SELF-EFFICACY REDUCES RELAPSE IN DRUG ABUSE WITH COGNITIVE BEHAVIOUR THERAPY

Meri Susanti; Ira Aini Dania; Florante Ibarra

doi:10.22437/jiituj.v8i2.34358

Authors

Meri Susanti Universitas Islam Sumatra Utara
Ira Aini Dania Universitas Islam Sumatera Utara http://orcid.org/0009-0001-9553-9935
Florante Ibarra Central Luzon State University https://orcid.org/0000-0001-8989-743X

DOI:

https://doi.org/10.22437/jiituj.v8i2.34358

Keywords:

Cognitive Behaviour Therapy (CBT), Drugs Abuse, NAPZA, Relapse, Self-Efficacy

Abstract

Maladaptive substance abuse (NAPZA) can lead to clinically significant disorders. According to the National Narcotics Agency (BNN) states that around 90 percent of former drug addicts who undergo the rehabilitation process experience a relapse and return to abusing drugs. The research results show that cognitive Behaviour Therapy (CBT) is an effective intervention method in treating drug abuse. This research aims to test the effectiveness of cognitive behavior therapy to increase self-efficacy to reduce the risk of relapse in drug abusers. The study used a pre-posttest experimental method with a control group. Research respondents were selected using a purposive sampling technique with a sample size of 30 people. Both groups were given the Drug Abstinence Self-Efficacy Scale (DASES) measurement to see the effectiveness of applying cognitive behavior therapy in increasing self-efficacy in addicts who have participated in the rehabilitation program. The change in self-efficacy in both groups from medium to high was 66.7% after the intervention. A comparison between the two groups was made before the intervention, where the significance value was p = 0.399, and after the intervention, there was a change in the score between the two groups to 0.001. There was a significant difference between the two groups before and after the intervention, with a value of p = 0.001. Meanwhile, there was no substantial change in the control group in p=0.177. CBT is effective in increasing abstinence self-efficacy in drug addicts as an effective therapy to reduce the risk of relapse in drug addicts in rehabilitation programs

Downloads

Download data is not yet available.

Author Biographies

Meri Susanti, Universitas Islam Sumatra Utara

Departement Psychiatry, Faculty of Medicine, Universitas Islam Sumatera Utara Medan, Sumatera Utara, Indonesia

Ira Aini Dania, Universitas Islam Sumatera Utara

Departement Psychiatry, Faculty of Medicine, Universitas Islam Sumatera Utara Medan, Sumatera Utara, Indonesia

Florante Ibarra, Central Luzon State University

Departement of Education and Related Studies, Central Luzon State University, Nueva Ecija, Philippines

References

Amat, M. A. C., Ahmad, J., Jailani, O., Jaafar, W. M. W., & Zaremohzzabieh, Z. (2020). Relapse among drug addicts in East Coast Malaysia: A qualitative study of risk factors. Journal of Academic Research in Business and Social Sciences, 10(12), 432-447. http://dx.doi.org/10.6007/IJARBSS/v10-i12/8337.

Agustianti, R., Nussifera, L., Angelianawati, L., Meliana, I., Sidik, E, A., Nurlaila, Q., Simarmata, N., Himawan, I, S., Pawan, E., Ikhram, F., Andriani, A, D. (2022). Quantitative and Qualitative Research Methods. Tohar Media.

An, H., He, R, H., Zheng, Y, R, Tao, R. (2017). Cognitive-behavioural therapy: Substance and non-substance addiction

Anisa, N., & Yuspin, W. (2023). Medical Assessment Role in Addiction Case Verdict. Soepra Jurnal Hukum Kesehatan, 9(1), 33-39. https://doi.org/10.24167/sjhk.v9i1.6318.

Bachtiar, A., 2021. Risk factors for drug abuse in adolescents. Journal of Applied Nursing, 7(1), pp.7-16.

Barati, M., Bashirian, S., Mohammadi, Y., Moeini, B., Mousali, A., & Afshari, M. (2021). An ecological approach to exploring factors affecting substance use relapse: a systematic review. Journal of Public Health, 1-14. https://doi.org/10.1007/s10389-020-01412-x.

Brick, J. (2012). Handbook Of The Medical Consequences Of Alcohol And Drug Abuse. Routledge

Bockting, C. L., Hollon, S. D., Jarrett, R. B., Kuyken, W., & Dobson, K. (2015). A lifetime approach to major depressive disorder: the contributions of psychological interventions in preventing relapse and recurrence. Clinical psychology review, 41, 16-26. https://doi.org/10.1016/j.cpr.2015.02.003.

Bardideh, K., Bardideh, F., & Kakabaraee, K. (2016). Study of the effectiveness of the cognitive behavioral therapy on self efficacy and pain among children suffering from cancer. Global Journal of Health Science, 9(5), 33.

Cramer, R. J., Neal, T., & Brodsky, S. L. (2009). Self-efficacy and confidence: Theoretical distinctions and implications for trial consultation. Consulting Psychology Journal: Practice and Research, 61(4), 319. http://dx.doi.org/10.1037/a0017310.

