Simon Budman - Academia.edu (original) (raw)

Papers by Simon Budman

Research paper thumbnail of Can abuse deterrent formulations make a difference? Expectation and speculation

Research paper thumbnail of Development and validation of an Opioid Attractiveness Scale: a novel measure of the attractiveness of opioid products to potential abusers

Research paper thumbnail of Connecting to young adults: an online social network survey of beliefs and attitudes associated with prescription opioid misuse among college students

Substance use & misuse, 2011

A survey of motives and attitudes associated with patterns of nonmedical prescription opioid medi... more A survey of motives and attitudes associated with patterns of nonmedical prescription opioid medication use among college students was conducted on Facebook, a popular online social networking Web site. Response metrics for a 2-week random advertisement post, targeting students who had misused prescription medications, surpassed typical benchmarks for online marketing campaigns and yielded 527 valid surveys. Respondent characteristics, substance use patterns, and use motives were consistent with other surveys of prescription opioid use among college populations. Results support the potential of online social networks to serve as powerful vehicles to connect with college-aged populations about their drug use. Limitations of the study are noted.

Research paper thumbnail of Validation of a screener and opioid assessment measure for patients with chronic pain

Pain, 2004

There has been a need for a brief assessment tool for providers who treat chronic pain patients t... more There has been a need for a brief assessment tool for providers who treat chronic pain patients to determine potential risk of abuse when prescribed opioids for pain. The purpose of this study was to develop and begin the validation of a self-administered screening tool (Screener and Opioid Assessment for Patients with Pain, SOAPP) for chronic pain patients considered for long-term opioid therapy. A consensus of 26 pain and addiction experts was obtained on important characteristics of chronic pain patients that predict future medication misuse using concept mapping. A 24-item SOAPP (version 1.0) was developed based on this consensus and was administered to 175 patients who were taking opioids for chronic pain. After 6 months, 95 of these patients were re-evaluated. Validation of the SOAPP was conducted by identifying those patients exhibiting aberrant drug-related behavior as determined by any of the following: a positive score on the Prescription Drug Use Questionnaire (PDUQ) inte...

Research paper thumbnail of Nonmedical Use and Diversion of ADHD Stimulants among U.S. Adults Ages 18-49: A National Internet Survey

Journal of attention disorders, Jan 26, 2012

Evaluate nonmedical use (NMU) of ADHD prescription stimulants (Ritalin(®), Adderall(®), Adderall(... more Evaluate nonmedical use (NMU) of ADHD prescription stimulants (Ritalin(®), Adderall(®), Adderall(®) XR, Concerta(®), and Vyvanse(®)) in a U.S. adult general population sample. In all, 10,000 adults (aged 18-49) from an online, opt-in panel, proximity matched to U.S. Census demographics, were surveyed to assess NMU prevalence, routes of administration (ROA), reasons for NMU, and diversion source. Lifetime NMU of any prescription drug was 35.1%, pain medications (24.6%), sedatives/tranquilizers (15.6%), sleep medications (9.9%), and prescription stimulants (8.1%). Within the prescription stimulants, rates of NMU (per 100,000 prescriptions dispensed) were 1.62 for Ritalin and 1.61 for Adderall followed by Adderall XR (0.62), Concerta (0.19), and Vyvanse (0.13). Respondents used stimulants mostly for wakefulness and performance enhancement, obtained the drugs from family/friends, and used oral ROA. NMU of ADHD prescription stimulants were low compared with other prescription medications...

Research paper thumbnail of Efficacy of a Brief Psychosocial Intervention for Symptoms of Stress and Distress Among Patients in Primary Care

Medical Care, 1987

Psychosocial problems and symptoms of emotional distress play a prominent role in patients report... more Psychosocial problems and symptoms of emotional distress play a prominent role in patients reporting to primary care settings. Interpersonal counseling (IPC) was developed as a brief psychosocial intervention for patients with stress and distress to be administered by nurse practitioners in a primary care setting. The results of a pilot study indicate more rapid reduction of symptoms and improvement in emotional symptoms and psychosocial functioning in the IPC group than in a comparison group with initially elevated scores on the General Health Questionnaire. The priorities for further testing are discussed, and possible implications for service delivery are explored.

