Barry R Snow, Ph.D.

Functional recovery of a patient with complex regional pain syndrome in an inpatient pain rehabilitation program : a case report
Feldman DD; Vitale KC; Gusmorino P; Snow B; Shen H; Jimenez A; Moroz A; Knotkova H
2008 ;1(3):319-326, Journal of pain management
— id: 90956, year: 2008, vol: 1, page: 319, stat: Journal Article,

Clinically significant placebo analgesic response in a pilot trial of botulinum B in patients with hand pain and carpal tunnel syndrome
Breuer, Brenda; Sperber, Kevin; Wallenstein, Sylvan; Kiprovski, Kiril; Calapa, Angela; Snow, Barry; Pappagallo, Marco
2006 Jan-Feb;7(1):16-24, Pain medicine
OBJECTIVE: We conducted a pilot trial to assess the effect of botulinum toxin B on palmar pain and discomfort in carpal tunnel syndrome (CTS) patients. Design. Randomized, double-blind, placebo-controlled. PATIENTS: Twenty ambulatory CTS patients. Intervention. Botulinum toxin B or placebo injections into three hypothenar muscles anatomically linked or attached to the carpal tunnel and its tentorium, that is, the Opponens Digiti Minimi and Flexor Digiti Minimi, located with electromyography (EMG), and the Palmaris Brevis Muscle, anatomically located without EMG. SETTING: New York City hospital. OUTCOME MEASURES: Outcomes were measured with numeric ratings, with higher scores indicating worse outcomes. Daily, subjects recorded their 0-10 numeric ratings of overall pain levels and pain-related sleep disturbances. During weekly telephone calls, they reported their 0-10 ratings for overall pain, pain-related sleep disturbance, and CTS-related tingling during the night and day as experienced over the preceding 24 hours. For each of four clinic visits, we averaged each subject's ratings of nine quality of life indicators from the West Haven-Yale Multidimensional Pain Inventory (WHYMPI), each measured on a 0-6 numeric scale. RESULTS: Over the 13-week trial, compared to baseline scores, the following outcomes predominantly showed decreases of statistical significance (P < or = 0.050) or borderline significance (0.050 < P < or = 0.10) for weeks 2 through 8: overall pain per daily diary entries and per weekly telephone reports, and pain-related sleep disturbance in the placebo group per phone report and in the botulinum toxin B group per diary report. CTS painful night tingling and day tingling, as well as the average scores of the WHYMPI quality of life indicators, showed improvements with statistical or borderline significance for almost each follow-up week. Between-group analyses, however, demonstrated that at each follow-up week, there was no statistically significant difference between the two study groups regarding changes from baseline in any study outcome. CONCLUSION: Botulinum toxin B is not dramatically superior to placebo for the relief of CTS symptoms. Possible explanations of the improvements in each study group are explored
— id: 95715, year: 2006, vol: 7, page: 16, stat: Journal Article,

Non-pharmacologic techniques for acute pain management
Snow BR; Gusmorino P
Pain management and regional anesthesia in trauma London : WB Saunders, 2000,
— id: 3857, year: 2000, vol: , page: 253, stat: Chapter,

Hospitalization of the chronic pain patient
Snow BR; Gusmorino P; Pinter I
A practical approach to pain management Boston : Little, Brown, 1996,
— id: 3856, year: 1996, vol: , page: 165, stat: Chapter,

Behavioral medicine and cancer: a clinician's guide
Snow BR; Gusmorino P; Pinter I
Musculoskeletal oncology Philadelphia : WB Saunders, 1992,
— id: 3855, year: 1992, vol: , page: 449, stat: Chapter,

Behavioral medicine and the geriatric orthopaedic inpatient: assessment and treatment
Gusmorino P; Snow BR; Pinter I
Comprehensive care of orthopaedic injuries in the elderly Baltimore : Urban & Schwarzenberg, 1990,
— id: 3853, year: 1990, vol: , page: 595, stat: Chapter,

Chronic pain and the geriatric patient: assessment and treatment
Snow BR; Gusmorino P; Pinter I
Comprehensive care of orthopaedic injuries in the elderly Baltimore : Urban & Schwarzenberg, 1990,
— id: 3854, year: 1990, vol: , page: 607, stat: Chapter,

Multidisciplinary treatment for a chronic pain patient returning to work: a case report
Snow BR; Gusmorino P; Pinter I
1990 Fall;50(2):200-204, Bulletin of the Hospital for Joint Diseases Orthopaedic Institute
— id: 61875, year: 1990, vol: 50, page: 200, stat: Journal Article,

