Abstract
BackgroundSubstance abuse has been a public health concern, and even after detoxification treatment, the relapse rate is still high. Family function is closely related to substance dependence. However, studies on psychological mechanisms between them are rare.ObjectivesWe aimed to explore the mediating role of self-esteem and resilience in the pathway that family function impacts the relapse tendency among patients with substance use disorder (SUD).MethodsA total of 282 SUD patients were recruited, and standard questionnaires were administered for each patient. The relapse tendency, family function, self-esteem and resilience were assessed by the family care index questionnaire, the Connor-Davidson resilience scale, the Rosenberg self-esteem scale and the relapse tendency questionnaire. Bootstrap method was conducted for mediation analysis to test the effects of how family function affects relapse tendency mediated through self-esteem and resilience.ResultsThe average score of relapse tendency of the patients was 28.47 (SD = 11.89). Intermediary analysis found that self-esteem played an intermediary role in the relationship between family function and relapse tendency. Resilience plays an intermediary role in the relationship between family function and relapse tendency. Further, the path analysis showed that family function not only had a direct association with relapse tendency, but also indirectly related to relapse tendency through self-esteem and resilience.ConclusionsSelf-esteem and resilience are the key factors in the relationship between family function and relapse tendency of SUD patients.
Highlights
We aimed to explore the mediating role of self-esteem and resilience in the pathway that family function impacts the relapse tendency among patients with substance use disorder (SUD)
The path analysis showed that family function had a direct association with relapse tendency, and indirectly related to relapse tendency through self-esteem and resilience
Self-esteem and resilience are the key factors in the relationship between family function and relapse tendency of SUD patients
Summary
According to the “World Drug Report 2021,” more than 35 million individuals worldwide are addicted to drugs [1]. Despite the best medical treatment and rehabilitation support, the relapse rate among patients with substance use disorder (SUD) remains high [7]. The relapse rate within 1 year is 40–60% [8], while it is as high as 90% under the same conditions in China [9]. There is no sufficient evidence to show that any drug has a significant effect in treating substance dependence and reducing the relapse rate [12]. SUD patients have difficulty withdrawing and a high relapse rate, lying physical dependence, and in the difficulty of getting rid of psychological dependence [13]. The psychological mechanisms of the relapse tendency in SUD patients warrant further study. Substance abuse has been a public health concern, and even after detoxification treatment, the relapse rate is still high.
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