# Resentful, Resigned and Respectful: Opioid Analgesics, Pain and Control, a Qualitative Study

## TL;DR

This study explores how non-cancer patients feel about using opioid painkillers, highlighting their mixed emotions and sense of control.

## Contribution

The study provides new qualitative insights into patients' complex emotional and behavioral responses to opioid analgesics.

## Key findings

- Patients felt resentful about taking opioids due to fears of addiction and tolerance.
- Patients accepted doctors' control over treatment but also tried to manage their own medication use.
- Patients generally had negative experiences with opioid use for pain management.

## Abstract

Opioid analgesic prescribing has increased significantly with associated concerns about dependence and overdose. This study aimed to explore non-cancer patients’ experiences and views of taking opioid analgesics to manage their pain. Twenty-two patients were purposively sampled from English GP practices and participated in semi-structured telephone interviews. Braun and Clarke’s thematic analysis was used to generate emerging latent and semantic themes. Patients resented taking opioid analgesics due to tolerance and addiction fears but were resigned to experiencing chronic pain. Control emerged in relation to patients’ acceptance of doctors’ control over treatment decisions but also patients’ attempted self-control over medicine adherence. This involved negatively perceived attempts to control pain but also prevent tolerance and addiction. Non-pharmacological treatments were viewed negatively by patients and addiction awareness arose from various sources. Patients were respectful of doctors but expressed negativity about the lack of addiction warnings, medication reviews and appointments. Family and friends were infrequently mentioned, as was reference to shared decision-making, suggesting patients navigate control over opioids and pain in relatively isolated ways. Patients reported generally negative experiences of opioid use for pain, which provides key insights for health professionals to enhance understanding and the management of such patients.