Publications by authors named "John Najera"

Young adult (YA) aged cancer patients have unique psychosocial needs with studies indicating more symptoms and emotional distress compared to older patients. Our study aimed to compare clinical characteristics and symptom distress between YAs and older adults. We retrospectively studied 896 randomly selected patients across 3 age groups: 18-39 YAs ( = 297), 40-64 ( = 300), and 65 and older ( = 299).

View Article and Find Full Text PDF

Importance: One of the main aims of research on nonmedical opioid use (NMOU) is to reduce the frequency of NMOU behaviors through interventions such as universal screening, reduced opioid exposure, and more intense follow-up of patients with elevated risk. The absence of data on the frequency of NMOU behavior is the major barrier to conducting research on NMOU.

Objective: To determine the overall frequency of and the independent predictors for NMOU behavior.

View Article and Find Full Text PDF

Context: Palliative care encompasses an interdisciplinary team, including mental health care professionals, to address psychological distress of cancer patients.

Objectives: To present the implementation of an outreach counseling program via videoconferencing or telephone to patients receiving care in an outpatient palliative care clinic and to compare patients using this service to those who only received psychological counseling in our outpatient clinic.

Methods: We conducted a retrospective chart review of cancer patients seen for psychology counseling services in an outpatient supportive care center between June 2015 and March 2017.

View Article and Find Full Text PDF
Article Synopsis
  • Opioid misuse is a significant issue, particularly among cancer patients, with many at risk for aberrant drug behaviors (ADB) going undiagnosed; this study aimed to identify the frequency and predictive factors of ADB in these patients.
  • Out of 729 evaluable cancer patients, 19.6% were identified as at risk for ADB using the SOAPP-14 screening tool, while 10.5% tested positive with the CAGE-AID questionnaire, indicating the effectiveness of these tools in assessment.
  • Key risk factors for ADB included being male, experiencing anxiety or financial distress, and having a history of substance abuse, highlighting the need for targeted screening and support for vulnerable groups within cancer care.
View Article and Find Full Text PDF