The Relationship Between Perceived Social Support and Resilience in Preventing Relapse Among Methadone-Treated Addicts
DOI:
https://doi.org/10.61838/qecp.48Keywords:
addiction recovery, methadone treatment, relapse prevention, resilience, Perceived social supportAbstract
Objective: This study aimed to examine the relationship between perceived social support, resilience, and relapse prevention among methadone-treated individuals.
Methods and Materials: This descriptive-correlational study was conducted on 150 methadone-treated individuals attending addiction treatment centers in Tehran between February and May 2024. Participants were selected through convenience sampling. Inclusion criteria included being under methadone treatment, aged between 20 and 55 years, not receiving specialized psychotherapy sessions, and providing written informed consent. Data collection tools included the Multidimensional Scale of Perceived Social Support (MSPSS), the Connor-Davidson Resilience Scale (CD-RISC), and the Relapse Prevention Scale. Pearson correlation analysis and multiple linear regression were used for statistical analysis, conducted using SPSS version 20.
Findings: Descriptive results indicated that resilience had the lowest mean score (M = 3.28, SD = 0.25) among the main study variables. Pearson correlation analysis showed that perceived social support had a significant positive correlation with relapse prevention (r = 0.62, p = 0.001). Similarly, resilience was positively associated with relapse prevention (r = 0.58, p = 0.001). Multiple regression analysis revealed that perceived social support (B = 0.43, p = 0.001) and resilience (B = 0.37, p = 0.003) significantly predicted relapse prevention, with an adjusted R² of 0.59, indicating that these variables explained 59% of the variance in relapse prevention.
Conclusion: The findings highlight the crucial role of perceived social support and resilience in preventing relapse among methadone-treated individuals. Interventions aimed at strengthening social support systems and enhancing resilience can be effective in improving treatment outcomes and reducing the likelihood of relapse.
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Aghakhani, N., Delirrad, M., & Hazrati, M. (2023). Perceived Social Support: An Overlooked Approach in Methadone Maintenance Treatment Program. Iranian journal of psychiatry and behavioral sciences, 17(4). https://doi.org/10.5812/ijpbs-141492 Calcaterra, S. L., Lockhart, S., Natvig, C., & Mikulich, S. K. (2023). Barriers to Initiate Buprenorphine and Methadone for Opioid Use Disorder Treatment With Postdischarge Treatment Linkage. Journal of Hospital Medicine, 18(10), 896-907. https://doi.org/10.1002/jhm.13193 Chadha, L., Rani, R., & Gupta, S. (2023). A Cross-Sectional Study to Assess Resilience and Perceived Social Support Among Cancer Patients. Indian Journal of Psychiatric Nursing, 20(1), 58-65. https://doi.org/10.4103/iopn.iopn_18_22 Chang, Y., Zhang, X. N., Yu, F., Zhang, R., Li, X. D., Zhao, J., & Lu, H. Y. (2022). Influence of Self‐Perceived Burden on Quality of Life in Patients With Urostomy Based on Structural Equation Model: The Mediating Effects of Resilience and Social Support. BioMed Research International, 2022(1). https://doi.org/10.1155/2022/9724751 Hamaideh, S. H., Khait, A. A., Modallal, H. A., Malak, M. Z., Masa’deh, R., Hamdan‐Mansour, A. M., & Bashtawy, M. A. (2024). Relationships and Predictors of Resilience, Social Support, and Perceived Stress Among Undergraduate Nursing Students. The Open Nursing Journal, 18(1). https://doi.org/10.2174/0118744346238230240103055340 He, Q., Xu, P., Wang, H., Wang, S., Yang, L., Ba, Z., & Huang, H. (2023). The Mediating Role of Resilience Between Perceived Social Support and Sense of Security in Medical Staff Following the COVID-19 Pandemic: A Cross-Sectional Study. Frontiers in Psychiatry, 14. https://doi.org/10.3389/fpsyt.2023.1096082 Hou, Y., Zhang, Y., Cao, X., Lei, G., & Liu, G. H. (2023). The Association Between Perceived Social Support and Resilience Among Chinese University Students: A Moderated Mediation Model. Psychology in the Schools, 61(4), 1474-1490. https://doi.org/10.1002/pits.23122 Kondo, A., Oki, T., Otaki, A., Abuliezi, R., & Eckhardt, A. L. (2022). Relationship Between Resilience and Perceived Control After Acute Coronary Syndrome. The Journal of Cardiovascular Nursing, 38(1), E20-E30. https://doi.org/10.1097/jcn.0000000000000898 Li, X., Bian, X., & Luo, W. (2023). The Relationship Between University Students' Perceived Social Support and Their Meaning of Life Under a Regular Situation of Epidemic Prevention and Control: The Mediating Role of Resilience. 