Patrick J. Lustman
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View article: Prescription Opioid Use and Change in Generalized Anxiety Disorder
Prescription Opioid Use and Change in Generalized Anxiety Disorder Open
View article: Posttraumatic Stress Disorder and Type 2 Diabetes Outcomes in Veterans
Posttraumatic Stress Disorder and Type 2 Diabetes Outcomes in Veterans Open
Importance Posttraumatic stress disorder (PTSD) symptom reduction is linked with lower risk of incident type 2 diabetes (T2D), but little is known about the association between PTSD and comorbid T2D outcomes. Whether PTSD is a modifiable r…
View article: Factors Associated With Interest in Engaging in Psychological Interventions for Pain Management
Factors Associated With Interest in Engaging in Psychological Interventions for Pain Management Open
Objective: Engagement in evidence-based psychological interventions for pain management is low. Identifying characteristics associated with interest in interventions can inform approaches to increase uptake and engagement. The purpose of t…
View article: Severity of posttraumatic stress disorder, type 2 diabetes outcomes and all-cause mortality: A retrospective cohort study
Severity of posttraumatic stress disorder, type 2 diabetes outcomes and all-cause mortality: A retrospective cohort study Open
View article: Characteristics of Patients with Non-Cancer Pain and Perceived Severity of COVID-19 Related Stress.
Characteristics of Patients with Non-Cancer Pain and Perceived Severity of COVID-19 Related Stress. Open
Depression, anxiety, pain severity, and pain interference were most strongly and consistently associated with COVID-19 changes in way of life, worsening of emotional/mental health, and worsening pain. Identifying specific stressful experie…
View article: PTSD symptom improvement and smoking cessation among a sample of veterans
PTSD symptom improvement and smoking cessation among a sample of veterans Open
Context: Poor health behaviors are common in persons with posttraumatic stress disorder (PTSD). PTSD symptom improvement has been followed by better health behaviors such as medication adherence and use of nutrition, weight loss, and subst…
View article: PTSD improvement and substance use disorder treatment utilization in veterans: Evidence from medical record data
PTSD improvement and substance use disorder treatment utilization in veterans: Evidence from medical record data Open
View article: The Prescription Opioids and Depression Pathways Cohort Study
The Prescription Opioids and Depression Pathways Cohort Study Open
Although the annual number of opioid prescriptions in the United States has decreased, over 190 million patients have OAU each year. If chronic OAU leads to a clinically meaningful affective disorder, independent of pain, then we need to c…
View article: Association Between Clinically Meaningful Posttraumatic Stress Disorder Improvement and Risk of Type 2 Diabetes
Association Between Clinically Meaningful Posttraumatic Stress Disorder Improvement and Risk of Type 2 Diabetes Open
The findings suggest that clinically meaningful reductions in PTSD symptoms are associated with a lower risk of T2D. A decrease in PCL score, whether through treatment or spontaneous improvement, may help mitigate the greater risk of T2D i…
View article: Combined effect of posttraumatic stress disorder and prescription opioid use on risk of cardiovascular disease
Combined effect of posttraumatic stress disorder and prescription opioid use on risk of cardiovascular disease Open
Aim Prescription opioid analgesic use (OAU) is associated with increased risk of cardiovascular disease (CVD). OAU is more common in patients with than without posttraumatic stress disorder (PTSD), and PTSD is associated with higher CVD ri…
View article: Factors Associated With Receipt of Cognitive-Behavioral Therapy or Prolonged Exposure Therapy Among Individuals With PTSD
Factors Associated With Receipt of Cognitive-Behavioral Therapy or Prolonged Exposure Therapy Among Individuals With PTSD Open
TC-CBT initiation increased among patients who were older and female. Initiation was also higher among providers who had more exposure to TC-CBT in their work environment and when TC-CBT fit into their existing workflow.
View article: Comorbid Conditions Explain the Association Between Posttraumatic Stress Disorder and Incident Cardiovascular Disease
Comorbid Conditions Explain the Association Between Posttraumatic Stress Disorder and Incident Cardiovascular Disease Open
Background Posttraumatic stress disorder ( PTSD ) is associated with risk of cardiovascular disease ( CVD ). Biopsychosocial factors associated with PTSD likely account for some or all of this association. We determined whether 1, or a com…
View article: The Role of Obesity in the Association Between Posttraumatic Stress Disorder and Incident Diabetes
The Role of Obesity in the Association Between Posttraumatic Stress Disorder and Incident Diabetes Open
In this study of patients who use the Veterans Health Administration for health care, obesity moderated the association between PTSD and incident T2DM. The incidence of T2DM in patients with PTSD who are not obese is similar to the nationa…
View article: Impact of adherence to antidepressants on long-term prescription opioid use cessation
Impact of adherence to antidepressants on long-term prescription opioid use cessation Open
Background Depression contributes to persistent opioid analgesic use (OAU). Treating depression may increase opioid cessation. Aims To determine if adherence to antidepressant medications (ADMs) v . non-adherence was associated with opioid…
View article: Gender and the Association between Long-Term Prescription Opioid Use and New-Onset Depression
Gender and the Association between Long-Term Prescription Opioid Use and New-Onset Depression Open
View article: New-onset depression following stable, slow, and rapid rate of prescription opioid dose escalation
New-onset depression following stable, slow, and rapid rate of prescription opioid dose escalation Open
Recent studies suggest that longer durations of opioid use, independent of maximum morphine equivalent dose (MED) achieved, is associated with increased risk of new-onset depression (NOD). Conversely, other studies, not accounting for dura…
View article: Opioid analgesics and chronic non-cancer pain: a prescription for research in primary care
Opioid analgesics and chronic non-cancer pain: a prescription for research in primary care Open
Opioid analgesics and chronic non-cancer pain: a prescription for research in primary careThe opioid epidemic in the USA is now reaching other parts of the world (1-3).From 2001 to 2013, opioid use has more than doubled in North America an…
View article: The influence of prescription opioid use duration and dose on development of treatment resistant depression
The influence of prescription opioid use duration and dose on development of treatment resistant depression Open
View article: New depression diagnosis following prescription of codeine, hydrocodone or oxycodone
New depression diagnosis following prescription of codeine, hydrocodone or oxycodone Open
Purpose Longer duration of prescription opioid use is associated with risk of major depression after controlling for daily morphine equivalent dose and pain. It is not known if risk of depression varies as a function of the type of opioid …
View article: Increased Risk of Depression Recurrence After Initiation of Prescription Opioids in Noncancer Pain Patients
Increased Risk of Depression Recurrence After Initiation of Prescription Opioids in Noncancer Pain Patients Open
View article: Antidepressant medication use and glycaemic control in co-morbid type 2 diabetes and depression
Antidepressant medication use and glycaemic control in co-morbid type 2 diabetes and depression Open
In this retrospective cohort study of a large sample of primary care patients with type 2 diabetes, ADM use was associated with improved glycaemic control.
View article: Prescription Opioid Duration, Dose, and Increased Risk of Depression in 3 Large Patient Populations
Prescription Opioid Duration, Dose, and Increased Risk of Depression in 3 Large Patient Populations Open
Opioid-related new onset of depression is associated with longer duration of use but not dose. Patients and practitioners should be aware that opioid analgesic use of longer than 30 days imposes risk of new-onset depression. Opioid analges…
View article: Change in opioid dose and change in depression in a longitudinal primary care patient cohort
Change in opioid dose and change in depression in a longitudinal primary care patient cohort Open
Depression is associated with receipt of higher doses of prescription opioids. It is not known whether the reverse association exists in that an increased opioid dose is associated with increased depression. Questionnaires were administere…