Shelby R Goodwin, Dezarie Moskal, Russell M. Marks, Ashton E. Clark, Lindsay M. Squeglia, Daniel Roche,
Polysubstance use is a common, problematic behavior that increases risk of harm to self and others. Research suggests that rates may vary based on gender, sex and sexuality. Understanding the current state of this literature may inform prevention and treatment of polysubstance use, leading to reduced public health burden.This review aimed to synthesize research on gender, sex and sexuality differences in polysubstance use in adults and adolescents.A scoping review was conducted using all EBSCO databases, ...
Tópico(s): Substance Abuse Treatment and Outcomes
2022 - Oxford University Press | Alcohol and Alcoholism
Martin Víta, Stephen A. Maisto, Christina E Gilmour, Lauren McGuire, Elizabeth Tarvin, Dezarie Moskal,
Despite its frequent use for pain relief, no experimental pain research has tested the analgesic effects of cannabidiol (CBD) in humans. The goal of this study was to experimentally test the effects of CBD and expectancies for receiving CBD on human pain reactivity. Using a crossover, 2 × 2 factorial balanced placebo design, drug administration (given inactive substance or given active CBD) and verbal instruction sets (told inactive substance or told active CBD) were experimentally manipulated. Fifteen ...
Tópico(s): Pharmacology and Obesity Treatment
2021 - American Psychological Association | Experimental and Clinical Psychopharmacology
Sarah E. Woolf‐King, Alan Z. Sheinfil, Jeremy Ramos, Jacklyn D. Foley, Dezarie Moskal, Madison K. Firkey, David Kellen, Stephen A. Maisto,
Alcohol consumption is one of the most prevalent correlates of antiretroviral therapy (ART) adherence, yet causal processes underlying this association remain largely unexplored. The goal of this systematic review was to develop a conceptual model that describes the causal effect of alcohol consumption on ART nonadherence. We reviewed 230 studies that examined the association between alcohol consumption and ART adherence with three primary aims: (1) to replicate and extend previous reviews of the ...
Tópico(s): LGBTQ Health, Identity, and Policy
2020 - Taylor & Francis | Health Psychology Review
Katherine A. Buckheit, Dezarie Moskal, Suzanne Spinola, Stephen A. Maisto,
Tópico(s): Child and Adolescent Psychosocial and Emotional Development
2018 - Springer Science+Business Media | Current Addiction Reports
Martin Víta, Dezarie Moskal, Stephen A. Maisto, Emily B. Ansell,
Importance Cannabinoid drugs are widely used as analgesics, but experimental pain studies have produced mixed findings. The analgesic properties of cannabinoids remain unclear. Objective To conduct a systematic review and meta-analysis of the association between cannabinoid drug administration and experimental pain outcomes in studies of healthy adults. Design, Setting, and Participants A systematic search of PubMed, EMBASE, MEDLINE, PsycINFO, and CINAHL was conducted from the inception of each database to ...
Tópico(s): Psychedelics and Drug Studies
2018 - American Medical Association | JAMA Psychiatry
Dezarie Moskal, Stephen A. Maisto, Martin Víta, Joseph W. Ditre,
Research suggests one determinant of alcohol consumption may be physical pain, but there is no empirical evidence that pain has a causal effect on drinking. Therefore, the primary aim of this study was to test experimental pain as a determinant of several alcohol consumption proxies: self-reported urge to drink, intention to consume alcohol, and alcohol demand. This study also was designed to test negative affect as a mediator of the effects of pain on alcohol use proxies. We hypothesized that participants ...
Tópico(s): Mindfulness and Compassion Interventions
2018 - American Psychological Association | Experimental and Clinical Psychopharmacology
Stephen A. Maisto, Corey R. Roos, Kevin A. Hallgren, Dezarie Moskal, Adam D. Wilson, Katie Witkiewitz,
Background The construct of relapse is used widely in clinical research and practice of alcohol use disorder (AUD) treatment. The purpose of this study was to test the predictive validity of commonly appearing definitions of AUD relapse in the empirical literature. Methods Secondary analyses of data from Project MATCH and COMBINE were conducted using 7 definitions of “relapse” based on drinking quantity within a single drinking episode: any drinking; at least 4/5 drinks for women/men; at least 4.3/ ...