Research paper thumbnail of Personality traits as seen by patients, therapists and other group members: The Big Five in personality disorder groups

Psychotherapy: Theory, Research, Practice, Training, 1995

Research paper thumbnail of Representation of personality disorders in circumplex and five-factor space: Explorations with a clinical sample

Psychological Assessment, 1993

Research paper thumbnail of Predicting Addiction Severity Index (ASI) interviewer severity ratings for a computer-administered ASI

Psychological Assessment, 1998

Research paper thumbnail of Development and validation of the Current Opioid Misuse Measure

Research paper thumbnail of Nonmedical use of prescription opioids and stimulants among student pharmacists

Journal of the American Pharmacists Association, 2009

Research paper thumbnail of Computer-Assisted Screening and Intervention for Alcohol Problems in Primary Care

Journal of Technology in Human Services, 2003

Research paper thumbnail of Validation and Clinical Application of the Screener and Opioid Assessment for Patients with Pain (SOAPP)

Journal of Pain and Symptom Management, 2006

Research paper thumbnail of Validation of the Revised Screener and Opioid Assessment for Patients With Pain (SOAPP-R)

The Journal of Pain, 2008

Research paper thumbnail of Food, mood, and attitude: Reducing risk for eating disorders in college women

Research paper thumbnail of Addiction severity assessment tool: Development of a self-report measure for clients in substance abuse treatment

Drug and Alcohol Dependence, 2005

Research paper thumbnail of Does Report of Craving Opioid Medication Predict Aberrant Drug Behavior Among Chronic Pain Patients?

The Clinical Journal of Pain, 2009

Research paper thumbnail of Psychiatric History and Psychologic Adjustment as Risk Factors for Aberrant Drug-related Behavior Among Patients With Chronic Pain

The Clinical Journal of Pain, 2007

To investigate the role of psychiatric history and psychologic adjustment on aberrant drug-relate... more To investigate the role of psychiatric history and psychologic adjustment on aberrant drug-related behavior among patients prescribed opioids for noncancer pain. Two hundred twenty-eight patients prescribed opioids for chronic pain were classified as either high or low on psychiatric morbidity on the basis of their responses on the psychiatric subscale of the Prescription Drug Use Questionnaire (PDUQ). They also completed the Brief Pain Inventory (BPI), Screener and Opioid Assessment for Pain Patients (SOAPP), and the Current Medication Misuse Measure (COMM). Patients were followed for 5 months and submitted a urine toxicology screen, and their treating physician completed the Prescription Opioid Therapy Questionnaire (POTQ). On the basis of the results from the SOAPP, COMM, POTQ, and urine screens, patients were classified as positive or negative on the Drug Misuse Index (DMI). One hundred and three (N=103) of the patients (45%) were classified in the low psychiatric group (Low Psych) whereas 55% (N=125) were classified in the high psychiatric morbidity group (High Psych). High Psych patients were significantly younger than Low Psych patients and had been taking opioids longer (P<0.05). The High Psych group showed significantly higher SOAPP and COMM scores than the Low Psych patients (P<0.001), had a greater frequency of abnormal urine toxicology screens (P<0.01), and significantly higher scores on the DMI (P<0.001). A consistent association was found between psychiatric morbidity and prescription opioid misuse in chronic pain patients. Psychiatric factors, such as a history of mood disorder, psychologic problems, and psychosocial stressors, may place patients at risk for misuse of prescription opioids. Future studies to elucidate the risk of medication misuse and aberrant drug behavior among this patient population are needed.

Research paper thumbnail of National addictions vigilance intervention and prevention program (NAVIPPRO™): a real-time, product-specific, public health surveillance system for monitoring prescription drug abuse

Pharmacoepidemiology and Drug Safety, 2008

Research paper thumbnail of Can abuse deterrent formulations make a difference? Expectation and speculation

Research paper thumbnail of Development and validation of an Opioid Attractiveness Scale: a novel measure of the attractiveness of opioid products to potential abusers

Research paper thumbnail of Connecting to young adults: an online social network survey of beliefs and attitudes associated with prescription opioid misuse among college students

Substance use & misuse, 2011

A survey of motives and attitudes associated with patterns of nonmedical prescription opioid medi... more A survey of motives and attitudes associated with patterns of nonmedical prescription opioid medication use among college students was conducted on Facebook, a popular online social networking Web site. Response metrics for a 2-week random advertisement post, targeting students who had misused prescription medications, surpassed typical benchmarks for online marketing campaigns and yielded 527 valid surveys. Respondent characteristics, substance use patterns, and use motives were consistent with other surveys of prescription opioid use among college populations. Results support the potential of online social networks to serve as powerful vehicles to connect with college-aged populations about their drug use. Limitations of the study are noted.

Research paper thumbnail of Validation of a screener and opioid assessment measure for patients with chronic pain

Pain, 2004

There has been a need for a brief assessment tool for providers who treat chronic pain patients t... more There has been a need for a brief assessment tool for providers who treat chronic pain patients to determine potential risk of abuse when prescribed opioids for pain. The purpose of this study was to develop and begin the validation of a self-administered screening tool (Screener and Opioid Assessment for Patients with Pain, SOAPP) for chronic pain patients considered for long-term opioid therapy. A consensus of 26 pain and addiction experts was obtained on important characteristics of chronic pain patients that predict future medication misuse using concept mapping. A 24-item SOAPP (version 1.0) was developed based on this consensus and was administered to 175 patients who were taking opioids for chronic pain. After 6 months, 95 of these patients were re-evaluated. Validation of the SOAPP was conducted by identifying those patients exhibiting aberrant drug-related behavior as determined by any of the following: a positive score on the Prescription Drug Use Questionnaire (PDUQ) inte...

Research paper thumbnail of Nonmedical Use and Diversion of ADHD Stimulants among U.S. Adults Ages 18-49: A National Internet Survey

Journal of attention disorders, Jan 26, 2012

Evaluate nonmedical use (NMU) of ADHD prescription stimulants (Ritalin(®), Adderall(®), Adderall(... more Evaluate nonmedical use (NMU) of ADHD prescription stimulants (Ritalin(®), Adderall(®), Adderall(®) XR, Concerta(®), and Vyvanse(®)) in a U.S. adult general population sample. In all, 10,000 adults (aged 18-49) from an online, opt-in panel, proximity matched to U.S. Census demographics, were surveyed to assess NMU prevalence, routes of administration (ROA), reasons for NMU, and diversion source. Lifetime NMU of any prescription drug was 35.1%, pain medications (24.6%), sedatives/tranquilizers (15.6%), sleep medications (9.9%), and prescription stimulants (8.1%). Within the prescription stimulants, rates of NMU (per 100,000 prescriptions dispensed) were 1.62 for Ritalin and 1.61 for Adderall followed by Adderall XR (0.62), Concerta (0.19), and Vyvanse (0.13). Respondents used stimulants mostly for wakefulness and performance enhancement, obtained the drugs from family/friends, and used oral ROA. NMU of ADHD prescription stimulants were low compared with other prescription medications...

Research paper thumbnail of Efficacy of a Brief Psychosocial Intervention for Symptoms of Stress and Distress Among Patients in Primary Care

Medical Care, 1987

Psychosocial problems and symptoms of emotional distress play a prominent role in patients report... more Psychosocial problems and symptoms of emotional distress play a prominent role in patients reporting to primary care settings. Interpersonal counseling (IPC) was developed as a brief psychosocial intervention for patients with stress and distress to be administered by nurse practitioners in a primary care setting. The results of a pilot study indicate more rapid reduction of symptoms and improvement in emotional symptoms and psychosocial functioning in the IPC group than in a comparison group with initially elevated scores on the General Health Questionnaire. The priorities for further testing are discussed, and possible implications for service delivery are explored.