Fitriana, H., & Waswa, A. N. (2024). The influence of a realistic mathematics education approach on students’ mathematical problem solving ability. Interval: Indonesian Journal of Mathematical Education, 2(1), 29-35. https://doi.org/10.37251/ijome.v2i1.979.

Habibi, M. W., Jiyane, L., & Ozsen, Z. (2024). Learning revolution: The positive impact of computer simulations on science achievement in madrasah ibtidaiyah. Journal of Educational Technology and Learning Creativity, 2(1), 13-19. https://doi.org/10.37251/jetlc.v2i1.976.

Helida, Y., Ching, C. P., & Oyewo, A. (2023). Development of a simple stirling engine demonstration tool on the subject of thermodynamics. Journal of Educational Technology and Learning Creativity, 1(2), 59-67. https://doi.org/10.37251/jetlc.v1i2.790.

Herawati, H., Khairinal, K., & Idrus, A. (2023). Harmonizing nature and knowledge: Crafting engaging thematic teaching tools for expedition on environmental preservation. Tekno-Pedagogi: Jurnal Teknologi Pendidikan, 13(1), 21-31. https://doi.org/10.22437/teknopedagogi.v13i1.32525.

Hernanto, F. F., Nugraha, A. P. H. S., & Permana, R. A. (2021). The relationship between social support and the resilience of former drug addicts in Surabaya. NERSMID: Journal of Nursing and Midwifery, 4(2), 237-244.

Hoeppner, B. B., Kelly, J. F., Urbanoski, K. A., & Slaymaker, V. (2011). Comparative utility of a single-item versus multiple-item measure of self-efficacy in predicting relapse among young adults. Journal of substance abuse treatment, 41(3), 305-312. https://doi.org/10.1016/j.jsat.2011.04.005.

Kurniawati, H., Purwoko, B., & Muis, T. (2021). Effectiveness of Cognitive Behaviour Therapy (CBT) to improve coping abilities in drug addict students. Indonesian Journal of Educational Counseling. 5(2), 58-63.

Kusuma, R. S. (2020). Improving students’ basic asking skills by using the discovery learning model. Tekno - Pedagogi : Jurnal Teknologi Pendidikan, 10(2), 8-13. https://doi.org/10.22437/teknopedagogi.v10i2.32743.

Koob, G. F. (2020). Neurobiology of opioid addiction: opponent process, hyperkatifeia, and negative reinforcement. Biological psychiatry, 87(1), 44-53. https://doi.org/10.1016/j.biopsych.2019.05.023.

Moreira, F. A., Jupp, B., Belin, D., & Dalley, J. W. (2015). Endocannabinoids and striatal function: implications for addiction-related behaviours. Behavioural pharmacology, 26(1). https://doi.org/10.1097/FBP.0000000000000109.

Khazaee-Pool, M., Naghibi, S. A., Pashaei, T., Chaleshgar-Kordasiabi, M., Daneshnia, M., & Ponnet, K. (2021). Drug abstinence self-efficacy scale (DASES): psychometric properties of the Farsi version. Substance Abuse Treatment, Prevention, and Policy, 16, 1-10.

Larimer, M. E., Palmer, R. S., Marlatt, G. A. (1999). Relapse prevention: An overview of Marlatt's cognitive-behavioural model. Alcohol Research & Health, 23(2), 151.

Leekhot, K., Payougkiattikun, W., & Thongsuk, T. (2024). The results of inquiry-based learning management on critical thinking and academic achievement of grade-8 students. Integrated Science Education Journal, 5(3), 161-167. https://doi.org/10.37251/isej.v5i3.901.

Lian, T. C., & Chu, F. Y. (2013). A qualitative study on drug abuse relapse in Malaysia: contributory factors and treatment effectiveness. International Journal of Collaborative Research on Internal Medicine & Public Health, 5(4), 217.

Mousali, A. A., Bashirian, S., Barati, M., Mohammadi, Y., Moeini, B., Moradveisi, L., & Sharma, M. (2021). Factors affecting substance use relapse among Iranian addicts. Journal of Education and Health Promotion, 10(1), 129.

Marlatt, G. A., & Donovan, D. M. (Eds.). (2005). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. Guilford press.

Muslim, N., & Karneli, Y. (2019). Effectiveness of cognitive behavior therapy in improving students’ understanding of bullying. Journal of Educational and learning Studies, 2(2), 94-100. https://doi.org/10.32698/0732.

Moniz-Lewis, D. I., Stein, E. R., Bowen, S., & Witkiewitz, K. (2022). Self-efficacy as a potential mechanism of behavior change in mindfulness-based relapse prevention. Mindfulness, 13(9), 2175-2185. http://dx.doi.org/10.1007/s12671-022-01946-z.

McKay, J. R., Franklin, T. R., Patapis, N., & Lynch, K. G. (2006). Conceptual, methodological, and analytical issues in the study of relapse. Clinical Psychology Review, 26(2), 109-127. https://psycnet.apa.org/doi/10.1016/j.cpr.2005.11.002.