Tópico(s): Mental Health Research Topics
2016 - Wiley | Alcoholism Clinical and Experimental Research
Laura O. Wray, Emily Pikoff, Paul R. King, Dezarie Hutchison, Gregory P. Beehler, Stephen A. Maisto,
The Veterans Health Administration (VA) Primary Care-Mental Health Integration (PC-MHI) program aims to increase availability and acceptability of mental health (MH) care by integrating these services into primary care. Little is known about veterans' perceptions of this of method MH care delivery. This study explored the range of veterans' beliefs and perceptions of MH and MH services with the aim of describing potential facilitators and barriers to the uptake of PC-MHI services.Team-based qualitative ...
Tópico(s): Mental Health Treatment and Access
2016 - American Psychological Association | Families Systems & Health
Stephen A. Maisto, Katie Witkiewitz, Dezarie Moskal, Adam D. Wilson,
Objective: Alcohol use disorder (AUD) relapse is a construct that has been of major clinical and research interest but has been inconsistently defined. The purpose of this study was to review the definitions of AUD relapse that have been used in clinical research as a basis for drawing conclusions about its heuristic value. Method: A systematic review of the literature was conducted on empirical studies that (a) were published in peer-reviewed journals, (b) were published between 2010 and 2015, (c) ...
Tópico(s): Sleep and related disorders
2016 - Alcohol Research Documentation | Journal of Studies on Alcohol and Drugs
Alan Z. Sheinfil, Jacklyn D. Foley, Dezarie Moskal, Michelle R. Dalton, Madison K. Firkey, Jeremy Ramos, Stephen A. Maisto, Sarah E. Woolf‐King,
Alcohol consumption is one of the strongest predictors of suboptimal adherence to antiretroviral therapy (ART), however, there is little research that has investigated both within- and between-person associations of alcohol consumption and ART adherence at the event-level. In this secondary data-analysis, (N = 22) HIV-positive MSM prospectively reported daily alcohol consumption and ART adherence for 42-days. Multilevel models demonstrated (1) days in which participants reported consuming any alcohol ...
Tópico(s): HIV Research and Treatment
2022 - Springer Science+Business Media | AIDS and Behavior
Stephen A. Maisto, Jeffrey S. Simons, Tibor P. Palfai, Dezarie Moskal, Peter Luehring‐Jones,
Tópico(s): HIV/AIDS Research and Interventions
2021 - Springer Science+Business Media | Archives of Sexual Behavior
Martin Víta, Katherine A. Buckheit, Christina E Gilmour, Dezarie Moskal, Stephen A. Maisto,
Quantitative sensory testing is an expanding pain research domain with numerous clinical and research applications. There is a recognized need for brief reliable quantitative sensory testing protocols that enhance assessment feasibility. This study aimed to integrate static (pain threshold, tolerance, suprathreshold) and dynamic (conditioned pain modulation, offset analgesia, temporal summation) pain reactivity measures into a brief 20-minute protocol that uses a single portable device. The test-retest ...
Tópico(s): Pain Management and Placebo Effect
2021 - Oxford University Press | Pain Medicine
Katherine A. Buckheit, Dezarie Moskal, Suzanne Spinola, Stephen A. Maisto, Tammy Chung,
Social cognitive theory suggests that when individuals select their own goals, they work harder to achieve them as compared to clinician-imposed goals. Moreover, achieving goals during the course of treatment may increase self-efficacy, which could positively predict outcome. Research in clinical samples of adults with alcohol use disorder supports the utility of treatment goal choice in predicting longitudinal outcomes; a total abstinence (TA) goal choice has been associated with better clinical ...
Tópico(s): Child and Adolescent Psychosocial and Emotional Development
2017 - Taylor & Francis | Journal of Child & Adolescent Substance Abuse
Stephen A. Maisto, Jeffrey S. Simons, Tibor P. Palfai, Dezarie Moskal, Alan Z. Sheinfil, Kelli D. Tahaney,
This experiment tested mechanisms linking alcohol intoxication and analogue determinants of condomless anal intercourse (CAI) in a sample of 257 men who have sex with men (MSM). The two mechanisms tested were implicit approach biases toward CAI stimuli and executive working memory. Participants were randomized to 3 conditions (water control, placebo, or alcohol) and following beverage administration completed a working memory task, an Approach Avoidance Task of sexual vs. condom stimuli, and two video ...
