Full Text Journal Articles by
Author Melissa Pielech


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Comorbid chronic pain and opioid misuse in youth: Knowns, unknowns, and implications for behavioral treatment.

Melissa Pielech, Claire E Lunde, Sara J Becker, Kevin E Vowles, Christine B Sieberg,

Chronic pain and opioid misuse occur in pediatric populations and can be associated with a range of negative adverse outcomes that may persist into adulthood. While the association between chronic pain, opioid prescribing, and opioid-related adverse consequences is reasonably well established in adults, the relation in pediatric patients is not ... Read more >>

Am Psychol (The American psychologist)
[2020, 75(6):811-824]

Cited: 1 time

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Receipt of multiple outpatient opioid prescriptions is associated with increased risk of adverse outcomes in youth: opioid prescribing trends, individual characteristics, and outcomes from 2005 to 2016.

Melissa Pielech, Eric Kruger, William Evan Rivers, Harry E Snow, Kevin E Vowles,

Data on all outpatient opioid prescriptions (N = 71,647) to youth below age 21 (N = 42,020) from 2005 to 2016 were extracted from electronic medical records within a university hospital system in New Mexico (NM) as were demographic details and markers of morbidity/mortality. Relative risk was calculated for markers ... Read more >>

Pain (Pain)
[2020, 161(6):1297-1310]

Cited: 0 times

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A Comparative Meta-Analysis of Unidisciplinary Psychology and Interdisciplinary Treatment Outcomes Following Acceptance and Commitment Therapy for Adults with Chronic Pain.

Kevin E Vowles, Melissa Pielech, Karlyn A Edwards, Mindy L McEntee, Robert W Bailey,

While much of the literature provides positive support for psychological interventions for chronic pain, 2 recent meta-analyses indicate small to moderate benefits only. This inconsistency in findings suggests that there are other treatment-related variables to consider. One possible consideration pertains to treatment format, as psychological models form the basis for ... Read more >>

J Pain (The journal of pain)
[2020, 21(5-6):529-545]

Cited: 1 time

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The relation of self-compassion to functioning among adults with chronic pain.

Karlyn A Edwards, Melissa Pielech, Jayne Hickman, Julie Ashworth, Gail Sowden, Kevin E Vowles,

BACKGROUND:Previous research has shown that self-compassion is associated with improved functioning and health outcomes among multiple chronic illnesses. However, the role of self-compassion in chronic pain-related functioning is understudied. The present study sought to understand the association between self-compassion and important measures of functioning within a sample of patients with ... Read more >>

Eur J Pain (European journal of pain (London, England))
[2019, 23(8):1538-1547]

Cited: 2 times

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User-centered design of contingency management for implementation in opioid treatment programs: a qualitative study.

Sara J Becker, Kelli Scott, Cara M Murphy, Melissa Pielech, Samantha A Moul, Kimberly R Yap, Bryan R Garner,

<h4>Background</h4>Contingency management (CM) is one of the only behavioral interventions shown to be effective for the treatment of opioid use disorders when delivered alone and in combination with pharmacotherapy. Despite extensive empirical support, uptake of CM in community settings remains abysmally low. The current study applied user-centered design principles to ... Read more >>

BMC Health Serv Res (BMC health services research)
[2019, 19(1):466]

Cited: 3 times

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Using Analgesics for Emotional Modulation is Associated With Increased Distress, Depression, and Risk of Opioid and Alcohol Misuse: Initial Evaluation and Component Analysis of the Reasons for Analgesic Use Measure (RAUM).

Kevin E Vowles, Robert W Bailey, Mindy L McEntee, Melissa Pielech, Karlyn A Edwards, Lena A Bolling, W Evan Rivers,

<h4>Objectives</h4>It is important to identify aspects of analgesic use that are associated with harm in chronic pain. Historically, the focus has been patterns of use (eg, overuse). This study evaluated another aspect of use-rather than evaluating how analgesics were being used, the primary interest was in why they were being ... Read more >>

Clin J Pain (The Clinical journal of pain)
[2018, 34(10):975-982]

Cited: 2 times

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Alcohol and Opioid Use in Chronic Pain: A Cross-Sectional Examination of Differences in Functioning Based on Misuse Status.

Kevin E Vowles, Katie Witkiewitz, Melissa Pielech, Karlyn A Edwards, Mindy L McEntee, Robert W Bailey, Lena Bolling, Mark D Sullivan,

Opioid misuse is regularly associated with disrupted functioning in those with chronic pain. Less work has examined whether alcohol misuse may also interfere with functioning. This study examined frequency of opioid and alcohol misuse in 131 individuals (61.1% female) prescribed opioids for the treatment of chronic pain. Participants completed an ... Read more >>

J Pain (The journal of pain)
[2018, 19(10):1181-1188]

Cited: 6 times

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Parent Responses to Child Pain During Intensive Interdisciplinary Pain Treatment and 1-Year Follow-Up.

Melissa Pielech, Dustin P Wallace, Megan Fitzgerald, Cara M Hoffart,

Targeting parents' responses to their child's pain during intensive interdisciplinary pain treatment (IIPT) could influence child functioning. This longitudinal, observational study investigated changes in these responses and concurrent relationships between parent responses and changes in levels of child functioning and pain. Parents of youths 10 to 19 years of age ... Read more >>

J Pain (The journal of pain)
[2018, 19(11):1275-1284]

Cited: 4 times

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Photographs of Daily Activities-Youth English: validating a targeted assessment of worry and anticipated pain.

