The Stigma Surrounding Opioid Use as a Barrier to Cancer-Pain Management: An Overview of Experiences with Fear, Shame, and Poorly Controlled Pain in the Context of Advanced Cancer

被引:6
|
作者
Harsanyi, Hannah [1 ]
Cuthbert, Colleen [2 ]
Schulte, Fiona [3 ]
机构
[1] Univ Calgary, Dept Community Hlth Sci, Calgary, AB T2N 1N4, Canada
[2] Univ Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
[3] Univ Calgary, Dept Oncol, Div Psychosocial Oncol, Calgary, AB T2N 1N4, Canada
关键词
cancer pain; opioid use; advanced cancer; symptom management; stigma; STANDARD ONCOLOGY CARE; PALLIATIVE CARE; USE DISORDER; PREVALENCE; ATTITUDES; THERAPY; INTERVENTIONS; PREDICTORS; SYMPTOMS; QUALITY;
D O I
10.3390/curroncol30060437
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Cancer-related pain affects a majority of patients with advanced cancer and is often undertreated. The treatment of this pain is largely reliant on the use of opioids, which are essential medicines for symptom management and the maintenance of quality of life (QoL) for patients with advanced cancer. While there are cancer-specific guidelines for the treatment of pain, widespread publication and policy changes in response to the opioid epidemic have drastically impacted perceptions of opioid use. This overview therefore aims to investigate how manifestations of opioid stigma impact pain management in cancer settings, with an emphasis on the experiences of patients with advanced cancer. Opioid use has been widely stigmatized in multiple domains, including public, healthcare, and patient populations. Physician hesitancy in prescribing and pharmacist vigilance in dispensing were identified as barriers to optimal pain management, and may contribute to stigma in the context of advanced cancer. Evidence in the literature suggests that opioid stigma may result in patient deviations from prescription instructions, which generally leads to pain undertreatment. Patients reflected on experiencing shame and fear surrounding their prescription opioid use and feeling uncomfortable communicating with their healthcare providers on these topics. Our findings indicate that future work is required to educate patients and providers in order to de-stigmatize opioid use. Through alleviating stigma, patients may be better able to make decisions regarding their pain management which lead to freedom from cancer-related pain and improved QoL.
引用
收藏
页码:5835 / 5848
页数:14
相关论文
共 39 条
  • [1] Cancer pain self-management in the context of a national opioid epidemic: Experiences of patients with advanced cancer using opioids
    Azizoddin, Desiree R.
    Knoerl, Robert
    Adam, Rosalind
    Kessler, Daniela
    Tulsky, James A.
    Edwards, Robert R.
    Enzinger, Andrea C.
    CANCER, 2021, 127 (17) : 3239 - 3245
  • [2] Addiction stigma and opioid use in chronic non-cancer pain management in Nigeria
    Nelson, Ediomo-Ubong E.
    SOCIOLOGY OF HEALTH & ILLNESS, 2024, 46 (03) : 457 - 472
  • [3] Cancer Pain Management in Patients with Opioid Use Disorder
    Nickels, Katrina
    Kullgren, Justin
    Mitchell, Megan T.
    Carter, Marianne
    Kasberg, Brandon
    Holbein, Monika
    Gamble, Alex
    Thompson, Benjamin
    Koolwal, Astha
    Ho, J. Janet
    CURRENT ADDICTION REPORTS, 2024, 11 (03) : 475 - 491
  • [4] Opioid Use in Cancer Pain Management in Indonesia: a Call For Attention
    Setiabudy, Rianto
    Irawan, Cosphiadi
    Sudoyo, Aru W.
    ACTA MEDICA INDONESIANA, 2015, 47 (03) : 244 - 250
  • [5] Differences in Inpatient Management of Cancer-Related Pain Among Patients with Opioid Use Disorder
    Vipler, Erin
    Nowels, Molly A.
    Youngwerth, Jean
    JOURNAL OF PALLIATIVE MEDICINE, 2024, 27 (09) : 1200 - 1203
  • [6] Interdisciplinary intervention for the management of nonmedical opioid use among patients with cancer pain
    Arthur, Joseph A.
    Edwards, Tonya
    Lu, Zhanni
    Tang, Michael
    Amaram-Davila, Jaya
    Reddy, Akhila
    Hui, David
    Yennurajalingam, Sriram
    Anderson, Aimee E.
    Jennings, Kristofer
    Reddy, Suresh
    Bruera, Eduardo
    CANCER, 2022, 128 (20) : 3718 - 3726
  • [7] Pain, substance use, and opioid prescribing in a prospective cohort with advanced cancer
    Jones, Katie Fitzgerald
    Escott, Paula
    White, Gretchen E.
    Bennett, Antonia V.
    Bulls, Hailey
    Orris, Sarah
    Escott, Elizabeth G.
    Fischer, Stacy M.
    Krishnamurti, Tamar
    Leblanc, Thomas W.
    Liebschutz, Jane
    Meghani, Salimah
    Smith, Cardinale B.
    Temel, Jennifer
    Ritchie, Christine S.
    Merlin, Jessica
    JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2024, 67 (05) : E830 - E831
  • [8] Depression and Long-Term Prescription Opioid Use and Opioid Use Disorder: Implications for Pain Management in Cancer
    Bates, Nicole
    Bello, Jennifer K.
    Osazuwa-Peters, Nosayaba
    Sullivan, Mark D.
    Scherrer, Jeffrey F.
    CURRENT TREATMENT OPTIONS IN ONCOLOGY, 2022, 23 (03) : 348 - 358
  • [9] Music Therapy for Pain Management for People With Advanced Cancer: A Randomized Controlled Trial
    Bradt, Joke
    Leader, Amy
    Worster, Brooke
    Myers-Coffman, Kate
    Bryl, Karolina
    Biondo, Jacelyn
    Schneible, Brigette
    Cottone, Carrie
    Selvan, Preethi
    Zhang, Fengqing
    PSYCHO-ONCOLOGY, 2024, 33 (10)
  • [10] Safe Opioid Use, Storage, and Disposal Strategies in Cancer Pain Management
    Reddy, Akhila
    de la Cruz, Maxine
    ONCOLOGIST, 2019, 24 (11): : 1410 - 1415