Research paper thumbnail of Personality traits as seen by patients, therapists and other group members: The Big Five in personality disorder groups

Psychotherapy: Theory, Research, Practice, Training, 1995

Research paper thumbnail of Representation of personality disorders in circumplex and five-factor space: Explorations with a clinical sample

Psychological Assessment, 1993

Research paper thumbnail of Predicting Addiction Severity Index (ASI) interviewer severity ratings for a computer-administered ASI

Psychological Assessment, 1998

Research paper thumbnail of Development and validation of the Current Opioid Misuse Measure

Research paper thumbnail of Nonmedical use of prescription opioids and stimulants among student pharmacists

Journal of the American Pharmacists Association, 2009

Research paper thumbnail of Computer-Assisted Screening and Intervention for Alcohol Problems in Primary Care

Journal of Technology in Human Services, 2003

Research paper thumbnail of Validation and Clinical Application of the Screener and Opioid Assessment for Patients with Pain (SOAPP)

Journal of Pain and Symptom Management, 2006

Research paper thumbnail of Validation of the Revised Screener and Opioid Assessment for Patients With Pain (SOAPP-R)

The Journal of Pain, 2008

Research paper thumbnail of Food, mood, and attitude: Reducing risk for eating disorders in college women

Research paper thumbnail of Addiction severity assessment tool: Development of a self-report measure for clients in substance abuse treatment

Drug and Alcohol Dependence, 2005

Research paper thumbnail of Does Report of Craving Opioid Medication Predict Aberrant Drug Behavior Among Chronic Pain Patients?

The Clinical Journal of Pain, 2009

Research paper thumbnail of Psychiatric History and Psychologic Adjustment as Risk Factors for Aberrant Drug-related Behavior Among Patients With Chronic Pain

The Clinical Journal of Pain, 2007

To investigate the role of psychiatric history and psychologic adjustment on aberrant drug-relate... more To investigate the role of psychiatric history and psychologic adjustment on aberrant drug-related behavior among patients prescribed opioids for noncancer pain. Two hundred twenty-eight patients prescribed opioids for chronic pain were classified as either high or low on psychiatric morbidity on the basis of their responses on the psychiatric subscale of the Prescription Drug Use Questionnaire (PDUQ). They also completed the Brief Pain Inventory (BPI), Screener and Opioid Assessment for Pain Patients (SOAPP), and the Current Medication Misuse Measure (COMM). Patients were followed for 5 months and submitted a urine toxicology screen, and their treating physician completed the Prescription Opioid Therapy Questionnaire (POTQ). On the basis of the results from the SOAPP, COMM, POTQ, and urine screens, patients were classified as positive or negative on the Drug Misuse Index (DMI). One hundred and three (N=103) of the patients (45%) were classified in the low psychiatric group (Low Psych) whereas 55% (N=125) were classified in the high psychiatric morbidity group (High Psych). High Psych patients were significantly younger than Low Psych patients and had been taking opioids longer (P<0.05). The High Psych group showed significantly higher SOAPP and COMM scores than the Low Psych patients (P<0.001), had a greater frequency of abnormal urine toxicology screens (P<0.01), and significantly higher scores on the DMI (P<0.001). A consistent association was found between psychiatric morbidity and prescription opioid misuse in chronic pain patients. Psychiatric factors, such as a history of mood disorder, psychologic problems, and psychosocial stressors, may place patients at risk for misuse of prescription opioids. Future studies to elucidate the risk of medication misuse and aberrant drug behavior among this patient population are needed.

Research paper thumbnail of National addictions vigilance intervention and prevention program (NAVIPPRO™): a real-time, product-specific, public health surveillance system for monitoring prescription drug abuse

Pharmacoepidemiology and Drug Safety, 2008