Volume 16, Issue 2 (June 2018)                   IRJ 2018, 16(2): 139-146 | Back to browse issues page

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1- Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Abstract:   (105 Views)
Objectives: In this study, we aimed to determine the individual characteristics of clients who were referred to residential rehabilitation centers for drug use disorders and to determine their relapse-related factors.
Methods: This cross-sectional study was conducted on 576 patients who were referred to nine residential treatment centers for drug use disorders, chosen by the cluster sampling method. A self-constructed questionnaire to assess personal and addictive characteristics was applied. Data were analyzed using descriptive statistics and Independent t-test. Multiple regression models were applied to determine the factors affecting the time of relapse.
Results: The average interval between quitting drug use and relapse was found to be 4.7 months with a standard deviation of 4.1. Age and relapse were found to be correlated (0.193), but the correlation was not found to be statistically significant (P=0.12). There was significant correlation between occupational status (P=0.014) and number of attempts to quit drug use (P=0.019) with relapse. In addition, there were significant correlations between relapse time with injection history (P=0.035), victim’s history (P=0.047), risky sexual behaviors (P=0.022), sexual dysfunction (P=0.019), having a consumer as a close friend (P=0.001), another drug user in family (P=0.001), compulsory treatment (P=0.033), and alcohol consumption (P=0.041). There was no significant relationship between relapse with duration of addiction, type of abused drug, education, staying longer in centers, and marital status.
Discussion: There is a high chance of relapse in case of patients who seek treatment in residential rehabilitation centers for drug use disorders. Paying attention to the patients’ social status and especially their occupation and connection with the treatment center after discharge reduces possibility of relapse.
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Type of Study: Original Research Articles | Subject: Addiction
Received: 2017/10/17 | Accepted: 2018/02/12 | Published: 2018/06/1

1. United Nations office on Drugs and Crime. World Drug Report. Vienna: United Nations office on Drugs and Crime; 2015.
2. Welfare Organization of Iran. [House hold national survey on illicit drug use in Iran 2015 (Persian)]. Tehran: Welfare Organization of Iran; 2017.
3. Kotov R, Gamez W, Schmidt F, Watson D. Linking "big" personality traits to anxiety, depressive, and substance use disorders: A meta-analysis. Psychological Bulletin. 2010; 136(5):768. [DOI:10.1037/a0020327] [PMID]
4. Sher KJ, Bartholow BD, Wood MD. Personality and substance use disorders: A prospective study. Journal of Consulting and Clinical Psychology. 2000; 68(5):818. [DOI:10.1037/0022-006X.68.5.818] [PMID] [DOI:10.1037/0022-006X.68.5.818]
5. Padgett DK, Henwood B, Abrams C, Drake RE. Social relationships among persons who have experienced serious mental illness, substance abuse, and homelessness: Implications for recovery. American Journal of Orthopsychiatry. 2008; 78(3):333-9. [DOI:10.1037/a0014155] [PMID] [DOI:10.1037/a0014155]
6. White W. Addiction disease concept: Advocates and critics. The Counselor. 2001; 2(1):42-6.
7. McLellan AT, Lewis DC, O'brien CP, Kleber HD. Drug dependence, a chronic medical illness: Implications for treatment, insurance, and outcomes evaluation. JAMA. 2000; 284(13):1689-95. [DOI:10.1001/jama.284.13.1689] [PMID] [DOI:10.1001/jama.284.13.1689]
8. Litman GK. Alcoholism survival. In Miller WR, Heather N (eds), Treating addictive behaviors. Berlin: Springer; 1986. [DOI:10.1007/978-1-4613-2191-0_20] [DOI:10.1007/978-1-4613-2191-0_20]
9. Hunt WA, Barnett LW, Branch LG. Relapse rates in addiction programs. Journal of Clinical Psychology. 1971; 27(4):455-6. [DOI:10.1002/1097-4679(197110)27:43.0.CO; 2-R] https://doi.org/10.1002/1097-4679(197110)27:4<455::AID-JCLP2270270412>3.0.CO;2-R [DOI:10.1002/1097-4679(197110)27:43.0.CO;2-R]
10. Brorson HH, Ajo Arnevik E, Rand-Hendriksen K, Duckert F. Drop-out from addiction treatment: A systematic review of risk factors. Clinical Psychology Review. 2013; 33(8):1010-24. [DOI:10.1016/j.cpr.2013.07.007] [PMID] [DOI:10.1016/j.cpr.2013.07.007]
11. Bukten A, Skurtveit S, Waal H, Clausen T. Factors associated with dropout among patients in Opioid Maintenance Treatment (OMT) and predictors of re-entry: A national registry-based study. Addictive Behaviors. 2014; 39(10):1504-9. [DOI:10.1016/j.addbeh.2014.05.007] [PMID] [DOI:10.1016/j.addbeh.2014.05.007]
12. Roshanpajouh M. [There are more than thousand residential centers for drug addicts in the country (Persian)]. Islamic Republic News Agency. 2015 April 26.