Factors for predicting premature termination from a multidisciplinary inpatient chronic pain program
King SA; Snow BR
1989 Dec;39(3):281-287, Pain
Forty-eight chronic pain patients who were discharged from or left the 21-day inpatient component of a multidisciplinary pain program prior to completion were compared with a randomly selected matched group of program patients who stayed the entire 21 days. The purpose of the study was to determine if pre-admission factors are useful in predicting whether a chronic pain patient will complete an inpatient pain program. The results of pre-admission MMPI, POMS, MPQ, and information obtained from a questionnaire specially created for the program were studied. On the tests, the non-completers admitted to less psychopathology than those who did complete the program. The non-completers also had a higher number of pain-related surgeries and were more likely to be college graduates; limited social support from their families and lower MMPI premature termination scale scores were also found. Implications of these findings for the management of chronic pain patients are discussed
— id: 61876, year: 1989, vol: 39, page: 281, stat: Journal Article,

Brainstem auditory and visual evoked potential studies in patients with chronic cervical pain
Jimenez AC; Gusmorino P; Pinter I; Snow B
1988 Fall;48(2):176-181, Bulletin of the Hospital for Joint Diseases Orthopaedic Institute
Brainstem auditory evoked potential (BAEP) and visual evoked potential (VEP) studies were undertaken in 8 patients with chronic cervical pain associated with auditory and visual symptoms of more than 6 months duration. The purpose of the study was to ascertain possible central abnormalities, including posterior cervical sympathetic syndrome (Barre-Lieou syndrome), in their auditory and/or visual pathways. Patients who had been treated surgically for cervical pain were excluded from the study group. All patients had normal cervical radiographs and electromyographic findings. Six also had normal CT scans and myelograms. A criterion of the study was that abnormal results would be considered significant only if ophthalmological and/or otolaryngological work-ups failed to reveal an underlying organic abnormality. The TECA-TE 42 was used throughout the study, as well as the international Ten-Twenty System of Electrode Placement. The results showed no abnormalities in the latency, amplitude, or waveform morphology of the evoked potentials. BAEP and VEP studies do not appear to reveal central abnormalities of the auditory and visual pathways in this group of patients. However, in view of the small number of patients included in the study, no conclusions can be made with certainty and the study is continuing
— id: 20293, year: 1988, vol: 48, page: 176, stat: Journal Article,

Multidisciplinary treatment of physical and psychosocial disabilities in chronic pain patients: a follow-up report
Snow BR; Gusmorino P; Pinter I; Jimenez A; Rosenblum A
1988 Spring;48(1):52-61, Bulletin of the Hospital for Joint Diseases Orthopaedic Institute
This report reviews the results of the first 2 1/2 years of a comprehensive multidisciplinary inpatient-outpatient treatment program for patients with chronic pain. Functional data indicate a 33 1/3% rate of return to work or involvement in work training programs, while self-report data indicate a 50% improvement rate. Future directions for research are suggested
— id: 61878, year: 1988, vol: 48, page: 52, stat: Journal Article,

Post-traumatic stress disorder among American Legionnaires in relation to combat experience in Vietnam: associated and contributing factors
Snow BR; Stellman JM; Stellman SD; Sommer JF Jr
1988 Dec;47(2):175-192, Environmental research
The relationship between combat stress, DSM-III-defined post-traumatic stress disorder (PTSD), and a variety of behavioral factors was examined in a large nonclinical population. A total of 2858 randomly selected American Legion members who had served in Southeast Asia completed a questionnaire which elicited information on military service, personal health, and a variety of mental health outcomes. The data confirm the utility of the PTSD diagnosis as a distinct clinical entity. The frequency of PTSD and the extent of symptoms developed varied with the severity of criteria used for determining the extent of traumatic exposure. The PTSD rate ranged from 1.8 to 15.0% of the total sample, depending on whether 'exposure' to combat was defined relatively narrowly or broadly. A distinct linear dose-response relationship between combat stress and a quantitative measure of PTSD intensity was observed. The frequency of PTSD diagnosis was not affected by the presence of either physical or mental health problems which predated military service. A strong, stable relationship was found between combat stress and PTSD intensity for cohorts with differing intervals since the experience of combat trauma, which persisted up to 20 years after discharge from the military. The data thus support a broader approach to defining traumatic events which recognizes individual differences in response to combat, as well as the existence of other behavioral outcomes as residual effects of combat. Implications of these findings and the importance of treating veterans with varying presentations of PTSD are discussed
— id: 61877, year: 1988, vol: 47, page: 175, stat: Journal Article,

