Anita H. Hickey

Coombe Women & Infants University Hospital

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i-10 index

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Document Type

Co-Authors

Eric T. Stedje-Larsen

Naval Medical Center Portsmouth

Maryam Navaie

Public Health Solutions

Eugene Lipov

University of Illinois Chicago

Robert N. McLay

Naval Medical Center San Diego

Cynthia D. Connelly

University of San Diego

Kevin Burkhardt

Pain Management Centers Of America

Ian Laughlin

Naval Medical Center San Diego

Heather King

Duke University

Margaret O’Riordan

University of Massachusetts Boston

Carol Anne Drastal

Naval Medical Center San Diego

Cooperative Institutions

Naval Medical Center San Diego

Uniformed Services University of the Health Sciences

Walter Reed National Military Medical Center

Defense & Veterans Center for Integrative Pain Management

University of San Diego

NOAA National Centers for Coastal Ocean Science

United States Department of the Navy

Bureau of Medicine and Surgery

Coombe Women & Infants University Hospital

San Diego State University

Author Statistics

Papers

Citation

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i-10 index

Research Field

Analgesics and Adjuvants for the Management of Orofacial Pain Across Age Groups

Springer eBooks (2013)

Ian Laughlin Anita H. Hickey

Orofacial Pain

10.1007/978-3-319-01875-1_7

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Citations (0)

Auricular Acupuncture: A Brief Introduction for Military Providers

Military Medicine (2013)

Heather King Anita H. Hickey Cynthia D. Connelly

Injured veterans returning from Operation Iraqi Freedom and Operation Enduring Freedom often require long-term medical management for a variety of complex physical and mental health conditions. These conditions can be challenging to treat with conventional Western medicine practices alone. Recently, complementary and alternative medicine practices have been used within military settings, and have been well received by veterans. Auricular acupuncture is a practice that has provided veterans with a new approach to manage symptoms associated with a wide range of health conditions. This treatment has become an attractive treatment option because of its low cost, portability, minimal side effect profile, and ease of use in clinical and operational settings. Although formally trained Oriental medicine practitioners have historically performed these treatments, military health care providers are now receiving education and training to administer these treatments. This education and training allows military health care providers to expand their knowledge of acupuncture and provide this treatment to veterans across the continuum of care. The purpose of this article is to provide a fundamental description of auricular acupuncture and increase awareness of this treatment and its relevance to military settings.

Military medicine

Relevance

Software portability

10.7205/milmed-d-13-00075

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Citations (86)

Integrative Pain Management in the Military Setting

Oxford University Press eBooks (2016)

Anita H. Hickey Kevin Galloway

Abstract Chronic non-cancer pain (CNCP) secondary to combat and non-combat related injury and trauma is widespread and associated with significant short and long term cost to the military, Veterans Health Administration, military service members, their families and society at large. Posttraumatic Stress Disorder, traumatic brain injuries and other psychological co-morbidities are present in up to 50% of veterans with CNCP, necessitating a holistic, interdisciplinary biopsychosocial approach in this complex population.

10.1093/med/9780199315246.003.0051

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Citations (0)

Drug Formulary for Pain Management

Springer eBooks (2010)

Anita H. Hickey Ian Laughlin

Formulary

Acute Pain

10.1007/978-0-387-87579-8_34

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Citations (0)

Increasing Access to Auricular Acupuncture for Postoperative Nausea and Vomiting

Journal of PeriAnesthesia Nursing (2016)

C. B. MOORE Anita H. Hickey

10.1016/j.jopan.2015.06.006

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Citations (12)

Apparent Comorbidity of Bipolar Disorder in a Population With Combat-Related Post-Traumatic Stress Disorder

Military Medicine (2014)

Robert N. McLay Vasudha Ram Jennifer Webb-Murphy Alicia Baird Anita H. Hickey

Combat is often associated with the diagnosis of post-traumatic stress disorder. Battle may also lead to other emotional extremes. Sometimes this is enough to meet criteria for a diagnosis of bipolar disorder (BPD), but it is open to debate if this is clinically appropriate. This study examined the rate of BPD, as assessed by structured interview, in combat veterans who clinicians believed met the criteria for post-traumatic stress disorder but not BPD. Structured interviews were conducted with 109 such participants. Close to 81% endorsed a history of a major depressive episode, 34.9% endorsed a history of manic episode, and 27.5% endorsed a history of a hypomanic episode. According to the interviews, 54.1% participants experienced BPD, including 34.9% who experienced BPD type I. Clinicians were aware of these results and observed the individuals for a prolonged period afterward, but the clinical diagnosis did not change to include BPD in any of these individuals. Future research is needed to establish reliable and valid methods to make a diagnosis of BPD in the presence of comorbid conditions and stressors and thus guide clinicians with better treatment options.

