Manifestations of Opioid Stigma in Patients With Advanced Cancer: Perspectives From Patients and Their Support Providers.
Hailey W BullsMegan HammRachel WasilkoFlor de Abril CameronShane BelinBurel R GoodinJane M LiebschutzAntoinette WozniakLindsay M SabikJessica S MerlinYael SchenkerPublished in: JCO oncology practice (2022)
This qualitative study advances our understanding of opioid stigma manifestations in patients with advanced cancer, as well as coping strategies that patients may use to alleviate their unease (eg, minimizing prescription opioid use, changing clinicians, and distancing from perceptions of addiction). In recognition of the costs of undermanaged cancer pain, it is important to consider innovative treatment strategies to address opioid stigma and improve pain management for patients with advanced cancer. Future research should examine opportunities to build an effective, multilevel opioid stigma intervention targeting patients, clinicians, and health care systems.
Keyphrases
- pain management
- advanced cancer
- palliative care
- chronic pain
- end stage renal disease
- healthcare
- mental health
- chronic kidney disease
- newly diagnosed
- ejection fraction
- social support
- randomized controlled trial
- mental illness
- prognostic factors
- hiv aids
- depressive symptoms
- spinal cord
- spinal cord injury
- young adults
- human immunodeficiency virus