Tópico(s): HIV/AIDS Research and Interventions
2022 - SAGE Publishing | Clinical Psychological Science
Sarah E. Woolf‐King, Madison K. Firkey, Jacklyn D. Foley, Jonathan B. Bricker, Judith A. Hahn, Elizabeth Asiago‐Reddy, John Wikier, Dezarie Moskal, Alan Z. Sheinfil, Jeremy Ramos, Stephen A. Maisto,
Alcohol use among people living with HIV (PWH) has been increasingly recognized as an important component of HIV care. Transdiagnostic treatments, such as Acceptance and Commitment Therapy (ACT), that target core processes common to multiple mental health and substance-related problems, may be ideal in HIV treatment settings where psychological and behavioral health comorbidities are high. In advance of a randomized clinical trial (RCT), the overall objective of this study was to systematically adapt ...
Tópico(s): Maternal Mental Health During Pregnancy and Postpartum
2022 - Springer Science+Business Media | AIDS and Behavior
Kyle Possemato, Jennifer S. Funderburk, Suzanne Spinola, Dezarie Hutchison, Stephen A. Maisto, Larry J. Lantinga, David W. Oslin,
Background: Few studies have measured addiction-specific barriers to treatment. A measurement of barriers with psychometric support that has been tested in diverse samples and that assesses multiple components of addiction treatment barriers is needed to inform providers and treatment programs. Objectives: This paper aims to provide an initial psychometric investigation of a measure of barriers to seeking addictions treatment. Methods: Data were collected from 196 Veterans Affairs primary care patients ...
Tópico(s): Schizophrenia research and treatment
2016 - Taylor & Francis | Substance Use & Misuse
Dezarie Moskal, Holly Whitaker, Julia F. Bernstein, Stephen A. Maisto, Gerard J. Connors,
This outcomes assessment was implemented to evaluate a web-based alcohol use recovery program, Tempest Sobriety School (TSS), and to provide a model for outcome evaluation. Adults (N= 541) enrolled in TSS were assessed at pre-program start and Month 2, 6, and 12. Participants reported decreased alcohol use, drug use, craving for alcohol, and alcohol use disorder symptoms over the course of the program; changes were maintained at Month 6 and 12. Participants reported sustained increases in overall ...
Tópico(s): Community Health and Development
2021 - Taylor & Francis | Alcoholism Treatment Quarterly
Dezarie Moskal, Stephen A. Maisto, Kyle Possemato, Kevin G. Lynch, David W. Oslin,
Abstract Introduction Alcohol Care Management (ACM) is a manualized treatment provided by behavioral health providers working in a primary care team aimed at increasing patients’ treatment engagement and decreasing their alcohol use. Research has shown that ACM is effective in reducing alcohol consumption; however, the mechanisms of ACM are unknown. Therefore, the purpose of this study is to examine the mechanisms of change in ACM in the context of a randomized clinical trial evaluating the effectiveness ...
Tópico(s): Sleep and Work-Related Fatigue
2018 - Oxford University Press | Military Medicine
Stephen A. Maisto, Dezarie Moskal, Madison K. Firkey, Brandon G. Bergman, Brian Borsari, Kevin A. Hallgren, Jon M. Houck, Margo C. Hurlocker, Brian D. Kiluk, Alexis Kuerbis, Allecia E. Reid, Molly Magill,
Research designed to establish alcohol and other drug (AOD) mechanisms of behavioral change (MOBC) has centered on what variables mediate the relation between AOD treatment and outcomes. The purpose of this paper was to review this research evidence to identify empirically supported mediators of alcohol and other drug use and related outcomes and then to evaluate their potential as being AOD treatment MOBC. The first phase was a systematic review of reviews (2008-2023) to identify the variables with ...
