Mark Beitel - Academia.edu (original) (raw)
Papers by Mark Beitel
Aids Education and Prevention Official Publication of the International Society For Aids Education, Aug 1, 2006
Spiritual Self-Schema (3-S) therapy is a manual-guided intervention for increasing motivation for... more Spiritual Self-Schema (3-S) therapy is a manual-guided intervention for increasing motivation for HIV prevention that integrates a cognitive model of self within a Buddhist framework suitable for people of all faiths. In this controlled study, 72 methadone-maintained clients received either standard care and 8 weeks of 3-S therapy, or standard care alone. At treatment completion, 3-S clients reported significantly greater increases in spiritual practices, expression of spiritual qualities, and motivation for HIV prevention. They were also less likely to have engaged in HIV risk behavior. Correlational analyses showed that attendance at 3-S therapy sessions was significantly positively related to spiritual practice at treatment completion and to motivation for HIV prevention, and that both attendance at 3-S sessions and motivation for HIV preventive behavior were significantly negatively related to HIV risk behavior. Completion of 3-S therapy predicted posttreatment HIV preventive behavior, controlling for pretreatment behavior, demographics, and addiction severity measures (odds ratio = 8.89; 95% confidence interval = 1.62-48.93).
Journal of Indigenous Research, 2013
Journal of Addiction Medicine, Sep 1, 2009
Objective and MethodsWe surveyed 293 individuals seeking methadone maintenance treatment (MMT) fo... more Objective and MethodsWe surveyed 293 individuals seeking methadone maintenance treatment (MMT) for opioid dependence about pain, pain treatment utilization, perceived efficacy of prior pain treatment, and interest in pursuing pain treatment while in MMT.ResultsAmong the 213 respondents reporting recent pain of at least moderate typical pain intensity, those with and those without a lifetime history of chronic pain endorsed similar rates of conventional (with the exception of past-week medical use of non-opiate medication), complementary, and alternative medicine utilization for pain reduction and a numerically smaller proportion endorsed last-week utilization of complementary and alternative medicine as compared to conventional medicine. The most frequently endorsed lifetime conventional pain treatments included opiate and over-the-counter medications, whereas the most frequently endorsed lifetime complementary and alternative medicine pain treatments included stretching, physical exercise, physical therapy, heat therapy, and prayer. Perceived efficacy of prior pain treatment but not interest in pain treatment was associated with chronic pain history status.ConclusionThese findings may have implications for resource and program planning in MMT programs.
The Journal of Clinical Psychiatry, Jul 1, 2009
Psychology and Psychotherapy Theory Research and Practice, Jul 1, 2009
The aim of this study was to explore the relationship between psychological mindedness and client... more The aim of this study was to explore the relationship between psychological mindedness and clients' expectations about counselling. A cross-sectional design was employed to assess correlations among study variables. Participants were 104 counselling-centre clients at a mid-size, Southwestern US university. Participant volunteers filled out the Psychological Mindedness Scale, life orientation test-revised (LOT-R), and the expectations-about-counselling questionnaire. Clients who reported higher levels of psychological mindedness (PM) reported greater expectations of self-involvement in counselling and greater expectations of positive outcome. In contrast, PM was not significantly related to clients' expectations about their counsellors' in-session behaviour or to expectations about their counsellors' general personality style. Dispositional optimism (LOT-R) did not play a major role in the relationship between PM and expectations about counselling. High PM clients do seem to expect more from counselling than low PM clients, particularly in terms of self-involvement in the process and with respect to positive outcome. Consequently, therapists should consider assessing clients' PM, expectations, and the relationship between PM and expectations.
The American journal on addictions / American Academy of Psychiatrists in Alcoholism and Addictions, 2016
Physical activity may improve chronic pain, anxiety, and depression, which are prevalent among pa... more Physical activity may improve chronic pain, anxiety, and depression, which are prevalent among patients in methadone maintenance treatment (MMT), but relatively little is known about the physical activity levels or interest in exercise of patients in MMT. We used a brief self-report instrument to assess physical activity levels, chronic pain, psychiatric distress, and interest in exercise group participation among 303 adults seeking MMT. Most (73%) reported no moderate or vigorous intensity physical activity in the past week; 27% met recommended physical activity levels, and 24% reported interest in exercise group participation. Participants with (compared to those without) chronic pain had higher levels of psychiatric distress and were less likely to meet recommended levels of physical activity (p < .05), but did not differ significantly in their interest in participating in an exercise group. Participants who met recommended levels of physical activity in the past week were mor...
