Psychosocial Factors as the Determinants of Relapse in Individuals with Substance Use Disorder

Authors

  • Najwa Farooq Department of Psychology, University of Gujrat, Gujrat, Pakistan
  • Dr. Saima Riaz Department of psychology, University of Gujrat Gujrat, Pakistan

Keywords:

Psychosocial factors, Relapse, Substance use disorder

Abstract

Relapse to substance abuse after withdrawal is one of the most perplexing and frustrating aspect of addiction. The word relapse defines as collapse/hindrance to the client’s prior substance dependence behavior after treatment due to many psychological, social, and other associated factors. This study is designed to find out the psychological and social factors which determine relapse behavior in individuals with substance use disorder. A cross-sectional study was conducted among 200 relapse patients from November 2020 to January 2021 in different rehabilitations in Wazirabad, Gujranwala, Lahore, Gujrat, and Sialkot cities of Pakistan. Data were collected by using a psychosocial functioning scale. Data analyzed using SPSS 21. A total of 200 individuals were taken ,of which 170 were males and 30 females. The results indicates that the most important predictor was risk-taking 0.148 (100% of normalized importance) followed by social conformity 0.130 (88% of normalized importance), decision making confidence 0.128 (86.2% of normalized importance), childhood problem 0.125 (84.4% of normalized importance), hostility 0.125 (84.0% of normalized importance), depression 0.119 (80.5% of normalized importance), self-esteem 0.114 (76.6% of normalized importance) and anxiety 0.111 (74.7% of normalized importance).Social factors were connected with a high relapse rate. These results may help clinicians to improve treatment and policy guidelines for the prevention of relapse to drug addiction.

References

J. P. Bhanji, M. R. Delgado, and S. Ray, “Neural responses to negative events and subsequent persistence behavior differ in individuals recovering from opioid use disorder compared to controls,” Am. J. Drug Alcohol Abuse, vol. 47, no. 3, pp. 319–329, 2021, doi: 10.1080/00952990.2021.1888960.

A. Shadman, “DRUG USE IN PAKISTAN 2013 Disclaimer,” 2013.

M. M. Rahman, M. M. Rahaman, J. D. Hamadani, K. Mustafa, and S. M. Shariful Islam, “Psychosocial factors associated with relapse to drug addiction in Bangladesh,” http://dx.doi.org/10.3109/14659891.2015.1122099, vol. 21, no. 6, pp. 627–630, Nov. 2016, doi: 10.3109/14659891.2015.1122099.

C. S. Hendershot, K. Witkiewitz, W. H. George, and G. A. Marlatt, “Relapse prevention for addictive behaviors,” Subst. Abus. Treat. Prev. Policy 2011 61, vol. 6, no. 1, pp. 1–17, Jul. 2011, doi: 10.1186/1747-597X-6-17.

M. Chetty, “Causes of Relapse Post Treatment for Substance Dependency Within the South African Police Services,” no. October, 2011.

D. S. Hasin et al., “DSM-5 criteria for substance use disorders: Recommendations and rationale,” Am. J. Psychiatry, vol. 170, no. 8, pp. 834–851, Aug. 2013, doi: 10.1176/APPI.AJP.2013.12060782/ASSET/IMAGES/LARGE/834F2.JPEG.

J. J. Mahoney, P. J. Marshalek, A. R. Rezai, L. R. Lander, J. H. Berry, and M. W. Haut, “A case report illustrating the effects of repetitive transcranial magnetic stimulation on cue-induced craving in an individual with opioid and cocaine use disorder,” Exp. Clin. Psychopharmacol., vol. 28, no. 1, pp. 1–5, Feb. 2020, doi: 10.1037/PHA0000289.

M. Moradinazar et al., “Factors related to relapse in patients with substance-related disorders under methadone maintenance therapy: Decision tree analysis,” Oman Med. J., vol. 35, no. 1, Jan. 2020, doi: 10.5001/OMJ.2020.07.

S. Sapkota, A. Khadka, and G. Akela, “Contributing factors to relapse of drug addiction among clients attending rehabilitation centres of Dharan, Nepal,” J. Chitwan Med. Coll., vol. 6, no. 3, pp. 20–25, 2017, doi: 10.3126/jcmc.v6i3.16695.

E. Kabisa, E. Biracyaza, J. d’Amour Habagusenga, and A. Umubyeyi, “Determinants and prevalence of relapse among patients with substance use disorders: case of Icyizere Psychotherapeutic Centre,” Subst. Abus. Treat. Prev. Policy, vol. 16, no. 1, pp. 1–12, Dec. 2021, doi: 10.1186/S13011-021-00347-0/TABLES/4.

A. A. Azmi, H. Hussin, S. I. Di. Ishak, and N. S. Daud-Fhiri, “Drug Addicts: Psychosocial Factor Contributing to Relapse,” MATEC Web Conf., vol. 150, p. 05097, Feb. 2018, doi: 10.1051/MATECCONF/201815005097.

P. T. Bartone, S. W. Hystad, C. J. Eid, and J. I. Brevik, “Psychological hardiness and coping style as risk/resilience factors for alcohol abuse,” Mil. Med., vol. 177, no. 5, pp. 517–524, 2012, doi: 10.7205/MILMED-D-11-00200.