The use of clonidine for the treatment of meperidine withdrawal in a multidisciplinary pain program setting. A case presentation
Jimenez AC; Gusmorino P; Pinter I; Snow B
1987 Spring;47(1):72-77, Bulletin of the Hospital for Joint Diseases Orthopaedic Institute
The management of iatrogenic drug dependence in individuals with pain can be more difficult than the treatment of the pain itself. In addition to a multidisciplinary approach to the treatment of a patient with chronic pain, there is a need for a rapid, safe, and effective method of detoxification from opiate use. Clonidine HCl, a nonopiate, has been found, in this case presentation, to be a valuable option
— id: 20294, year: 1987, vol: 47, page: 72, stat: Journal Article,

Comparison of well-being among non-machine interactive clerical workers and full-time and part-time VDT users and typists
Stellman JM; Klitzman S; Gordon G; Snow BR
Work with display units 86 Amsterdam : Elsevier Science, 1987,
— id: 3852, year: 1987, vol: , page: 605, stat: Chapter,

Work environment and the well-being of clerical and VDT workers
Stellman JM; Klitzman S; Gordon GC; Snow BR
1987 ;8:95-114, Journal of occupational behavior
— id: 61892, year: 1987, vol: 8, page: 95, stat: Journal Article,

Hand temperature changes and effort of mood profile in musicians during performance
Bejjani FJ; Cothier P; Schwartz M; Snow BR
Trends in ergonomics/human factors III Amsterdam : Elsevier Science, 1986,
— id: 3851, year: 1986, vol: , page: ?, stat: Chapter,

Behavioral medicine in industry: a labor perspective
Snow BR; LeGrande D; Berek J; McMahon J; Wilford R; Stellman JM
Health and industry : a behavioral medicine perspective New York : Wiley, 1986,
— id: 3849, year: 1986, vol: , page: 420, stat: Chapter,

Incidence of physical and psychosocial disabilities in chronic pain patients: initial report
Snow BR; Pinter I; Gusmorino P; Jiminez A; Rosenblum A
1986 Spring;46(1):22-30, Bulletin of the Hospital for Joint Diseases Orthopaedic Institute
Chronic pain is a leading health care problem with a wide range of physical and psychosocial outcomes. This report reviews the key intake findings of the first 227 patients admitted to a comprehensive inpatient/outpatient program for the treatment of chronic pain. Key trends in the data which suggest the different presentations of the chronic pain syndrome are highlighted and indications for future research are given
— id: 61879, year: 1986, vol: 46, page: 22, stat: Journal Article,

Occupational safety and health hazards and the psychosocial well being of workers
Stellman JM; Snow BR
Health and industry : a behavioral medicine perspective New York : Wiley, 1986,
— id: 3850, year: 1986, vol: , page: 270, stat: Chapter,

The use of hypnosis in the management of preoperative anxiety and postoperative pain in a patient undergoing laminectomy
Snow BR
1985 Fall;45(2):143-149, Bulletin of the Hospital for Joint Diseases Orthopaedic Institute
Patients undergoing laminectomy face a variety of concerns both pre- and postoperatively which may affect their emotional state and increase surgical risk. A case study of a laminectomy patient who was taught hypnosis for the control of preoperative anxiety and postoperative pain is presented. The benefits of such hypnotic intervention, as well as the long-term effects of hypnotic intervention on a patient who is in a crisis period are discussed
— id: 61881, year: 1985, vol: 45, page: 143, stat: Journal Article,

Air quality and ergonomics in the office: survey results and methodologic issues
Stellman JM; Klitzman S; Gordon GC; Snow BR
1985 May;46(5):286-293, American Industrial Hygiene Association journal
A survey of office workers at four sites was conducted by Columbia University School of Public Health during 1981 and 1982 to explore the relationships between office working conditions and employee health. Walk through surveys of each site were conducted by the research team with joint labor-management sponsorship. A total of 2074 non-managerial office workers filled out a 30-minute self-administered questionnaire at their respective workplaces. Multiple item scales were tested and constructed to measure indoor air quality and ergonomic factors. Significant differences in ergonomic conditions and air quality between the sites were observed. These differences corresponded with researcher observations prior to the surveys. Significant associations between the reported air quality and respiratory symptoms and between ergonomic factors and musculoskeletal symptoms were found. Specificity of the relationship between reports about the environment and health symptoms was demonstrated. The implications of this approach for industrial hygiene investigations of non-industrial environments are discussed
— id: 61880, year: 1985, vol: 46, page: 286, stat: Journal Article,