Person Centered Experiential Psychotherapies, Jun 9, 2014
Journal of addiction medicine, Jan 17, 2015
To examine methadone counselors' attitudes toward individual and group-based nonpharmacologic... more To examine methadone counselors' attitudes toward individual and group-based nonpharmacologic treatments for chronic pain. Thirty methadone drug counselors were interviewed about their attitudes toward pain interventions and completed a survey on the perceived efficacy of and willingness to refer patients to nonpharmacologic pain treatments. Counselors reported favorable attitudes toward interventions commonly found in interdisciplinary pain management, particularly, conventional psychological approaches. On average, counselors rated cognitive-behavioral therapy (individual or group) as the treatment with the highest perceived efficacy and the one to which they were most willing to refer patients with pain. In contrast, on average, counselors rated the use of herbal medicine, aromatherapy, and magnets among the lowest in perceived efficacy and in willingness to refer patients with pain. Generally, higher perceived efficacy was associated with higher referral willingness, and sco...
The aim of this study was to explore the relationship between psychological mindedness and client... more The aim of this study was to explore the relationship between psychological mindedness and clients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; expectations about counselling. A cross-sectional design was employed to assess correlations among study variables. Participants were 104 counselling-centre clients at a mid-size, Southwestern US university. Participant volunteers filled out the Psychological Mindedness Scale, life orientation test-revised (LOT-R), and the expectations-about-counselling questionnaire. Clients who reported higher levels of psychological mindedness (PM) reported greater expectations of self-involvement in counselling and greater expectations of positive outcome. In contrast, PM was not significantly related to clients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; expectations about their counsellors&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; in-session behaviour or to expectations about their counsellors&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; general personality style. Dispositional optimism (LOT-R) did not play a major role in the relationship between PM and expectations about counselling. High PM clients do seem to expect more from counselling than low PM clients, particularly in terms of self-involvement in the process and with respect to positive outcome. Consequently, therapists should consider assessing clients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; PM, expectations, and the relationship between PM and expectations.
Journal of Clinical Psychology, Jun 1, 2004
Young Adult Mental Health, 2009
Journal of the American Psychoanalytic Association, Feb 1, 2007
Http Dx Doi Org 10 1521 Pedi_2013_27_081, Feb 3, 2015
The psychometric properties of the Iowa Personality Disorder Screen (IPDS) were examined in 150 m... more The psychometric properties of the Iowa Personality Disorder Screen (IPDS) were examined in 150 methadone-maintained patients who completed measures of demographic, psychopathology, substance use, pain, and methadone maintenance treatment (MMT) characteristics. An exploratory factor analysis revealed a two-factor solution that explained 45% of the scale variance. The first factor captured internalizing tendencies, such as inhibition and hypersensitivity to others. The second factor comprised externalizing tendencies, such as impulsivity and insensitivity to others. The IPDS item subsets, derived factors, and the total score were significantly related to race/ethnicity but not sex. The effects of race/ethnicity were controlled statistically when the IPDS was compared to other measures of psychopathology, self-reported substance use, pain variables, and MMT characteristics. In general, the IPDS appears to be reliable and valid for use with methadone-maintained patients. The two-factor structure found in this study may have clinical utility and merits further investigation in other MMT samples.
Drug and Alcohol Dependence, 2015
Determinants of Minority Mental Health and Wellness, 2008
... Thus, in their daily clinical practice, many providers become &amp;amp;#x27;&... more ... Thus, in their daily clinical practice, many providers become &amp;amp;#x27;&amp;amp;#x27;culture brokers&amp;amp;#x27;&amp;amp;#x27; (Abudab-beh, 1998; Barry, Elliott, &amp;amp;amp; Evans, 2000) who treat individuals with a variety of cultural norms ... DT Barry (*) Yale University School of Medicine, New Haven CT e-mail: declan.barry@yale.edu ...
The American journal on addictions / American Academy of Psychiatrists in Alcoholism and Addictions, 2012
Although higher levels of dispositional optimism are associated with decreased levels of psychopa... more Although higher levels of dispositional optimism are associated with decreased levels of psychopathology and pain, and higher levels of mental health functioning-important outcomes in opioid treatment programs-a paucity of studies has examined dispositional optimism among individuals with opioid use disorders. The aim of this study was to examine the clinical correlates (i.e., psychopathology, pain status) of dispositional optimism in opioid dependent patients enrolled in methadone maintenance treatment (MMT). A survey targeting demographics, pain, psychopathology, and dispositional optimism was administered to 150 MMT patients. In multivariable analyses, higher levels of dispositional optimism were significantly associated with lower levels of: depression, screened personality disorder criteria, screened symptoms of posttraumatic stress disorder, and pain-related emotional strain. In comparison to those without a history of chronic pain (ie, noncancer related physical pain lasting ...
