Effect of Self-efficacy, Marital Status, Duration of use on the Addiction Severity among Heroin Users

Authors

  • Sushmita Misra RCI, IJCP

Keywords:

General Self-efficacy, Heroine, Marriage, Addiction, Substance, Severity, Moderate

Abstract

  1. Background and aims: Previously, marriage have been an exemplar of a possessive constituent against substance use. But apart from marriage how other associated variables such as General Self-efficacy, Duration of use, and Severity level of addiction are also important in managing heroin addiction have also been reflected using this particular research work. The present study aimed to investigate the effect of General Self-efficacy, Marital Status, and Duration of use on the level of addiction among heroin consumers. Also, to identify whether the Severity level of addiction affects general self-efficacy among heroin consumers. Method: A due ethical permission was granted from Institutional Ethics Committee, Utkal University before collection of the data. A purposive sample of 130 male heroin consumers (aged 18-35) from an indoor Rehabilitation Centre in Bhubaneswar, Odisha, consisting of an equal number of married and unmarried were administered the General Self-efficacy Scale (Schwarzer & Jerusalem, 1995) and Drug Abuse Screening Test-10 (WHO) to find out the level of self-efficacy and heroin addiction. Information related to the duration of the use of heroin was collected from the rehabilitation centre. A three-way Analysis of Variance with an independent sample ‘t’ test were used to examine the differences among the participants concerning the level of self-efficacy and addiction respectively. Results: Both Marital Status and General Self-efficacy differ significantly so far as the level of addiction is concerned. Further, the moderate and substantial level of addiction also differ significantly on General Self-efficacy among Heroin consumers. No interaction effect was found to be statistically significant among the variables. Conclusion: Self-efficacy, Marital Status and Severity level of addiction work as a buffer in the treatment of heroin addiction. From the result it was revealed that married individuals having high level of general self-efficacy consume heroin at a moderate level and those are unmarried, having low level of general self-efficacy usually consume heroin at a substantial level. Some major factors for the above findings were given emphasized in the discussion part of the research. The different drug treatment centres must be given emphasis on how the patients’ level of General Self-efficacy would be enhanced by administering various psychological interventions as well as counselling services by trained Mental Health Professionals and Counsellors.

References

ACKNOWLEDGMENT

All the participants were highly appreciated by the authors for their active cooperation and support. Also, sincerely acknowledge Mr. Jagannath Padhy, Superintendent of the Indoor drug treatment centre for giving permission to collect samples without which it would not be possible to complete the research in the specified time.

REFERENCES

Allsop, S., Saunders, B., & Phillips, M. (2000). The process of relapse in severely dependent male problem drinkers. Addiction, 95(1), 95-106. https://doi.org/10.1046/j.1360-0443.2000.9519510.x

Ashford, S., Edmunds, J., & French, D. P. (2010). What is the best way to change self-efficacy to promote lifestyle and recreational physical activity? A systematic review with meta-analysis. British Journal of Health Psychology, 15(2), 265-288. https://doi.org/10.1348/135910709x461752

Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioural change. Psychological Review, 84(2), 191-215. https://doi.org/10.1037/0033-295x.84.2.191

Beattie, M. C., & Longabaugh, R. (1997). Interpersonal factors and post-treatment drinking and subjective wellbeing. Addiction, 92(11), 1507-1521. https://doi.org/10.1111/j.1360 0443.1997.tb02871.x

Cooney, N. L., Litt, M. D., Cooney, J. L., Pilkey, D. T., Steinberg, H. R., & Oncken, C. A. (2007). Alcohol and tobacco cessation in alcohol dependent smokers: Analysis of real-time reports. Psychology of Addictive Behaviors, 21, 277–286. https://doi.org/10.1037/0893-164x.21.3.277

Creating Alcohol and Other Drug, Trauma, and Mental Health Services for Women in Rural Florida: The Triad Women’s Project. (2012). Responding to Physical and Sexual Abuse in Women with Alcohol and Other Drug and Mental Disorders, 49-70. https://doi.org/10.4324/9780203050941-6

