Resilience and related factors as predictors of relapse risk in patients with substance use disorder: a cross-sectional study

Abstract

Background Resilience, referring to the inherent ability to naturally recover in the face of adverse conditions, is an essential concept in discussions of substance use disorder (SUD) recovery. This study’s objective was to shed light on resilience and related factors that affect relapse risk in patients with SUDs. Method Fifty-two patients with SUDs were given a self-administrated questionnaire from February to April 2015 consisting of question items for sociodemographic characteristics, relapse risk (Stimulant Relapse Risk Scale), and resilience (Bidimensional Resilience Scale). Scale scores were tested for associations with subject attributes, after which resilience’s effects on relapse risk were analyzed using correlation and multiple regression (forced-entry) analyses. Results Stimulants were the most common substance related to SUD (n = 26, 21.7%; multiple answers). Bivariate correlation showed that higher acquired resilience was significantly associated with a lower relapse risk (r = − 0.314, P < 0.01). Reduced relapse risk was significantly associated with current employment (Std. β = − 0.446, P < 0.05). Conclusion Our findings demonstrate the necessity of recovery support to enhance acquired resistance in patients with SUDs to prevent relapses. Reinforcing employment support services and encouraging patients to continue treatment were suggested as potentially effective measures to enhance resilience in individuals with SUDs on their road to recovery.

Intimate partner violence, substance use, and health comorbidities among women: A narrative review

“…Several studies have documented that an increase in resilience is associated with decreased substance use and SUD recovery (Elm et al, 2016;McKinley and Theall, 2021;Yamashita et al, 2021). In fact, one study demonstrated that women with greater resilience, defined as a strong sense of self, an awareness of the abuse, a knowledge of resources, and a future hope, showed more awareness of how their abuser's and their own substance use contributed to the maintenance of the abusive relationship (Werner-Wilson et al, 2000).…”

“…Teaching and strengthening resilience could provide a positive, empowering, and healthy alternative for IPV-EW to obtain relief from the physical pain and psychological trauma symptoms that may be underlying the use of alcohol and other drugs (Hernandez and Mendoza, 2011;Gorvine et al, 2021). With prior research demonstrating the power of resilience to reduce substance use and misuse, future research is necessary to expand the potential for SUD prevention in IPV using the resilience framework (Gorvine et al, 2021;Yamashita et al, 2021).…”

Association of addiction tendency with distress tolerance, self-differentiation, and emotion regulation difficulties mediated by resilience in university students

“…Resilience is a unique capability that causes psychological and biological balance, adaptability, and emotion regulation under difficult conditions. In the field of addiction, resilience refers to resistance, rational confrontation, and the ability to improve negative emotions (24,25). Nie et al (23) suggested that resilience affected addictive tendencies.…”

Effect of cognitive–behavioural therapy on resilience and relapse in adult patients with substance use disorder: a systematic review protocol

“…A combination of methadone maintenance therapy and cognitive–behavioural therapy (CBT) has been found to improve emotional regulation in patients with opioid use disorder 15 16. Mindfulness-based relapse prevention integrates evidence-based practices to decrease relapse probability and severity for patients with SUD 17…”