Journal of Substance Abuse Treatment, 2014
Aids Education and Prevention Official Publication of the International Society For Aids Education, Aug 1, 2006
Spiritual Self-Schema (3-S) therapy is a manual-guided intervention for increasing motivation for... more Spiritual Self-Schema (3-S) therapy is a manual-guided intervention for increasing motivation for HIV prevention that integrates a cognitive model of self within a Buddhist framework suitable for people of all faiths. In this controlled study, 72 methadone-maintained clients received either standard care and 8 weeks of 3-S therapy, or standard care alone. At treatment completion, 3-S clients reported significantly greater increases in spiritual practices, expression of spiritual qualities, and motivation for HIV prevention. They were also less likely to have engaged in HIV risk behavior. Correlational analyses showed that attendance at 3-S therapy sessions was significantly positively related to spiritual practice at treatment completion and to motivation for HIV prevention, and that both attendance at 3-S sessions and motivation for HIV preventive behavior were significantly negatively related to HIV risk behavior. Completion of 3-S therapy predicted posttreatment HIV preventive behavior, controlling for pretreatment behavior, demographics, and addiction severity measures (odds ratio = 8.89; 95% confidence interval = 1.62-48.93).
Journal of Indigenous Research, 2013
Journal of Addiction Medicine, Sep 1, 2009
Objective and MethodsWe surveyed 293 individuals seeking methadone maintenance treatment (MMT) fo... more Objective and MethodsWe surveyed 293 individuals seeking methadone maintenance treatment (MMT) for opioid dependence about pain, pain treatment utilization, perceived efficacy of prior pain treatment, and interest in pursuing pain treatment while in MMT.ResultsAmong the 213 respondents reporting recent pain of at least moderate typical pain intensity, those with and those without a lifetime history of chronic pain endorsed similar rates of conventional (with the exception of past-week medical use of non-opiate medication), complementary, and alternative medicine utilization for pain reduction and a numerically smaller proportion endorsed last-week utilization of complementary and alternative medicine as compared to conventional medicine. The most frequently endorsed lifetime conventional pain treatments included opiate and over-the-counter medications, whereas the most frequently endorsed lifetime complementary and alternative medicine pain treatments included stretching, physical exercise, physical therapy, heat therapy, and prayer. Perceived efficacy of prior pain treatment but not interest in pain treatment was associated with chronic pain history status.ConclusionThese findings may have implications for resource and program planning in MMT programs.
The Journal of Clinical Psychiatry, Jul 1, 2009
Psychology and Psychotherapy Theory Research and Practice, Jul 1, 2009
The aim of this study was to explore the relationship between psychological mindedness and client... more The aim of this study was to explore the relationship between psychological mindedness and clients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; expectations about counselling. A cross-sectional design was employed to assess correlations among study variables. Participants were 104 counselling-centre clients at a mid-size, Southwestern US university. Participant volunteers filled out the Psychological Mindedness Scale, life orientation test-revised (LOT-R), and the expectations-about-counselling questionnaire. Clients who reported higher levels of psychological mindedness (PM) reported greater expectations of self-involvement in counselling and greater expectations of positive outcome. In contrast, PM was not significantly related to clients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; expectations about their counsellors&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; in-session behaviour or to expectations about their counsellors&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; general personality style. Dispositional optimism (LOT-R) did not play a major role in the relationship between PM and expectations about counselling. High PM clients do seem to expect more from counselling than low PM clients, particularly in terms of self-involvement in the process and with respect to positive outcome. Consequently, therapists should consider assessing clients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; PM, expectations, and the relationship between PM and expectations.
The American journal on addictions / American Academy of Psychiatrists in Alcoholism and Addictions, 2016
Physical activity may improve chronic pain, anxiety, and depression, which are prevalent among pa... more Physical activity may improve chronic pain, anxiety, and depression, which are prevalent among patients in methadone maintenance treatment (MMT), but relatively little is known about the physical activity levels or interest in exercise of patients in MMT. We used a brief self-report instrument to assess physical activity levels, chronic pain, psychiatric distress, and interest in exercise group participation among 303 adults seeking MMT. Most (73%) reported no moderate or vigorous intensity physical activity in the past week; 27% met recommended physical activity levels, and 24% reported interest in exercise group participation. Participants with (compared to those without) chronic pain had higher levels of psychiatric distress and were less likely to meet recommended levels of physical activity (p < .05), but did not differ significantly in their interest in participating in an exercise group. Participants who met recommended levels of physical activity in the past week were mor...