Traumatic stress

Stressor

Combat stress reaction

10.7205/milmed-d-13-00307

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Citations (2)

Adding a Face and the Story to the Data: Acupuncture for PTSD in the Military

Springer eBooks (2015)

Anita H. Hickey Robert L. Koffman

10.1007/978-3-319-22985-0_12

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Citations (3)

Ten Consecutive Cases of Complex Regional Pain Syndrome of Less than 12 Months Duration in Active Duty United States Military Personnel Treated with Spinal Cord Stimulation

Anesthesia & Analgesia (2007)

Michael H. Verdolin Eric T. Stedje-Larsen Anita H. Hickey

In Brief Complex regional pain syndrome describes a constellation of symptoms that may involve the sympathetic nervous system. Emerging consensus recommends early intervention with spinal cord stimulation to facilitate physical therapy. Isolated case reports suggest this may be an effective treatment. Ten consecutive active duty United States military personnel with newly diagnosed complex regional pain syndrome underwent early intervention with spinal cord stimulation with favorable results, including decreased pain scores and decreased opioid intake. Six received injuries directly as a result of service in Iraq or Afghanistan. These patients also had posttraumatic stress disorder, but it did not interfere with successful pain control. Additionally, 6 of 10 patients continued on active duty. IMPLICATIONS: Spinal cord stimulation for refractory complex regional pain syndrome of less than 1 yr duration may be effective as measured by decreased opioid intake, participation with physical rehabilitation, and retention on active military duty. These observations should be interpreted cautiously based on the short duration of postimplantation follow-up and the small number of cases presented.

Active duty

10.1213/01.ane.0000264087.93163.bf

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Citations (18)

Stellate Ganglion Block for the Treatment of Posttraumatic Stress Disorder

Regional Anesthesia & Pain Medicine (2016)

Steven Hanling Anita H. Hickey I. Lesnik Robert J. Hackworth Eric T. Stedje-Larsen

Objective

In this study, we aimed to determine if stellate ganglion block (SGB) could reduce symptoms of posttraumatic stress disorder (PTSD) in comparison with sham therapy in military service members.

Methods

In a randomized trial in which both participants and assessors were blind, participants with PTSD received either an SGB or a sham procedure. Posttraumatic stress disorder symptoms were measured using the CAPS (Clinician-Administered PTSD Scale) and self-report measures of PTSD, depression, anxiety, and pain. Subjects underwent assessment before the procedure and at 1 week, 1 month, and 3 months after the procedure. Patients receiving sham injections were allowed to cross over to the treatment group, and participants who maintained criteria for PTSD were allowed to receive a second SGB treatment.

Results

Posttraumatic stress disorder, anxiety, and depression scores all showed improvement across time, but there was no statistically or clinically relevant difference in outcomes between the active and control groups. Individuals who crossed over from sham treatment to SGB similarly showed no greater improvement with the SGB treatment. Improvement in CAPS was greater with a second SGB treatment than after the first treatment.

Conclusions

Although previous case series have suggested that SGB offers an effective intervention for PTSD, this study did not demonstrate any appreciable difference between SGB and sham treatment on psychological or pain outcomes. Future studies should examine if differences in treatment methods or patient population could allow individuals with PTSD to benefit from SGB, but current evidence does not support widespread or indiscriminant clinical use of the procedure for PTSD.

Depression

10.1097/aap.0000000000000402

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Citations (39)

A Novel Application of Stellate Ganglion Block: Preliminary Observations for the Treatment of Post-Traumatic Stress Disorder

Military Medicine (2012)

Eugene Lipov Maryam Navaie Eric T. Stedje-Larsen Kevin Burkhardt Jessica C. Smith

Across the five branches of military service, there is a common thread that binds, namely the honorable imperative to support our national security by maintaining, training, and equipping combat-ready forces. Although implementing their primary directives when called to action is an absolute necessity for securing the freedom and well-being of the general public, the realities of achieving such noble objectives bear many negative consequences for those who sacrifice their health in the process. The epidemic occurrence of the pathological anxiety condition post-traumatic stress disorder (PTSD) among combat-exposed active duty military service members and veterans is a seminal testament to the aftermath of war and the ongoing conflicts of our time. PTSD is characterized by debilitating symptoms such as intense anxiety, hyperarousal, irritability, intrusive thoughts, and sleep disturbances. The adverse consequences of PTSD are profound, resulting in high rates of suicide, depression, substance use, violence, and an inability to maintain relationships. 1 Approximately 14% to 35% of our 22.8 million U.S. veterans with a history of combat duty suffer from PTSD, a figure that far surpasses the 6.8% prevalence of PTSD among

Irritability

Traumatic stress

Active duty

Depression

10.7205/milmed-d-11-00328

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Citations (30)