Laura E Simons, Melissa Pielech, Shannon McAvoy, Caitlin Conroy, Melinda Hogan, Jeanine A Verbunt, Marielle E Goossens,

PHODA is an electronic measure that individualizes and guides treatment for individuals with chronic pain. Implicit in its design is recognition that pain-related fear is a driving force that impedes treatment progress. With this tool, patients visually rate their expectations about the harmful consequences of specific movements. This study aimed ... Read more >>

Pain (Pain)
[2017, 158(5):912-921]

Cited: 3 times

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Acceptance and Commitment Therapy for Pediatric  Chronic Pain: Theory and Application.

Melissa Pielech, Kevin E Vowles, Rikard Wicksell,

Acceptance and Commitment Therapy (ACT) is a third wave behavior therapy approach which aims to increase engagement in activities that bring meaning, vitality, and value to the lives of individuals experiencing persistent pain, discomfort, or distress. This goal is particularly relevant when these aversive experiences cannot be effectively avoided or ... Read more >>

Children (Basel) (Children (Basel, Switzerland))
[2017, 4(2):]

Cited: 10 times

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Preliminary Evaluation of the Values Tracker: A Two-Item Measure of Engagement in Valued Activities in Those With Chronic Pain.

Melissa Pielech, Robert W Bailey, Mindy L McEntee, Julie Ashworth, Jayne Levell, Gail Sowden, Kevin E Vowles,

Engagement in valued activities is an important outcome, particularly in treatments that aim to enhance quality of life in those with chronic conditions. The present study describes the initial evaluation of the Values Tracker (VT), a two-item measure of values engagement, in 302 treatment-seeking adults with chronic pain. Hierarchical regression ... Read more >>

Behav Modif (Behavior modification)
[2016, 40(1-2):239-256]

Cited: 2 times

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Rapid treatment-induced brain changes in pediatric CRPS.

Nathalie Erpelding, Laura Simons, Alyssa Lebel, Paul Serrano, Melissa Pielech, Sanjay Prabhu, Lino Becerra, David Borsook,

To date, brain structure and function changes in children with complex regional pain syndrome (CRPS) as a result of disease and treatment remain unknown. Here, we investigated (a) gray matter (GM) differences between patients with CRPS and healthy controls and (b) GM and functional connectivity (FC) changes in patients following ... Read more >>

Brain Struct Funct (Brain structure & function)
[2016, 221(2):1095-1111]

Cited: 30 times

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Pain catastrophizing in children with chronic pain and their parents: proposed clinical reference points and reexamination of the Pain Catastrophizing Scale measure.

Melissa Pielech, Maggie Ryan, Deirdre Logan, Karen Kaczynski, Matthew T White, Laura E Simons,

The current study aimed to validate the child and parent pain catastrophizing scale in a large chronic pain sample and to identify child pain catastrophizing clinical reference points. Patients and parents (n=697) evaluated at a pediatric pain program completed the Pain Catastrophizing Scale, child (PCS-C) and parent (PCS-P) reports, along ... Read more >>

Pain (Pain)
[2014, 155(11):2360-2367]

Cited: 57 times

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Pain prevalence and trajectories following pediatric spinal fusion surgery.

Christine B Sieberg, Laura E Simons, Mark R Edelstein, Maria R DeAngelis, Melissa Pielech, Navil Sethna, M Timothy Hresko,

<h4>Unlabelled</h4>Factors contributing to pain following surgery are poorly understood, with previous research largely focused on adults. With approximately 6 million children undergoing surgery each year, there is a need to study pediatric persistent postsurgical pain. The present study includes patients with adolescent idiopathic scoliosis undergoing spinal fusion surgery enrolled in ... Read more >>

J Pain (The journal of pain)
[2013, 14(12):1694-1702]

Cited: 55 times

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Fear of pain in pediatric headache.

Laura E Simons, Melissa Pielech, Stefanie Cappucci, Alyssa Lebel,

<h4>Objective</h4>The current study provides the first measure of pain-related fear for pediatric headache patients.<h4>Methods</h4>From a large pediatric headache clinic, a cross-sectional cohort of 206 children and adolescents completed measures of pain-related fear, anxiety sensitivity, catastrophizing, pain acceptance, functional disability, and school functioning.<h4>Results</h4>The two-factor solution of the Fear of Pain Questionnaire ... Read more >>

Cephalalgia (Cephalalgia : an international journal of headache)
[2015, 35(1):36-44]

Cited: 11 times

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Connecting parents of children with chronic pain through art therapy.

Melissa Pielech, Christine B Sieberg, Laura E Simons,

<h4>Objectives</h4>To help address the unique needs of parents of children with chronic pain, a four module, parent-only, group art therapy curriculum was designed and implemented within an interdisciplinary pain rehabilitation treatment program. We evaluated perceived satisfaction and helpfulness of the group intervention.<h4>Methods</h4>Fifty-three parents of children experiencing chronic pain enrolled in ... Read more >>

Clin Pract Pediatr Psychol (Clinical practice in pediatric psychology)
[2013, 1(3):214-226]

Cited: 5 times

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What does it take? Comparing intensive rehabilitation to outpatient treatment for children with significant pain-related disability.

Laura E Simons, Christine B Sieberg, Melissa Pielech, Caitlin Conroy, Deirdre E Logan,

<h4>Objectives</h4>This study compared outcomes between day hospital pain rehabilitation patients and patients engaged in outpatient multidisciplinary pain treatment.<h4>Methods</h4>This study included 100 children who presented for an initial tertiary care pain clinic evaluation. 50 patients enrolled in intensive day hospital pain rehabilitation and 50 patients pursued outpatient multidisciplinary treatment. Across 2 ... Read more >>

J Pediatr Psychol (Journal of pediatric psychology)
[2013, 38(2):213-223]

Cited: 36 times

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