Abstract

INTRODUCTION: The present study aimed at examining the effectiveness of cognitive-behavioral therapy (CBT) group intervention on measures of self-efficacy and level of relapse for abstinence among Iranian male drug addicts.METHODS: An experimental research design was adopted in the current study in which the participants consisted of 75 male drug addicts who were consecutively admitted as outpatients at a state rehabilitation center. They were randomly allocated to experimental (N=37) and control (N=38) groups. They completed the Iranian version of Drug Taking Confidence Questionnaire (DTCQ-IV) and took urine test as pre-test and post-test. The CBT group intervention was conducted at 12 sessions, one session per week. It was hypothesized that there were significant differences between the experimental and control groups regarding self-efficacy and level of relapse.RESULT: The results of ANCOVA showed there were significant differences in pleasant emotion and testing control between the two groups on measures of self-efficacy. The results of McNemar test indicated level of relapse in the experimental group significantly declined from pre-test to post-test. Furthermore, using Chi-square analysis, a significant difference (with a moderate effect size) was found in the levels of relapse.CONCLUSION: The present study provides strong support for CBT group intervention as an effective treatment for Iranian male drug addicts. Therefore, CBT group intervention can be considered as a practical approach in the treatment of people with SUDs.

Highlights

  • The present study aimed at examining the effectiveness of cognitive-behavioral therapy (CBT) group intervention on measures of self-efficacy and level of relapse for abstinence among Iranian male drug addicts

  • CBT group intervention can be considered as a practical approach in the treatment of people with SUDs

  • These findings indicate that participants in the experimental group increased their self-efficacy to refuse drug use in high-risk situations at posttest assessment, suggesting that the CBT group intervention was effective in arming the participants of experimental group with skills to reduce drug use in high-risk situations, but this difference is not statistically significant in all components, except pleasant emotion and testing personal control, compared to control group, which was in line with Bandura's theory

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Summary

Introduction

The present study aimed at examining the effectiveness of cognitive-behavioral therapy (CBT) group intervention on measures of self-efficacy and level of relapse for abstinence among Iranian male drug addicts. Studies in different provinces of Iran showed more than 90% of drug abusers were male (Mokri, 2002). A study conducted by Welfare Organization in Bandar-Abbas (a city in south of Iran) showed 6-month relapse rates increased to 95%. Such high relapse percentages have been reported in Tehran and other main cities of Iran (Mokri, 2002). Studies have shown that drug addicts in rehabilitation centers represent poor compliance with treatment, leading to a high rate of relapse

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