Beliefs about Addiction, Locus of Control and Relapse Proneness in Person with Substance Use Disorders

Author: Qudsia Nashee

Supervisor: Dr. Rafia Rafique

Degree: M.phil

Year: 2011-2013

University: Institute of Applied Psychology, Punjab University, Lahore, Pakistan

Abstract

The present study explored the relationship between beliefs about addiction of treatment providers, beliefs about addiction of persons with substance use disorders (PSUD’s), drug related locus of control of PSUD’s and relapse proneness of PSUD’s. The sample (N = 120) of PSUD’s was selected by using non probability purposive sampling technique from government and private Rehabilitation Centers and hospital of Lahore. Treatment providers sample (N = 17) was contingent upon presence and availability of treatment providers of respective Rehabilitation Centers and hospitals. Study variables; beliefs about addiction of treatment providers, beliefs about addiction of PSUD’s, drug related locus of control of PSUD’s, relapse proneness in PSUD’s and demographic information were measured by using Addiction Belief Scale (ABS) ( Schaler,1995), Addiction Belief Inventory (ABI) (Luke, Ribisl, Walton, & Davidson, 2002), Drug Related Locus of Control Scale (DRLOC) (Hall, 2001), and Advance Warning of Relapse Questionnaire (AWARE) (Miller and Harris, 2000) along with demographic information sheet. A series of partial correlations were conducted but initially a zero-order (bi-variate) correlation was conducted in order to interpret a partial correlation between variables. The results revealed that beliefs about addiction of treatment providers on disease model was associated with beliefs about addiction of PSUD’s on inability to control aspect of disease model, when controlling for education of treatment providers and education of PSUD’s. Moreover results depicted that beliefs about addiction of treatment providers on choice model was not associated with beliefs about addiction of PSUD’s on moral weakness aspect of choice model, when controlling for education of treatment providers and education of PSUD’s. Beliefs about addiction of treatment providers on disease and choice model were not associated with beliefs about addiction of PSUD’s on inability to control and moral weakness aspect of disease model and choice model respectively, when controlling for number of relapses of PSUD’s, history of drug use by any significant member of treatment provider’s family and personal drug use history of treatment providers. Beliefs about addiction of treatment providers on disease model and choice model were not associated with high relapse proneness and low relapse proneness of PSUD’s respectively, when controlling for beliefs about addiction of PSUD’s and drug related locus of control of PSUD’s. Moreover the beliefs about addiction of PSUD’s on inability to control and genetic basis aspect of disease model was associated with high relapse proneness after controlling for the drug related locus of control of PSUD’s, whereas beliefs about addiction of PSUD’s on responsibility for action and coping aspect of choice model was related to low relapse proneness, when controlling for drug related locus of control of PSUD’s. The results of the hierarchical regression analysis revealed that beliefs about addiction of the treatment providers were statistically significant and changed to non significant for entering the beliefs about addiction of PSUD’s. Inability to control, responsibility for action, responsibility for recovery and genetic basis were statistically significant and the relationship between beliefs about addiction of treatment providers and relapse proneness of PSUD’s was fully mediated by inability to control, responsibility for action, responsibility for recovery and genetic basis aspect of the beliefs about addiction of PSUD’s. Moreover the relationship between beliefs about addiction of PSUD’s and relapse proneness of PSUD’s was moderated by drug related locus of control of PSUD’s. The present study suggests multiple predictors for relapse prevention. This study can help set an obstinate ground for planning of relevant relapse prevention strategies. Therefore, a relapse prevention model based on the identified predictors of relapse was proneness.

Keywords: Beliefs about Addiction, Locus of Control, Relapse Proneness, Substance Use Disorders.

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Corresponding Address: Department of Applied Psychology, University of the Punjab, Lahore, Pakistan. Email: chairperson@appsy.pu.edu.pk, Phone: 92-42-9231245

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