Tópico(s): Community Health and Development
2024 - | Alcohol Clinical and Experimental Research
Gregory P. Beehler, Michael G. Verile, Mandy Conrad, Dezarie Moskal,
Despite high rates of pain-related concerns among primary care patients and associated increases in health care costs (Gore et al., 2012; Mills et al., 2016), psychological or behavioral treatments that are well suited for use in integrated primary care (IPC) settings remain sparsely implemented. Psychological treatment for chronic pain has been recommended for many years (Darnall, 2021; Institute of Medicine (US) Committee on Advancing Pain Research, Care and Education, 2011; Kligler et al., 2018), ...
Tópico(s): Health Sciences Research and Education
2024 - American Psychological Association | Families Systems & Health
Travis Loughran, Jacob L. Scharer, Dezarie Moskal, Jennifer S. Funderburk, Katherine A. Buckheit, Gregory P. Beehler,
Tópico(s): Pain Management and Opioid Use
2025 - Springer Science+Business Media | Journal of Clinical Psychology in Medical Settings
Katherine A. Buckheit, Jacob L. Scharer, Travis Loughran, Gregory P. Beehler, Dezarie Moskal, Jennifer S. Funderburk,
Tópico(s): Innovations in Medical Education
2025 - American Psychological Association | Psychological Services
Dezarie Moskal, Martin Víta, Stephen A. Maisto,
Experimental research has identified pain as a determinant of alcohol urge mediated via negative affect. This study aimed to test acceptance coping (vs. distraction) as a moderator of this relationship. Using a randomized 2 × 2 between-subjects repeated-measures experimental design, pain-free hazardous drinkers (
Tópico(s): Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
2024 - American Psychological Association | Experimental and Clinical Psychopharmacology
Dezarie Moskal, Melanie E. Bennett, Russell M. Marks, Daniel Roche,
Objective Black/African American (AA) individuals are a group at risk for co-occurring posttraumatic stress disorder (PTSD) symptoms and alcohol use due to unique cultural and system-level barriers. Although associations between trauma exposure, PTSD symptoms, and alcohol use are well established across various populations, Black/AA individuals are underrepresented in this literature, and related findings in this population are inconclusive. Thus, the goal of this study was to examine the associations ...
Tópico(s): Child Abuse and Trauma
2023 - Taylor & Francis | Journal of Dual Diagnosis
Dezarie Moskal, Travis Loughran, Jennifer S. Funderburk, Jacob L. Scharer, Katherine A. Buckheit, Gregory P. Beehler,
Chronic pain and unhealthy alcohol use commonly co-occur and are associated with negative health outcomes. Veterans may be particularly vulnerable to these conditions, yet limited research has examined factors involved in their co-occurrence. This cross-sectional study aimed to examine the role of affective pain interference and alcohol pain-coping perceptions in the relationship between pain and hazardous alcohol use. As informed by the catastrophizing, anxiety, negative urgency, and expectancy ...
Tópico(s): Healthcare professionals’ stress and burnout
2023 - Elsevier BV | Journal of Pain
Suzanne Spinola, Dezarie Moskal, Stephen A. Maisto, Aesoon Park, Allison K. Labbe, Tammy Chung,
As the number of adolescents seeking treatment for marijuana use increases, it is important to identify factors that mediate marijuana treatment outcomes. Alcohol consumption is highly prevalent in clinical samples of adolescents but has been neglected as a potential mediator of marijuana use treatment outcomes. In this study, we sought to examine alcohol consumption as a mediator of both marijuana use frequency (number of use days) and negative consequences related to marijuana use in a longitudinal ...
Tópico(s): Prenatal Substance Exposure Effects
2019 - Taylor & Francis | Journal of Child & Adolescent Substance Abuse
Dezarie Moskal, Martin Víta, Stephen A. Maisto,
Experimental findings have shown that pain increased alcohol urge and intention to use alcohol, and that this relation was mediated by pain-induced negative affect. We sought to extend this research by examining (a) whether dispositional mindfulness moderates the indirect effect of experimental pain induction on alcohol use proxies via negative affect and (b) whether the five mindfulness facets, tested independently, differentially moderate the mediation model. Secondary data analysis of a repeated ...
Tópico(s): Religion, Spirituality, and Psychology
2019 - Springer Science+Business Media | Mindfulness