Living with opioids: A qualitative study with patients with chronic low back pain

[EN] Background: Opioids are one of the most prescribed treatments for chronic pain (CP). However, their long-term use (>3 months) has been surrounded by controversy, due to loss of beneficial effects. Objective: To explore the experiences of people with chronic non-malignant low back pain in Spa...

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Autores: De Sola, Helena, Maquibar Landa, Amaia, Failde, Inmaculada, Salazar, Alejandro, Goicolea, Isabel
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universidad del País Vasco
Repositorio:Addi. Archivo Digital para la Docencia y la Investigación
OAI Identifier:oai:addi.ehu.eus:10810/45408
Acceso en línea:http://hdl.handle.net/10810/45408
Access Level:acceso abierto
Palabra clave:biomedicalization
chronic pain
experience
low back pain
opioid
treatment
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spelling Living with opioids: A qualitative study with patients with chronic low back painDe Sola, HelenaMaquibar Landa, AmaiaFailde, InmaculadaSalazar, AlejandroGoicolea, Isabelbiomedicalizationchronic painexperiencelow back painopioidtreatment[EN] Background: Opioids are one of the most prescribed treatments for chronic pain (CP). However, their long-term use (>3 months) has been surrounded by controversy, due to loss of beneficial effects. Objective: To explore the experiences of people with chronic non-malignant low back pain in Spain undergoing long-term treatment with opioids. Design: Qualitative study. Setting and participants: We conducted 15 semi-structured interviews at the Pain Clinic with persons taking opioid treatment. Methods: The interviews were analysed by qualitative content analysis as described by Graneheim and Lundman, and developed categories and themes discussed in light of a biomedicalization framework. Main results: We developed one overarching theme—Living with opioids: dependence and autonomy while seeking relief—and three categories: The long pathway to opioids due to the invisibility of pain; Opioids: from blind date to a long-term relationship; and What opioids cannot fix. Discussion: The long and difficult road to find effective treatments was a fundamental part of coping with pain, involving long-term relationships with the health system. This study reflects the benefits, and drawbacks of opioids, along with struggles to maintain autonomy and make decisions while undergoing long-term treatment with opioids. The paper also highlights the consequences of pain in the economy, family and social life of patients. Conclusions: Patients' experiences should be considered to a greater extent by health-care professionals when giving information about opioids and setting treatment goals. Greater consideration of the social determinants of health that affect CP experiences might lead to more effective solutions to CP.We would like to thank the participants of this study for generously sharing their experiences. We would also want to thank the physicians and nurses from the Unit of Pain in the University Hospital ‘Puerta del Mar’ for letting us be part of their team for a period of time, especially Dr José Manuel Trinidad. Helena De Sola has disclosed that she has received a grant for researching in the field of Pain from Fundación Española del DolorWiley202020202020info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10810/45408reponame:Addi. Archivo Digital para la Docencia y la Investigacióninstname:Universidad del País VascoIngléshttps://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/hex.13089info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/3.0/es/This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.Atribución 3.0 Españaoai:addi.ehu.eus:10810/454082026-06-18T09:23:17Z
dc.title.none.fl_str_mv Living with opioids: A qualitative study with patients with chronic low back pain
title Living with opioids: A qualitative study with patients with chronic low back pain
spellingShingle Living with opioids: A qualitative study with patients with chronic low back pain
De Sola, Helena
biomedicalization
chronic pain
experience
low back pain
opioid
treatment
title_short Living with opioids: A qualitative study with patients with chronic low back pain
title_full Living with opioids: A qualitative study with patients with chronic low back pain
title_fullStr Living with opioids: A qualitative study with patients with chronic low back pain
title_full_unstemmed Living with opioids: A qualitative study with patients with chronic low back pain
title_sort Living with opioids: A qualitative study with patients with chronic low back pain
dc.creator.none.fl_str_mv De Sola, Helena
Maquibar Landa, Amaia
Failde, Inmaculada
Salazar, Alejandro
Goicolea, Isabel
author De Sola, Helena
author_facet De Sola, Helena
Maquibar Landa, Amaia
Failde, Inmaculada
Salazar, Alejandro
Goicolea, Isabel
author_role author
author2 Maquibar Landa, Amaia
Failde, Inmaculada
Salazar, Alejandro
Goicolea, Isabel
author2_role author
author
author
author
dc.subject.none.fl_str_mv biomedicalization
chronic pain
experience
low back pain
opioid
treatment
topic biomedicalization
chronic pain
experience
low back pain
opioid
treatment
description [EN] Background: Opioids are one of the most prescribed treatments for chronic pain (CP). However, their long-term use (>3 months) has been surrounded by controversy, due to loss of beneficial effects. Objective: To explore the experiences of people with chronic non-malignant low back pain in Spain undergoing long-term treatment with opioids. Design: Qualitative study. Setting and participants: We conducted 15 semi-structured interviews at the Pain Clinic with persons taking opioid treatment. Methods: The interviews were analysed by qualitative content analysis as described by Graneheim and Lundman, and developed categories and themes discussed in light of a biomedicalization framework. Main results: We developed one overarching theme—Living with opioids: dependence and autonomy while seeking relief—and three categories: The long pathway to opioids due to the invisibility of pain; Opioids: from blind date to a long-term relationship; and What opioids cannot fix. Discussion: The long and difficult road to find effective treatments was a fundamental part of coping with pain, involving long-term relationships with the health system. This study reflects the benefits, and drawbacks of opioids, along with struggles to maintain autonomy and make decisions while undergoing long-term treatment with opioids. The paper also highlights the consequences of pain in the economy, family and social life of patients. Conclusions: Patients' experiences should be considered to a greater extent by health-care professionals when giving information about opioids and setting treatment goals. Greater consideration of the social determinants of health that affect CP experiences might lead to more effective solutions to CP.
publishDate 2020
dc.date.none.fl_str_mv 2020
2020
2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10810/45408
url http://hdl.handle.net/10810/45408
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/hex.13089
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es/
Atribución 3.0 España
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/3.0/es/
Atribución 3.0 España
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Addi. Archivo Digital para la Docencia y la Investigación
instname:Universidad del País Vasco
instname_str Universidad del País Vasco
reponame_str Addi. Archivo Digital para la Docencia y la Investigación
collection Addi. Archivo Digital para la Docencia y la Investigación
repository.name.fl_str_mv
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