Miller, L. D., Short, D., Garland, E. J., & Clark, S. (2010). The ABCs of CBT (Cognitive Behavior Therapy): Evidence-Based approaches to child anxiety in public school settings. Journal of Counseling & Development, 88(4), 432-439. https://doi.org/10.1002/j.1556-6678.2010.tb00043.x.

National Narcotics Agency: Indonesian Drugs Report 2022 https://puslitdatin.bnn.go.id/konten/unggahan/2022/07/IDR-2022.pdf

Nurdiantami, Y., Madani, J. F., Azzahra, K. A., Rahma, U., & Salsabila, Z. (2023). The relationship between the quality of family affective function and risk factors for drug abuse in adolescents. Human and Health Scientific Journal, 6(2), pp.300-306.

Nurlita, S. I., Desiningrum, D. R., & Ediati, A. (2023, October). The application of cognitive behavioral therapy (CBT) in drug abuse victims. In Proceedings of International Conference on Psychological Studies (ICPsyche) (Vol. 4, pp. 270-279).

Nikmanesh, Z., Baluchi, M. H., & Motlagh, A. A. P. (2017). The role of self-efficacy beliefs and social support on prediction of addiction relapse. International Journal of High Risk Behaviors and Addiction, 6(1). https://doi.org/10.5812/ijhrba.21209.

Nakao, M., Shirotsuki, K., & Sugaya, N. (2021). Cognitive–behavioral therapy for management of mental health and stress-related disorders: Recent advances in techniques and technologies. BioPsychoSocial medicine, 15(1), 16. https://doi.org/10.1186/s13030-021-00219-w.

Putra, R. P., Ramadhanti, A., & Rizky, D. A. (2023). Gender differences in levels of toxic positivity in adolescents: a quantitative study. Jurnal Ilmiah Ilmu Terapan Universitas Jambi, 7(2), 83-91. https://doi.org/10.22437/jiituj.v7i2.26624.

Putra, R. P., Ramadhanti, A., & Darmawan, H. (2023). Male or female, who is the highest? life optimism in cardiovascular disease patients. Jurnal Ilmiah Ilmu Terapan Universitas Jambi, 7(1), 11-21. https://doi.org/10.22437/jiituj.v7i1.26618.

Putri, F. A., & Mufit, F. (2023). Effectiveness of the application of interactive multimedia in the assessment of 4C skills in physics learning: Literature study. EduFisika: Jurnal Pendidikan Fisika, 8(2), 253-260. https://doi.org/10.59052/edufisika.v8i2.25702.

Ramadhanti, A., Putra, R. P., & Rizky, D. A. (2023). Does parenting style affect adolescent empathy? A study on high school students. Jurnal Ilmiah Ilmu Terapan Universitas Jambi, 7(1), 38-47.

Ranal, A. (2023). Pengaruh motivational interviewing terhadap tahap perubahan perilaku klien rehabilitasi narkoba di loka rehabilitasi BNN Batam. REAL in Nursing Journal, 6(1), 78-87. http://dx.doi.org/10.32883/rnj.v6i1.2366.g920.

Ratih, E. P., & Utami, M. S. (2018). Effectiveness of cognitive therapy behavior to improve self efficacy of drug abstinence. Gadjah Mada Journal of Professional Psychology (GamaJPP), 4(2), 185-184.

Setiyani, E. N., Baharin, Z. H. Z., & Jesse, S. N. (2023). Development of POE-Based student worksheets (Predict, Observe, And Explain) for students’ mathematical representation abilities. Journal of Educational Technology and Learning Creativity, 1(2), 78-87. https://doi.org/10.37251/jetlc.v1i2.792.

Suwarni, R. (2021). Analysis the process of observing class iv students in thematic learning in primary schools. Tekno - Pedagogi : Jurnal Teknologi Pendidikan, 11(1), 26-32. https://doi.org/10.22437/teknopedagogi.v11i1.32717.

Tisnasari, I. A. M. A. S., Nuraini, T., & Afiyanti, Y. (2022). Application of cognitive behaviour therapy in cancer patients. Journal of Telenursing (JOTING), 4(1), 177-187. http://dx.doi.org/10.31539/joting.v4i1.3429.

Venkatesh Kumar, G., & Sebastian, L. (2011). Impact of CBT on self efficacy and academic achievement in adolescent students. JIAAP, 37.

Volkow, N. D., & Morales, M. (2015). The brain on drugs: from reward to addiction. Cell, 162(4), 712-725. https://doi.org/10.1016/j.cell.2015.07.046.

Yohanie, D. D., Botchway, G. A., Nkhwalume, A. A., & Arrazaki, M. (2023). Thinking process of mathematics education students in problem solving proof. Interval: Indonesian Journal of Mathematical Education, 1(1), 24-29. https://doi.org/10.37251/ijome.v1i1.611.

Zakiyah, Z., Boonma, K., & Collado, R. (2024). Physics learning innovation: Song and animation-based media as a learning solution for mirrors and lenses for junior high school students. Journal of Educational Technology and Learning Creativity, 2(2), 54-62. https://doi.org/10.37251/jetlc.v2i2.1062.