Person Centered Experiential Psychotherapies, Jun 9, 2014
Journal of addiction medicine, Jan 17, 2015
To examine methadone counselors' attitudes toward individual and group-based nonpharmacologic... more To examine methadone counselors' attitudes toward individual and group-based nonpharmacologic treatments for chronic pain. Thirty methadone drug counselors were interviewed about their attitudes toward pain interventions and completed a survey on the perceived efficacy of and willingness to refer patients to nonpharmacologic pain treatments. Counselors reported favorable attitudes toward interventions commonly found in interdisciplinary pain management, particularly, conventional psychological approaches. On average, counselors rated cognitive-behavioral therapy (individual or group) as the treatment with the highest perceived efficacy and the one to which they were most willing to refer patients with pain. In contrast, on average, counselors rated the use of herbal medicine, aromatherapy, and magnets among the lowest in perceived efficacy and in willingness to refer patients with pain. Generally, higher perceived efficacy was associated with higher referral willingness, and sco...
The aim of this study was to explore the relationship between psychological mindedness and client... more The aim of this study was to explore the relationship between psychological mindedness and clients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; expectations about counselling. A cross-sectional design was employed to assess correlations among study variables. Participants were 104 counselling-centre clients at a mid-size, Southwestern US university. Participant volunteers filled out the Psychological Mindedness Scale, life orientation test-revised (LOT-R), and the expectations-about-counselling questionnaire. Clients who reported higher levels of psychological mindedness (PM) reported greater expectations of self-involvement in counselling and greater expectations of positive outcome. In contrast, PM was not significantly related to clients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; expectations about their counsellors&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; in-session behaviour or to expectations about their counsellors&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; general personality style. Dispositional optimism (LOT-R) did not play a major role in the relationship between PM and expectations about counselling. High PM clients do seem to expect more from counselling than low PM clients, particularly in terms of self-involvement in the process and with respect to positive outcome. Consequently, therapists should consider assessing clients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; PM, expectations, and the relationship between PM and expectations.
Journal of Clinical Psychology, Jun 1, 2004
Young Adult Mental Health, 2009
Journal of the American Psychoanalytic Association, Feb 1, 2007
Http Dx Doi Org 10 1521 Pedi_2013_27_081, Feb 3, 2015
The psychometric properties of the Iowa Personality Disorder Screen (IPDS) were examined in 150 m... more The psychometric properties of the Iowa Personality Disorder Screen (IPDS) were examined in 150 methadone-maintained patients who completed measures of demographic, psychopathology, substance use, pain, and methadone maintenance treatment (MMT) characteristics. An exploratory factor analysis revealed a two-factor solution that explained 45% of the scale variance. The first factor captured internalizing tendencies, such as inhibition and hypersensitivity to others. The second factor comprised externalizing tendencies, such as impulsivity and insensitivity to others. The IPDS item subsets, derived factors, and the total score were significantly related to race/ethnicity but not sex. The effects of race/ethnicity were controlled statistically when the IPDS was compared to other measures of psychopathology, self-reported substance use, pain variables, and MMT characteristics. In general, the IPDS appears to be reliable and valid for use with methadone-maintained patients. The two-factor structure found in this study may have clinical utility and merits further investigation in other MMT samples.
Drug and Alcohol Dependence, 2015
Determinants of Minority Mental Health and Wellness, 2008
... Thus, in their daily clinical practice, many providers become &amp;amp;#x27;&... more ... Thus, in their daily clinical practice, many providers become &amp;amp;#x27;&amp;amp;#x27;culture brokers&amp;amp;#x27;&amp;amp;#x27; (Abudab-beh, 1998; Barry, Elliott, &amp;amp;amp; Evans, 2000) who treat individuals with a variety of cultural norms ... DT Barry (*) Yale University School of Medicine, New Haven CT e-mail: declan.barry@yale.edu ...
The American journal on addictions / American Academy of Psychiatrists in Alcoholism and Addictions, 2012
Although higher levels of dispositional optimism are associated with decreased levels of psychopa... more Although higher levels of dispositional optimism are associated with decreased levels of psychopathology and pain, and higher levels of mental health functioning-important outcomes in opioid treatment programs-a paucity of studies has examined dispositional optimism among individuals with opioid use disorders. The aim of this study was to examine the clinical correlates (i.e., psychopathology, pain status) of dispositional optimism in opioid dependent patients enrolled in methadone maintenance treatment (MMT). A survey targeting demographics, pain, psychopathology, and dispositional optimism was administered to 150 MMT patients. In multivariable analyses, higher levels of dispositional optimism were significantly associated with lower levels of: depression, screened personality disorder criteria, screened symptoms of posttraumatic stress disorder, and pain-related emotional strain. In comparison to those without a history of chronic pain (ie, noncancer related physical pain lasting ...
Journal of Substance Abuse Treatment, 2014