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Rashmi Bhandari, PhD

  • Rashmi P Bhandari

Specialties

Psychology

Work and Education

Internship

Wayne State University School of Medicine, Detroit, MI, 06/30/2002

Fellowship

Wayne State University School of Medicine, Detroit, MI, 06/30/2003

Conditions Treated

Pain Management

All Publications

Pediatric pain psychology: Guidelines for advanced subspecialty training. Clinical Practice in Pediatric Psychology Benore, E., Bhandari, R., Harbeck-Weber, C., Logan, D. E., Banez, G. 2017; 5 (1): 17-35

View details for DOI 10.1037/cpp0000174

Pediatric-Collaborative Health Outcomes Information Registry (Peds-CHOIR): a learning health system to guide pediatric pain research and treatment. Pain Bhandari, R. P., Feinstein, A. B., Huestis, S. E., Krane, E. J., Dunn, A. L., Cohen, L. L., Kao, M. C., Darnall, B. D., Mackey, S. C. 2016; 157 (9): 2033-2044

Abstract

The pediatric adaptation of the Collaborative Health Outcomes Information Registry (Peds-CHOIR) is a free, open-source, flexible learning health care system (LHS) that meets the call by the Institute of Medicine for the development of national registries to guide research and precision pain medicine. This report is a technical account of the first application of Peds-CHOIR with 3 aims: (1) to describe the design and implementation process of the LHS; (2) to highlight how the clinical system concurrently cultivates a research platform rich in breadth (eg, clinic characteristics) and depth (eg, unique patient- and caregiver-reporting patterns); and (3) to demonstrate the utility of capturing patient-caregiver dyad data in real time, with dynamic outcomes tracking that informs clinical decisions and delivery of treatments. Technical, financial, and systems-based considerations of Peds-CHOIR are discussed. Cross-sectional retrospective data from patients with chronic pain (N = 352; range, 8-17 years; mean, 13.9 years) and their caregivers are reported, including National Institutes of Health Patient-Reported Outcomes Measurement Information System (PROMIS) domains (mobility, pain interference, fatigue, peer relations, anxiety, and depression) and the Pain Catastrophizing Scale. Consistent with the literature, analyses of initial visits revealed impairments across physical, psychological, and social domains. Patients and caregivers evidenced agreement in observable variables (mobility); however, caregivers consistently endorsed greater impairment regarding internal experiences (pain interference, fatigue, peer relations, anxiety, and depression) than patients' self-report. A platform like Peds-CHOIR highlights predictors of chronic pain outcomes on a group level and facilitates individually tailored treatment(s). Challenges of implementation and future directions are discussed.

View details for DOI 10.1097/j.pain.0000000000000609

View details for PubMedID 27280328

The Effect of Pain Catastrophizing on Outcomes: A Developmental Perspective Across Children, Adolescents, and Young Adults With Chronic Pain. journal of pain Feinstein, A. B., Sturgeon, J. A., Darnall, B. D., Dunn, A. L., Rico, T., Kao, M. C., Bhandari, R. P. 2017; 18 (2): 144-154

Abstract

Pain catastrophizing is one of the most powerful predictors of poor outcomes in youth and adults with pain; however, little is known about differential effects of pain catastrophizing on outcomes as a function of age. The current study examined the predictive value of pain catastrophizing on pain interference and pain intensity across children, adolescents, and 2 age groups of young adults with chronic pain. Cross-sectional data are presented from the adult and pediatric Collaborative Health Outcomes Information Registry (CHOIR), including measures of pain catastrophizing, pain intensity, pain interference, and emotional distress from 1,028 individuals with chronic pain. Results revealed that age moderated the relation between pain catastrophizing and pain interference, with the strength of these effects declining with age. The effect of pain catastrophizing on pain interference was strongest in adolescents and relatively weak in all 3 other groups. Emotional distress was the strongest predictor of pain interference for children, whereas pain intensity was the strongest predictor for both adult groups. Pain catastrophizing was found to predict pain intensity and, although age was a significant moderator, statistical findings were weak. Developmental considerations and clinical implications regarding the utility of the construct of pain catastrophizing across age groups are discussed.This article explores differences in pain catastrophizing as predictors of pain interference and pain intensity across cohorts of children, adolescents, and 2 age groups of young adults. This work may stimulate further research on chronic pain from a developmental perceptive and inform developmentally tailored treatment interventions that target catastrophizing, emotional distress, and pain intensity.

View details for DOI 10.1016/j.jpain.2016.10.009

View details for PubMedID 27825857

A Pilot Study of Mindfulness for Pediatric Chronic Pain Children Waelde, L. C., Feinstein, A., Rashmi, B., Griffin, A., Yoon, I. A., Golianu, B. 2017; in press
Spotlight on the Pediatric Pain Psychology Special Interest Group Clinical Practice in Pediatric Psychology Harbeck-Weber, C., Benore, E., Bhandari, R., Logan, D. E., Banez, G. 2017; 5 (1): 15-16
Traumatic stress and pediatric pain: A neurobiological stress-health perspective Journal of Child and Adolescent Trauma Kao, G. S., Bhandari, R., Huestis, S., Golianu, B. 2017; in press
Restrictive parenting buffers head start students from stress INFANTS AND YOUNG CHILDREN Bhandari, R. P., Barnett, D. 2007; 20 (1): 55-63