13. Stahler GJ, Mennis J, DuCette JP. Residential and outpatient treatment completion for substance use disorders in the U.S.: Moderation analysis by demographics and drug of choice. Addictive Behaviors. 2016; 58(Suppl C):129-35. [DOI:10.1016/j.addbeh.2016.02.030] [PMID] [DOI:10.1016/j.addbeh.2016.02.030]
14. Delavarpoor MA, Soltani M, Hosseinchari M. Prediction of recovery or relapse from substance abuse based on the emotional intelligence and religious coping. Iranian Journal of Psychiatry and Clinical Psychology. 2008; 14(3):307-15.
15. Abassi A, Taziki S, Moradi A. The prototype of drug mis-abused of opioids in the self-introduced addicts in Gorgan (North-East of Iran). Journal of Gorgan University of Medical Sciences. 2006; 8(17):22-7.
16. Martin T, Josiah-Martin J, Kosakoski J, Norton K, Sinnott T. A comparison of patients relapsing to addictive drug use with non-relapsing patients following residential addiction treatment in Antigua. West Indian Medical Journal. 2005; 54(3):196-201. [DOI:10.1590/S0043-31442005000300008] [PMID] [DOI:10.1590/S0043-31442005000300008]
17. Oji A, Sohrabi F, Jomehri F, Massah O, Molavi N. Role of motivation for behavior change in treatment retention amongst a group of illicit drug users: A study from Iran. Iranian Journal of Psychiatry and Behavioral Sciences. 2016 (In Press). [DOI: 10.5812/ijpbs.8325] [DOI:10.5812/ijpbs.8325]
18. Behravan H, Miranvari S. A sociological analysis of drug addict's relapse in the therapeutic community of Mashhad, Iran. Iranian Journal of Scocial Problems. 2010; 1(1):45-78.
19. Rollins AL, O'Neill SJ, Davis KE, Devitt TS. Special section on relapse prevention: Substance abuse relapse and factors associated with relapse in an inner-city sample of patients with dual diagnoses. Psychiatric Services. 2005; 56(10):1274-81. [DOI:10.1176/appi.ps.56.10.1274] [PMID] [DOI:10.1176/appi.ps.56.10.1274]
20. Jandaghi G, Alii V. Study of the effect factors on quit addiction among the self-introduced addicts in tyhe South of Tehran in 1999. Hakim. 2002; 4(4):291-3.
21. Amani F, Sadegie Ahari S, Mohammadi S, Azami A. The trend in substance abuse among addicts referred to withdrawal centers, 1998-2003. Journal of Ardabil University of Medical Sciences. 2005; 5(3):220-4.
22. Gossop M, Green L, Phillips G, Bradley B. Lapse, relapse and survival among opiate addicts after treatment: A prospective follow-up study. The British Journal of Psychiatry. 1989; 154(3):348-53. [DOI:10.1192/bjp.154.3.348] [PMID] [DOI:10.1192/bjp.154.3.348]
23. Gossop M, Stewart D, Browne N, Marsden J. Factors associated with abstinence, lapse or relapse to heroin use after residential treatment: Protective effect of coping responses. Addiction. 2002; 97(10):1259-67. [DOI:10.1046/j.1360-0443.2002.00227.x] [PMID] [DOI:10.1046/j.1360-0443.2002.00227.x]
24. Greenwood GL, Woods WJ, Guydish J, Bein E. Relapse outcomes in a randomized trial of residential and day drug abuse treatment. Journal of Substance Abuse Treatment. 2001; 20(1):15-23. [DOI:10.1016/S0740-5472(00)00147-1] [DOI:10.1016/S0740-5472(00)00147-1]
25. Milkman H, Weiner SE, Sunderwirth S. Addiction relapse. Advances in Alcohol & Substance Abuse. 1984; 3(1-2):119-34. [DOI:10.1300/J251v03n01_09] [DOI:10.1300/J251v03n01_09]
26. Nurco DN, Kinlock TW, O'Grady KE, Hanlon TE. Differential contributions of family and peer factors to the etiology of narcotic addiction. Drug & Alcohol Dependence. 1998; 51(3):229-37. [DOI:10.1016/S0376-8716(98)00041-6] [DOI:10.1016/S0376-8716(98)00041-6]
27. Parvizi D, Rahgozar M, Vameghi R, Forughan M. Influencing factors on client satisfaction in governmental addiction treatment centers and comparison with private centers in Kordestan province in year 1383 (2004). Hakim. 2008; 11(1):48-53.
