coronary heart disease
This longitudinal study investigated the relationship between denial of illness and the course of recovery in patients with coronary heart disease. Using a newly developed interview instrument, the Levine Denial of Illness Scale (LDIS), the level and modes of denial were assessed in 45 male patients who were hospitalized for myocardial infarction or for coronary bypass surgery, of whom 30 were followed for 1 year after discharge. The reliability,…
Type A behavior pattern, inhibited power motivation, and activity inhibition
The constructs of the Type A behavior pattern and the Inhibited Power Motive Syndrome (IPMS) have many features in common. The empirical relation between the two constructs was investigated in this study with 45 employed, male medical and surgical patients. Four different measures of the Type A pattern were examined. Results showed that, of the four measures, the Structured Interview and the Hostility Scale were related significantly to the IPMS.…
Explaining high rates of depression in chronic pain: A diathesis-stress framework
Core outcome measures for chronic pain clinical trials: IMMPACT recommendations
Dworkin, Robert H.a,*; Turk, Dennis C.b; Farrar, John T.c; Haythornthwaite, Jennifer A.d; Jensen, Mark P.b; Katz, Nathaniel P.e; Kerns, Robert D.f; Stucki, Geroldg; Allen, Robert R.h; Bellamy, Nicholasi; Carr, Daniel B.j; Chandler, Juliek; Cowan, Penneyl; Dionne, Raymondm; Galer, Bradley S.n; Hertz, Sharono; Jadad, Alejandro R.p; Kramer, Lynn D.q; Manning, Donald C.r; Martin, Susans; McCormick, Cynthia G.t; McDermott, Michael P.u; McGrath, Patric…
Patient race and physicians' decisions to prescribe opioids for chronic low back pain
Agreement Between Electronic Medical Record-based and Self-administered Pain Numeric Rating Scale: Clinical and Research Implications
BACKGROUND: Pain screening may improve the quality of care by identifying patients in need of further assessment and management. Many health care systems use the numeric rating scale (NRS) for pain screening, and record the score in the patients' electronic medical record (EMR). OBJECTIVE: Determine the level of agreement between EMR and patient survey NRS, and whether discrepancies vary by demographic and clinical characteristics. METHODS: We li…
Trends in Any and High-Dose Opioid Analgesic Receipt Among Aging Patients With and Without HIV
Receipt of Prescription Opioids in a National Sample of Pregnant Veterans Receiving Veterans Health Administration Care
Gender Differences in Demographic and Clinical Correlates among Veterans with Musculoskeletal Disorders
Multiple Sources of Prescription Payment and Risky Opioid Therapy Among Veterans
BACKGROUND: Opioid overdose and other related harms are a major source of morbidity and mortality among US Veterans, in part due to high-risk opioid prescribing. OBJECTIVES: We sought to determine whether having multiple sources of payment for opioids-as a marker for out-of-system access-is associated with risky opioid therapy among veterans. RESEARCH DESIGN: Cross-sectional study examining the association between multiple sources of payment and …
Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016
Chronic pain, one of the most common reasons adults seek medical care (1), has been linked to restrictions in mobility and daily activities (2,3), dependence on opioids (4), anxiety and depression (2), and poor perceived health or reduced quality of life (2,3). Population-based estimates of chronic pain among U.S. adults range from 11% to 40% (5), with considerable population subgroup variation. As a result, the 2016 National Pain Strategy called…
A Randomized Pilot Trial of a Novel Behavioral Intervention for Chronic Pain Tailored to Individuals with HIV
Core competencies for the emerging specialty of pain psychology
The Institute of Medicine (IOM) has reported that approximately 100 million Americans experience chronic pain. The IOM report on pain and the subsequent National Pain Strategy (NPS) issued by the U.S. Department of Health and Human Services have both noted the educational gaps regarding pain management and highlighted the pivotal role that psychology plays in the field of pain management. Fishman and colleagues (2013) emphasized the need for all …
Psychology’s role in addressing the dual crises of chronic pain and opioid-related harms: Introduction to the special issue
Chronic pain is considered a public health crisis due to its high prevalence, impact, costs, and disparities in pain prevalence and treatment. In parallel, drug overdose, particularly due to opioids, has become an epidemic in the United States, prompting a public health crisis concerning harms associated with both prescribed opioid therapy for chronic pain and illicit opioid use. The purpose of this special issue is to highlight state-of-the-art …
Long-term Patterns of Self-reported Opioid Use, Vacs Index, and Mortality Among People with HIV Engaged in Care
Sociodemographic and clinical correlates of gabapentin receipt with and without opioids among a national cohort of patients with HIV
Gabapentin is commonly prescribed for chronic pain, including to patients with HIV (PWH). There is growing concern regarding gabapentin's potential for harm, particularly in combination with opioids. Among PWH, we examined factors associated with higher doses of gabapentin receipt and determined if receipt varied by opioid use. We examined data from the Veterans Aging Cohort Study, a national prospective cohort including PWH, from 2002 through 20…
Self-Reported Cannabis Use and HIV Viral Control among Patients with HIV Engaged in Care: Results from a National Cohort Study
Background: The association between cannabis use and HIV-1 RNA (viral load) among people with HIV (PWH) engaged in care is unclear. Methods: We used data collected from 2002 to 2018 on PWH receiving antiretroviral therapy (ART) enrolled in the Veterans Aging Cohort Study. Generalized estimating equations were used to estimate associations between self-reported past-year cannabis use and detectable viral load (≥500 copies/mL), with and without adj…
Social and Behavioral Sciences: Response to the Opioid and Pain Crises in the United States
A randomized controlled trial of cognitive behavioral therapy compared with diabetes education for diabetic peripheral neuropathic pain
A randomized controlled trial compared cognitive behavioral therapy (CBT) and diabetes education (ED) as an adjunctive treatment for diabetic peripheral neuropathic pain (DPNP). We examined change from baseline to 12- and 36-week follow-up in overall pain intensity (NRS), neuropathic pain intensity/quality, pain interference, and mental health functioning, among others. Although CBT participants demonstrated improvement in pain intensity NRS, the…
Mapping the Design Space of Technology-Based Solutions for Better Chronic Pain Care: Introducing the Pain Tech Landscape
OBJECTIVES: Technology has substantial potential to transform and extend care for persons with chronic pain, a burdensome and costly condition. To catalyze the development of impactful applications of technology in this space, we developed the Pain Tech Landscape (PTL) model, which integrates pain care needs with characteristics of technological solutions. METHODS: Our interdisciplinary group representing experts in pain and human factors researc…
Pain, Substance Use Disorders, Mental Health, and Buprenorphine Treatment among Patients With and Without HIV
Treatment of opioid use disorder (OUD) with buprenorphine improves outcomes and mortality among people with HIV (PWH). However, engagement is low and is influenced by comorbidities. We examined the impact of patterns of co-occurring pain, substance use disorders (SUDs), and mental health diagnoses on buprenorphine initiation and retention in PWH. The Veterans Aging Cohort Study contained 7,875 patients (2,702 PWH and 5,173 without HIV) with new O…
Medicine (21 works) · Psychiatry (18 works) · Internal Medicine (14 works) · Psychology (13 works) · Chronic pain (10 works) · Musculoskeletal pain and rehabilitation (9 works) · Opioid Use Disorder Treatment (7 works) · Physical therapy (7 works) · Family medicine (6 works) · Opioid (6 works)