DiClemente, C. C., Carbonari, J. P., Montgomery, R. P. G., & Hughes, S. O. (1994). The alcohol abstinence self-efficacy scale. Journal of Studies on Alcohol, 55, 141–148. https://doi.org/10.1037/t04226-000

Dolan, S. L., Martin, R. A., & Rohsenow, D. J. (2008). Self-efficacy for cocaine abstinence: Pre-treatment correlates and relationship to outcomes. Addictive Behaviours, 33(5), 675-688. https://doi.org/10.1016/j.addbeh.2007.12.001

Heinz, A.J., Wu, J., Witkiewitz, K., Epstein, D.H., & Preston, K.L. (2009). Marriage and relationship closeness as predictors of cocaine and heroin use. Addictive Behaviours, 34 (3), 258-263. https://doi.org/10.1016/j.addbeh.2008.10.020

Kaestner, R. (1997). The Effects of Cocaine and Marijuana Use on Marriage and Marital Stability. Journal of Family Issues, 18(2), 145-173. https://doi.org/10.1177/019251397018002003

Litt, M. D., Kadden, R. M., & Stephens, R. S. (2005). Coping and self-efficacy in marijuana treatment: Results from the marijuana treatment project. Journal of Consulting and Clinical Psychology, 73(6), 1015-1025. https://doi.org/10.1037/0022-006x.73.6.1015

Marlatt, G. A., & Witkiewitz, K. (n.d.). Substance use disorders. Practitioner’s Guide to Evidence-Based Psychotherapy, 694-705. https://doi.org/10.1007/978-0-387-28370-8_70

Merline, A. C., O’Malley, P. M., Schulenberg, J. E., Bachman, J. G., & Johnston, L. D. (2004). Substance Use Among Adults 35 Years of Age: Prevalence, Adulthood Predictors, and Impact of Adolescent Substance Use. American Journal of Public Health, 94(1), 96-102. https://doi.org/10.2105/ajph.94.1.96

Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (Second Edition). New York: Guilford Press. https://doi.org/10.1097/01445442-200305000-00013

Olanike, A. (2013). Cognitive Behaviour Therapy in the Management of Conduct Disorder Among Adolescents. Mental Disorders - Theoretical and Empirical Perspectives. https://doi.org/10.5772/53046

O’Farrell, T. J., & Fals-Stewart, W. (2000). Behavioural couples therapy for alcoholism and drug abuse. Journal of Substance Abuse Treatment, 18(1), 51-54. https://doi.org/10.1016/s0740-5472(99)00026-4

Warren, J. I., Stein, J. A., & Grella, C. E. (2007). Role of social support and self-efficacy in treatment outcomes among clients with co-occurring disorders. Drug and Alcohol Dependence, 89(2), 267-274. https://doi.org/10.1016/j.drugalcdep.2007.01.009

White, H. R., & Bates, M. E. (1995). Cessation from cocaine use. Addiction, 90(7), 947-957. https://doi.org/10.1111/j.1360

ACKNOWLEDGMENT

All the participants were highly appreciated by the authors for their active cooperation and support. Also, sincerely acknowledge Mr. Jagannath Padhy, Superintendent of the Indoor drug treatment centre for giving permission to collect samples without which it would not be possible to complete the research in the specified time.

REFERENCES

Allsop, S., Saunders, B., & Phillips, M. (2000). The process of relapse in severely dependent male problem drinkers. Addiction, 95(1), 95-106. https://doi.org/10.1046/j.1360-0443.2000.9519510.x

Ashford, S., Edmunds, J., & French, D. P. (2010). What is the best way to change self-efficacy to promote lifestyle and recreational physical activity? A systematic review with meta-analysis. British Journal of Health Psychology, 15(2), 265-288. https://doi.org/10.1348/135910709x461752

Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioural change. Psychological Review, 84(2), 191-215. https://doi.org/10.1037/0033-295x.84.2.191

Beattie, M. C., & Longabaugh, R. (1997). Interpersonal factors and post-treatment drinking and subjective wellbeing. Addiction, 92(11), 1507-1521. https://doi.org/10.1111/j.1360 0443.1997.tb02871.x