28. Tavakoli Ghouchani H, Armat M, Mortazavi H. Factors related to embarking on addiction cessation in clients referring to Bojnord behzisti addiction cessation clinic from 2000 until 2001. Journal of Zanjan University of Medical Sciences. 2002; 10(38):32-7.
29. Gossop M, Marsden J, Stewart D, Rolfe A. Treatment retention and 1 year outcomes for residential programmes in England. Drug and Alcohol Dependence. 1999; 57(2):89-98. [DOI:10.1016/S0376-8716(99)00086-1] [DOI:10.1016/S0376-8716(99)00086-1]
30. Lowinson JH. Lowinson and Ruiz's substance abuse: A comprehensive textbook. Philadelphia: Lippincott Williams & Wilkins; 2011.
31. Sinha R. How does stress increase risk of drug abuse and relapse. Psychopharmacology. 2001; 158(4):343-59. [DOI:10.1007/s002130100917] [PMID] [DOI:10.1007/s002130100917]
32. Domino KB, Hornbein TF, Polissar NL, Renner G, Johnson J, Alberti S, et al. Risk factors for relapse in health care professionals with substance use disorders. JAMA. 2005; 293(12):1453-60. [DOI:10.1001/jama.293.12.1453] [PMID] [DOI:10.1001/jama.293.12.1453]
33. Ziaaddini S, Zarezadeh A, Heshmati F. The Prevalence Rate of Substance Abuse and Addiction and Some Relevant Factors among Junior and Senior High School Students in Kerman City (2000-2001). Journal of Kerman University of Medical Sciences. 2006; 13(2):84-94.
34. DinMohammadi M, Amini K, Yazdankhah M. Survey of social and environmental factors related to the relapse of addiction in volunteer addicted individuals in welfare organization of Zanjan. Zanjan University of Medical Sciences Journal. 2007; 15(59):85-94.
35. Asayesh H, Qorbani M, Salary H, Mansorian M, Safari R. The relation between individual and familial characteristics with substance abuse tendency. Journal of Gorgan University of Medical Sciences. 2011; 12(4):91-9.
36. Zeinali A, Vahdat R, Garadingeh K. The relationship between parenting style and addiction susceptibility in children. Journal of Family Research. 2010; 6(23):335-52.
37. Malivert M, Fatséas M, Denis C, Langlois E, Auriacombe M. Effectiveness of therapeutic communities: A systematic review. European Addiction Research. 2012; 18(1):1-11. [DOI:10.1159/000331007] [PMID] [DOI:10.1159/000331007]
38. McCusker J, Stoddard A, Frost R, Zorn M. Planned versus actual duration of drug abuse treatment: Reconciling observational and experimental evidence. The Journal of Nervous and Mental Disease. 1996; 184(8):482-9. [DOI:10.1097/00005053-199608000-00005] [PMID] [DOI:10.1097/00005053-199608000-00005]
39. Karami Z, Pirkhaefi A, Kowsarnia A, Massah O, Farhoodian A. Comparison of personality traits based on Temperament and Character Inventory (TCI) in opiate and stimulant abusers. Journal of Rehabilitation. 2014; 14(5):83-90.
40. Massah O, HoseinSabet F, Doostian Y, A'zami Y, Farhoudian A. The role of sensation-seeking and coping strategies in predicting addiction potential among students. Practice in Clinical Psychology. 2014; 2(3):173-80.