C. Yang, M. Xia, M. Han, and Y. Liang, “Social support and resilience as mediators between stress and life satisfaction among people with substance use disorder in China,” Front. Psychiatry, vol. 9, no. OCT, pp. 1–7, 2018, doi: 10.3389/fpsyt.2018.00436.

“World Drug Report 2021,” 2021. https://www.unodc.org/unodc/en/data-and-analysis/wdr2021.html (accessed Sep. 14, 2022).

“National Recovery Month 2022 | SAMHSA.” https://www.samhsa.gov/recovery-month (accessed Sep. 14, 2022).

H. Gong, C. Xie, C. Yu, N. Sun, H. Lu, and Y. Xie, “Psychosocial Factors Predict the Level of Substance Craving of People with Drug Addiction: A Machine Learning Approach,” Int. J. Environ. Res. Public Heal. 2021, Vol. 18, Page 12175, vol. 18, no. 22, p. 12175, Nov. 2021, doi: 10.3390/IJERPH182212175.

A. Yamamoto, J. Needleman, L. Gelberg, G. Kominski, S. Shoptaw, and Y. Tsugawa, “Association between homelessness and opioid overdose and opioid-related hospital admissions/emergency department visits,” Soc. Sci. Med., vol. 242, Dec. 2019, doi: 10.1016/J.SOCSCIMED.2019.112585.

W. C. Becker, L. E. Sullivan, J. M. Tetrault, R. A. Desai, and D. A. Fiellin, “Non-medical use, abuse and dependence on prescription opioids among U.S. adults: psychiatric, medical and substance use correlates,” Drug Alcohol Depend., vol. 94, no. 1–3, pp. 38–47, Apr. 2008, doi: 10.1016/J.DRUGALCDEP.2007.09.018.

“Sex and Gender Differences in Substance Use | National Institute on Drug Abuse (NIDA).” https://nida.nih.gov/publications/research-reports/substance-use-in-women/sex-gender-differences-in-substance-use (accessed Sep. 14, 2022).

J. Eckenrode, M. Laird, and J. Doris, “School Performance and Disciplinary Problems Among Abused and Neglected Children,” Dev. Psychol., vol. 29, no. 1, pp. 53–62, 1993, doi: 10.1037/0012-1649.29.1.53.

A. Yamashita and S. I. Yoshioka, “Resilience Associated with Self-Disclosure and Relapse Risks in Patients with Alcohol Use Disorders,” Yonago Acta Med., vol. 59, no. 4, p. 279, Dec. 2016, Accessed: Sep. 14, 2022. [Online]. Available: /pmc/articles/PMC5214694/

J. Reif, I. Thank, S. Durlauf, A. Hortacsu, A. Malani, and D. Neal, “Nber Working Paper Series a Model of Addiction and Social Interactions,” 2018, [Online]. Available: http://www.nber.org/papers/w24842

khuram.shahzad@yahoo.com, “Risk factors associated with relapse of drug dependence after treatment and rehabilitation in areas under the influence of war on terror,” 2020, Accessed: Sep. 14, 2022. [Online]. Available: https://www.als-journal.com/732-20/

H. Gong, C. Xie, C. Yu, N. Sun, H. Lu, and Y. Xie, “Psychosocial Factors Predict the Level of Substance Craving of People with Drug Addiction: A Machine Learning Approach,” Int. J. Environ. Res. Public Health, vol. 18, no. 22, Nov. 2021, doi: 10.3390/IJERPH182212175.

V. Chauhan, S. Nautiyal, R. Garg, and K. Chauhan, “To identify predictors of relapse in cases of alcohol dependence syndrome in relation to life events,” Ind. Psychiatry J., vol. 27, no. 1, p. 73, 2018, doi: 10.4103/IPJ.IPJ_27_18.

I. I. Mohamed, H. E. K. Ahmad, S. H. Hassaan, and S. M. Hassan, “Assessment of anxiety and depression among substance use disorder patients: a case-control study,” Middle East Curr. Psychiatry, vol. 27, no. 1, pp. 1–8, Dec. 2020, doi: 10.1186/S43045-020-00029-W/TABLES/5.

J. Li et al., “Impulsivity and craving in subjects with opioid use disorder on methadone maintenance treatment,” Drug Alcohol Depend., vol. 219, Feb. 2021, doi: 10.1016/J.DRUGALCDEP.2020.108483.

H. W. Andersson, M. Wenaas, and T. Nordfjærn, “Relapse after inpatient substance use treatment: A prospective cohort study among users of illicit substances,” Addict. Behav., vol. 90, pp. 222–228, Mar. 2019, doi: 10.1016/J.ADDBEH.2018.11.008.

Substance Abuse and Mental Health Services Administration, “Results from the 2002 National Survey on Drug Use and Health: Detailed tables, [electronic],” pp. 1–2871, 2003, [Online]. Available: https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/NSDUHDetailedTabs2017/NSDUHDetailedTabs2017.pdf%0Ahttp://www.samhsa.gov/

Downloads

Published

2022-09-20

How to Cite

Najwa Farooq, & Dr. Saima Riaz. (2022). Psychosocial Factors as the Determinants of Relapse in Individuals with Substance Use Disorder. International Journal of Innovations in Science & Technology, 4(6), 97–104. Retrieved from https://journal.50sea.com/index.php/IJIST/article/view/374

Similar Articles

You may also start an advanced similarity search for this article.