Cooney, N. L., Litt, M. D., Cooney, J. L., Pilkey, D. T., Steinberg, H. R., & Oncken, C. A. (2007). Alcohol and tobacco cessation in alcohol dependent smokers: Analysis of real-time reports. Psychology of Addictive Behaviors, 21, 277–286. https://doi.org/10.1037/0893-164x.21.3.277

Creating Alcohol and Other Drug, Trauma, and Mental Health Services for Women in Rural Florida: The Triad Women’s Project. (2012). Responding to Physical and Sexual Abuse in Women with Alcohol and Other Drug and Mental Disorders, 49-70. https://doi.org/10.4324/9780203050941-6

DiClemente, C. C., Carbonari, J. P., Montgomery, R. P. G., & Hughes, S. O. (1994). The alcohol abstinence self-efficacy scale. Journal of Studies on Alcohol, 55, 141–148. https://doi.org/10.1037/t04226-000

Dolan, S. L., Martin, R. A., & Rohsenow, D. J. (2008). Self-efficacy for cocaine abstinence: Pre-treatment correlates and relationship to outcomes. Addictive Behaviours, 33(5), 675-688. https://doi.org/10.1016/j.addbeh.2007.12.001

Heinz, A.J., Wu, J., Witkiewitz, K., Epstein, D.H., & Preston, K.L. (2009). Marriage and relationship closeness as predictors of cocaine and heroin use. Addictive Behaviours, 34 (3), 258-263. https://doi.org/10.1016/j.addbeh.2008.10.020

Kaestner, R. (1997). The Effects of Cocaine and Marijuana Use on Marriage and Marital Stability. Journal of Family Issues, 18(2), 145-173. https://doi.org/10.1177/019251397018002003

Litt, M. D., Kadden, R. M., & Stephens, R. S. (2005). Coping and self-efficacy in marijuana treatment: Results from the marijuana treatment project. Journal of Consulting and Clinical Psychology, 73(6), 1015-1025. https://doi.org/10.1037/0022-006x.73.6.1015

Marlatt, G. A., & Witkiewitz, K. (n.d.). Substance use disorders. Practitioner’s Guide to Evidence-Based Psychotherapy, 694-705. https://doi.org/10.1007/978-0-387-28370-8_70

Merline, A. C., O’Malley, P. M., Schulenberg, J. E., Bachman, J. G., & Johnston, L. D. (2004). Substance Use Among Adults 35 Years of Age: Prevalence, Adulthood Predictors, and Impact of Adolescent Substance Use. American Journal of Public Health, 94(1), 96-102. https://doi.org/10.2105/ajph.94.1.96

Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (Second Edition). New York: Guilford Press. https://doi.org/10.1097/01445442-200305000-00013

Olanike, A. (2013). Cognitive Behaviour Therapy in the Management of Conduct Disorder Among Adolescents. Mental Disorders - Theoretical and Empirical Perspectives. https://doi.org/10.5772/53046

O’Farrell, T. J., & Fals-Stewart, W. (2000). Behavioural couples therapy for alcoholism and drug abuse. Journal of Substance Abuse Treatment, 18(1), 51-54. https://doi.org/10.1016/s0740-5472(99)00026-4

Warren, J. I., Stein, J. A., & Grella, C. E. (2007). Role of social support and self-efficacy in treatment outcomes among clients with co-occurring disorders. Drug and Alcohol Dependence, 89(2), 267-274. https://doi.org/10.1016/j.drugalcdep.2007.01.009

White, H. R., & Bates, M. E. (1995). Cessation from cocaine use. Addiction, 90(7), 947-957. https://doi.org/10.1111/j.1360

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Published

01-02-2024

How to Cite

Effect of Self-efficacy, Marital Status, Duration of use on the Addiction Severity among Heroin Users. (2024). Indian Journal of Clinical Psychology, 50(2). https://ojs.ijcp.co.in/index.php/ijcp/article/view/486

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