1(2), 56-67. https://doi.org/10.62517/jmhs.202305213 Liu, Y., Huang, L., Liu, Q., Qian, G.-Z., Zou, H., & Zhang, S. (2021). Moderating Effect of Psychological Resilience on the Perceived Social Support and Loneliness in the Left-Behind Elderly in Rural Areas. Frontiers of Nursing, 8(4), 357-363. https://doi.org/10.2478/fon-2021-0035 Ma, J., & Lin, B. (2022). The Impact of College Students’ Social Anxiety on Interpersonal Communication Skills: A Moderated Mediation Model. Scientific and Social Research, 4(6), 101- 108. https://doi.org/10.26689/ssr.v4i6.3993 Makas, S., & Çelik, E. (2022). The Examination of Life Satisfaction in Terms of Emotional Expression, Resilience and Perceived Social Support. Yaşadıkça Eğitim, 36(2), 252-263. https://doi.org/10.33308/26674874.2022362359 Nguyen, D. B., Li, L., Lin, C., Nguyen, T. T., Shoptaw, S., & Giang, L. M. (2024). Confidence in Providing Methadone Maintenance Treatment of Primary Care Providers in Vietnam. Addiction Science & Clinical Practice, 19(1). https://doi.org/10.1186/s13722-023-00419-5 Nguyen, D. B., Trang, N. T., Lin, C., Dinh, T. T. T., Giang, L. M., & Li, L. (2023). Challenges of Methadone Maintenance Treatment Decentralisation From Vietnamese Primary Care Providers' Perspectives. Drug and Alcohol Review, 42(4), 803-814. https://doi.org/10.1111/dar.13613 Pang, X., Hai-yan, D., Deng, L., & Zhang, Y. (2021). Perceived Social Support and Depressive Symptoms in Chinese Patients With Ovarian Cancer and the Mediating Role of Resilience. https://doi.org/10.21203/rs.3.rs-228614/v1 Safi, F., Areshtanab, H. N., Ghafourifard, M., & Ebrahimi, H. (2024). The Association Between Self-Efficacy, Perceived Social Support, and Family Resilience in Patients Undergoing Hemodialysis: A Cross-Sectional Study. BMC Nephrology, 25(1). https://doi.org/10.1186/s12882-024-03629-4 Shabir, M. S., Mubeen, A., & Suleman, N. (2024). The Impact of Resilience on Perceived Stress Among Cancer Patients: The Mediating Role of Social Support. 3(1), 189-199. https://doi.org/10.61503/cissmp.v3i1.125 Yan, Y.-y., Ya, M. A., Xu, L., & Lv, Y. (2024). Impact of Perceived Social Support on Anxiety and Depression in Women Undergoing in Vitro Fertilization-Embryo Transfer: The Role of Psychological Resilience. Journal of Assisted Reproduction and Genetics, 42(1), 231-242. https://doi.org/10.1007/s10815-024-03308-1 Yang, Y., He, F., Li, D., Zhao, Y., Wang, Y., Zhang, H., Qiao, C., Cui, Y., Lin, L., & Guan, H. (2024). Effect of Family Resilience on Subjective Well-Being in Patients With Advanced Cancer: The Chain Mediating Role of Perceived Social Support and Psychological Resilience. Frontiers in psychology, 14. https://doi.org/10.3389/fpsyg.2023.1222792 Yildirim, O. O., & Çelikkol, A. K. (2024). Investigation of the Resilience, Self-Efficacy, and Perceived Social Support of Gifted Students. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 25(2), 127-140. https://doi.org/10.21565/ozelegitimdergisi.1195044 Zhang, L., Jiang, M., Wang, L., Zheng, J., & Wang, W. (2023). The Mediating Effect of Perceived Social Support and Medical Coping Modes Between Psychological Resilience and Meaning in Life in COVID-19 Patients. Patient Preference and Adherence, Volume 17, 571-582. https://doi.org/10.2147/ppa.s391014 Zhang, L., Pang, J., & Zhu, F. (2022). Effect of Perceived Social Support on Psychache: Mediating Effect of Psychological Resilience. Iranian Journal of Public Health. https://doi.org/10.18502/ijph.v51i2.8691 Zhou, K., Ning, F., Wang, W., & Li, X. (2022). The Mediator Role of Resilience Between Psychological Predictors and HealthRelated Quality of Life in Breast Cancer Survivors: A CrossSectional Study. BMC Cancer, 22(1). https://doi.org/10.1186/s12885-022-09177-0
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