The comparative results of psychologic testing in scoliosis patients treated with electrical stimulation or bracing
Kahanovitz N; Snow B; Pinter I
1984 Jul-Aug;9(5):442-444, Spine
Proponents of the surface stimulation treatment of idiopathic scoliosis have reported approximately 75-85% success rates in arresting progressive curvatures. Although encouraging, these results do not appear to be better than those of the more traditional brace programs. Now recognizing electrical stimulation as a viable alternative to bracing, supporters have advocated the psychologic and physical freedom with electrical stimulation as a major advantage over brace treatment. However, to date, there have been no objective psychologic studies to substantiate these claims. This prospective study was devised to detect any significant differences between a group of patients treated in a TLSO or Milwaukee brace and a group of patients treated with lateral electrical surface stimulation (LESS) (ScoliTron). The study consisted of 40 female private patients with idiopathic scoliosis treated for a minimum of 3 months. Each patient was given a set of seven standardized psychologic tests and an observer rating by the treating physician or physical therapist working with the patient. Results of the Psychological Epidemiology Research Interview (PERI) revealed that the LESS group had significantly higher self esteem than the brace group. The brace patients demonstrated a much greater perception of directed hostility than the LESS group. The coping response inventory showed the brace group to manifest a more primitive coping mechanism than the LESS group. The brace group attempted to avoid problems associated with their disease, rather than cope with them as the LESS group was better able to do. The brace group focused more on their emotions than the realistic problems of their disease.(ABSTRACT TRUNCATED AT 250 WORDS)
— id: 61887, year: 1984, vol: 9, page: 442, stat: Journal Article,

Compliance with therapeutic regimens : assessment and treatment issues
Snow BR
Consultation-liaison psychiatry : current trends and new perspectives New York : Grune & Stratton, 1983,
— id: 3848, year: 1983, vol: , page: 97, stat: Chapter,

Evaluation in cancer control
Snow BR
1983 ;121:201-203, Progress in clinical & biological research
— id: 61883, year: 1983, vol: 121, page: 201, stat: Journal Article,

Mitigation of stress factors on cancer care units
Snow BR
1983 ;121:307-308, Progress in clinical & biological research
— id: 61882, year: 1983, vol: 121, page: 307, stat: Journal Article,

Workplace strategies for smoking cessation
Snow BR
1983 ;121:113-114, Progress in clinical & biological research
— id: 61884, year: 1983, vol: 121, page: 113, stat: Journal Article,

Occupational health: an idea whose time has come
Snow BR; Osipow S
1983 ;5:3-3, Health psychologist = Herusu Saikorojisuto
— id: 61891, year: 1983, vol: 5, page: 3, stat: Journal Article,

Safety hazards as occupational stressors: a neglected issue
Snow BR
1982 Oct;30(10):38-41, Occupational health nursing
— id: 61885, year: 1982, vol: 30, page: 38, stat: Journal Article,

Stress, Type A, and coronary disease
Glass DC; Contrada R; Snow BR
1980 ;1:1-7, Weekly psychology update
— id: 61889, year: 1980, vol: 1, page: 1, stat: Journal Article,

Effect of harassment and competition upon cardiovascular and plasma catecholamine responses in type A and type B individuals
Glass DC; Krakoff LR; Contrada R; Hilton WF; Kehoe K; Mannucci EG; Collins C; Snow B; Elting E
1980 Sep;17(5):453-463, Psychophysiology
— id: 61886, year: 1980, vol: 17, page: 453, stat: Journal Article,

Effect of task overload upon cardiovascular and plasma catecholamine responses in Type A and Type B individuals
Glass DC; Krakoff LR; Finkelman J; Snow BR; Contrada R; Kehoe K; Mannucci EG; Isecke W; Collins C; Hilton WF; Elting E
1980 ;1:199-218, Basic & applied social psychology
— id: 61890, year: 1980, vol: 1, page: 199, stat: Journal Article,

Protection in evaluation : a resource manual
Klig, Sally; Kearse, T; Ormsby, S; Block, J; Snow, BR
New York, NY : Center for Advanced Study in Eduction, Teaching Resource center, CUNY, 1980,
— id: 874, year: 1980, vol: , page: , stat: ,

Level of aspiration in coronary and non-coronary prone adults
Snow BR
1978 ;4:416-419, Personality & social psychology bulletin
— id: 61888, year: 1978, vol: 4, page: 416, stat: Journal Article,