“I’m Clean and Sober, But Not Necessarily Free”: Perceptions of Buprenorphine Among Patients in Long-Term Treatment Article Swipe
Jessica J. Wyse
,
Travis I. Lovejoy
,
Adam J. Gordon
,
Katherine Mackey
,
Anders Herreid-O’Neill
,
Benjamin J. Morasco
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1177/08897077231165625
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1177/08897077231165625
Background: Patients receiving buprenorphine for the treatment of opioid use disorder (OUD) experience a roughly 50% reduction in mortality risk relative to those not receiving medication. Longer periods of treatment are also associated with improved clinical outcomes. Despite this, patients often express desires to discontinue treatment and some view taper as treatment success. Little is known about the beliefs and medication perspectives of patients engaged in long-term buprenorphine treatment that may underlie motivations to discontinue. Methods: This study was conducted at the VA Portland Health Care System (2019-2020). Qualitative interviews were conducted with participants prescribed buprenorphine for ≥2 years. Coding and analysis were guided by directed qualitative content analysis. Results: Fourteen patients engaged in office-based buprenorphine treatment completed interviews. While patients expressed strong enthusiasm for buprenorphine as a medication, the majority expressed the desire to discontinue, including patients actively tapering. Motivations to discontinue fell into 4 categories. First, patients were troubled by perceived side effects of the medication, including effects on sleep, emotion, and memory. Second, patients expressed unhappiness with being “dependent” on buprenorphine, framed in opposition to personal strength/independence. Third, patients expressed stigmatized beliefs about buprenorphine, describing it as “illicit,” and associated with past drug use. Finally, patients expressed fears about buprenorphine unknowns, including potential long-term health effects and interactions with medications required for surgery. Conclusions: Despite recognizing benefits, many patients engaged in long-term buprenorphine treatment express a desire to discontinue. Findings from this study may help clinicians anticipate patient concerns and can be used to inform shared decision-making conversations regarding buprenorphine treatment duration.
Related Topics
Concepts
Buprenorphine
Opioid use disorder
Medicine
Qualitative research
Psychiatry
Psychology
Opioid
Internal medicine
Receptor
Sociology
Social science
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/08897077231165625
- https://journals.sagepub.com/doi/pdf/10.1177/08897077231165625
- OA Status
- bronze
- Cited By
- 6
- References
- 38
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4367844638
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4367844638Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1177/08897077231165625Digital Object Identifier
- Title
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“I’m Clean and Sober, But Not Necessarily Free”: Perceptions of Buprenorphine Among Patients in Long-Term TreatmentWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-01-01Full publication date if available
- Authors
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Jessica J. Wyse, Travis I. Lovejoy, Adam J. Gordon, Katherine Mackey, Anders Herreid-O’Neill, Benjamin J. MorascoList of authors in order
- Landing page
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https://doi.org/10.1177/08897077231165625Publisher landing page
- PDF URL
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https://journals.sagepub.com/doi/pdf/10.1177/08897077231165625Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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bronzeOpen access status per OpenAlex
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https://journals.sagepub.com/doi/pdf/10.1177/08897077231165625Direct OA link when available
- Concepts
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Buprenorphine, Opioid use disorder, Medicine, Qualitative research, Psychiatry, Psychology, Opioid, Internal medicine, Receptor, Sociology, Social scienceTop concepts (fields/topics) attached by OpenAlex
- Cited by
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6Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 3, 2023: 1Per-year citation counts (last 5 years)
- References (count)
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38Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.(2019-2020). | 87 |
| abstract_inverted_index.Conclusions: | 216 |
| abstract_inverted_index.discontinue, | 135 |
| abstract_inverted_index.discontinue. | 74, 231 |
| abstract_inverted_index.interactions | 210 |
| abstract_inverted_index.office-based | 114 |
| abstract_inverted_index.participants | 93 |
| abstract_inverted_index.perspectives | 61 |
| abstract_inverted_index.buprenorphine | 3, 67, 95, 115, 125, 202, 225, 252 |
| abstract_inverted_index.conversations | 250 |
| abstract_inverted_index.buprenorphine, | 173, 186 |
| abstract_inverted_index.“illicit,” | 190 |
| abstract_inverted_index.decision-making | 249 |
| abstract_inverted_index.“dependent” | 171 |
| abstract_inverted_index.strength/independence. | 179 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5014336531 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 6 |
| corresponding_institution_ids | https://openalex.org/I126345244, https://openalex.org/I165690674, https://openalex.org/I4210144745 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8399999737739563 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.85742403 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |