Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Coping Mechanisms Utilized by Individuals With Drug Addiction in Overcoming Challenges During the Recovery Process: A Qualitative Meta-synthesis

  • Received : 2024.01.22
  • Accepted : 2024.03.23
  • Published : 2024.05.31
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Abstract

Objectives: Recovery from drug addiction often poses challenges for the recovering person. The coping mechanisms employed by these individuals to resist temptations and manage stress play a key role in the healing process. This study was conducted to explore the coping strategies or techniques that individuals with addiction use to handle stress and temptation while undergoing treatment. Methods: A qualitative meta-synthesis approach was utilized to critically evaluate relevant qualitative research. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines were used for article selection, with these standards applied to 4 academic databases: Scopus, PubMed, ProQuest, and CINAHL. The present review included studies published between 2014 and 2023, selected based on pre-established inclusion criteria. The quality of the studies was assessed using the Critical Appraisal Skills Programme Qualitative Studies Checklist. This review was registered with the International Prospective Register of Systematic Reviews (PROSPERO) under the registration number CRD42024497789. Results: The analysis of 13 qualifying qualitative articles revealed 5 major themes illustrating the coping mechanisms employed in the pursuit of recovery by individuals who use drugs. These themes include seeking social support, as well as psychological coping strategies, spiritual experiences, professional interventions, and the enhancement of awareness. Conclusions: Among individuals with drug addiction, coping mechanisms are crucial for resisting stress and temptations throughout the recovery process. Healthcare professionals, as medical specialists, can establish more thorough and effective plans to support these patients on their path to recovery.

Keywords

Acknowledgement

The authors would like to express their sincere gratitude to the Directorate of Research and Development, Universitas Indonesia, for the invaluable support and encouragement provided throughout the research process.

References

  1. World Health Organization. Substance abuse [cited 2024 Mar 14]. Available from: https://www.afro.who.int/health-topics/substance-abuse#:~:text=Substance%20abuse%20refers%20to%20the,consequences%20experienced%20by%20its%20members 
  2. United Nations Office on Drugs and Crime. Global overview of drug demand and supply: latest trends, cross-cutting issues; 2018 [cited 2024 Mar 14]. Available from: https://www.unodc.org/wdr2018/prelaunch/WDR18_Booklet_2_GLOBAL.pdf 
  3. United Nations Office on Drugs and Crime. The world drug report 2023 [cited 2024 Mar 14]. Available from: https://www.unodc.org/res/WDR-2023/WDR23_Exsum_fin_DP.pdf 
  4. National Narcotics Board. Indonesian drugs report 2023 [cited 2024 Mar 14]. Available from: https://cilacapkab.bnn.go.id/indonesia-drugs-report-2023/ (Indonesian). 
  5. World Health Organization. Drugs (psychoactive) [cited 2024 Mar 14]. Available from: https://www.who.int/health-topics/drugs-psychoactive#tab=tab_1 
  6. National Institute on Drug Abuse. Drugs, brains, and behavior: the science of addiction [cited 2024 Mar 14]. Available from: https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/addiction-health#:~:text=People%20with%20addiction%20often%20have,drug%20use%20throughout%20the%20body 
  7. Centers for Disease Control and Prevention. Recovery is possible for everyone: understanding treatment of substance use disorders; 2023 [cited 2024 Mar 14]. Available from: https://www.cdc.gov/drugoverdose/featured-topics/recovery-SUD.html 
  8. Kelly JF, Bergman B, Hoeppner BB, Vilsaint C, White WL. Prevalence and pathways of recovery from drug and alcohol problems in the United States population: implications for practice, research, and policy. Drug Alcohol Depend 2017;181:162-169. https://doi.org/10.1016/j.drugalcdep.2017.09.028 
  9. Helm P. Sobriety versus abstinence. How 12-stepper negotiate long-term recovery across groups. Addict Res Theory 2019;27(1):29-36. https://doi.org/10.1080/16066359.2018.1530348 
  10. Kelly JF, Hoeppner B. A biaxial formulation of the recovery construct. Addict Res Theory 2015;23(1):5-9. https://doi.org/10.3109/16066359.2014.930132 
  11. Volkow ND, Frieden TR, Hyde PS, Cha SS. Medication-assisted therapies--tackling the opioid-overdose epidemic. N Engl J Med 2014;370(22):2063-2066. https://doi.org/10.1056/NEJMp1402780 
  12. Lander L, Howsare J, Byrne M. The impact of substance use disorders on families and children: from theory to practice. Soc Work Public Health 2013;28(3-4):194-205. https://doi.org/10.1080/19371918.2013.759005 
  13. Daley DC. Family and social aspects of substance use disorders and treatment. J Food Drug Anal 2013;21(4):S73-S76. https://doi.org/10.1016/j.jfda.2013.09.038 
  14. McGaffin BJ, Deane FP, Kelly PJ, Blackman RJ. Social support and mental health during recovery from drug and alcohol problems. Addict Res Theory 2018;26(5):386-395. https://doi.org/10.1080/16066359.2017.1421178 
  15. Manning V, Garfield JB, Lam T, Allsop S, Berends L, Best D, et al. Improved quality of life following addiction treatment is associated with reductions in substance use. J Clin Med 2019;8(9):1407. https://doi.org/10.3390/jcm8091407 
  16. Pasareanu AR, Opsal A, Vederhus JK, Kristensen O, Clausen T. Quality of life improved following in-patient substance use disorder treatment. Health Qual Life Outcomes 2015;13:35. https://doi.org/10.1186/s12955-015-0231-7 
  17. Seyedfatemi N, Peyrovi H, Jalali A. Relapse experience in Iranian opiate users: a qualitative study. Int J Community Based Nurs Midwifery 2014;2(2):85-93. 
  18. Lee N, Boeri M. Managing stigma: women drug users and recovery services. Fusio 2017;1(2):65-94. 
  19. Abd Halim MH, Sabri F. Relationship between defense mechanisms and coping styles among relapsing addicts. Procedia Soc Behav Sci 2013;84:1829-1837. https://doi.org/10.1016/j.sbspro.2013.07.043 
  20. Folkman S, Moskowitz JT. Coping: pitfalls and promise. Annu Rev Psychol 2004;55:745-774. https://doi.org/10.1146/annurev.psych.55.090902.141456 
  21. Thorne S. Qualitative meta-synthesis. Nurse Author Ed 2022; 32(1):15-18. https://doi.org/10.1111/nae2.12036 
  22. Pyo J, Lee W, Choi EY, Jang SG, Ock M. Qualitative research in healthcare: necessity and characteristics. J Prev Med Public Health 2023;56(1):12-20. https://doi.org/10.3961/jpmph.22.451 
  23. National Institute on Drug Abuse. Understanding drug use and addiction drug facts; 2018 [cited 2023 Mar 12]. Available from: https://nida.nih.gov/publications/drugfacts/understanding-drug-use-addiction 
  24. Williams TL, Shaw RL. Synthesizing qualitative research: metasynthesis in sport and exercise. In: Brett Smith B, Andrew C. Sparkes AC, editors. Routledge handbook of qualitative research in sport and exercise. London: Routledge; 2016. https://doi.org/10.4324/9781315762012 
  25. Cooke A, Smith D, Booth A. Beyond PICO: the SPIDER tool for qualitative evidence synthesis. Qual Health Res 2012;22(10):1435-1443. https://doi.org/10.1177/1049732312452938 
  26. Haddaway NR, Page MJ, Pritchard CC, McGuinness LA. PRISMA 2020: an R package and Shiny app for producing PRISMA 2020-compliant flow diagrams, with interactivity for optimised digital transparency and Open Synthesis. Campbell Syst Rev 2022;18(2):e1230. https://doi.org/10.1002/cl2.1230 
  27. Critical Appraisal Skills Programme. Critical appraisal checklists [cited 2023 Mar 2]. Available from: https://casp-uk.net/casptools-checklists/ 
  28. Long HA, French DP, Brooks JM. Optimising the value of the critical appraisal skills programme (CASP) tool for quality appraisal in qualitative evidence synthesis. Res Methods Med Health Sci 2020;1(1):31-42. https://doi.org/10.1177/2632084320947559 
  29. O'Connell MA, Khashan AS, Leahy-Warren P. Women's experiences of interventions for fear of childbirth in the perinatal period: a meta-synthesis of qualitative research evidence. Women Birth 2021;34(3):e309-e321. https://doi.org/10.1016/j.wombi.2020.05.008 
  30. Bjornestad J, Svendsen TS, Slyngstad TE, Erga AH, McKay JR, Nesvag S, et al. "A life more ordinary" processes of 5-year recovery from substance abuse. Experiences of 30 recovered service users. Front Psychiatry 2019;10:689. https://doi.org/10.3389/fpsyt.2019.00689 
  31. Nhunzvi C, Galvaan R, Peters L. Recovery from substance abuse among Zimbabwean men: an occupational transition. OTJR (Thorofare N J) 2019;39(1):14-22. https://doi.org/10.1177/1539449217718503 
  32. Appiah R, Boakye KE, Ndaa P, Aziato L. "Tougher than ever": an exploration of relapse prevention strategies among patients recovering from poly-substance use disorders in Ghana. Drugs Educ Prev Policy 2018;25(6):467-474. https://doi.org/10.1080/09687637.2017.1337080 
  33. Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol 2008;8:45. https://doi.org/10.1186/1471-2288-8-45 
  34. Im D, Pyo J, Lee H, Jung H, Ock M. Qualitative research in healthcare: data analysis. J Prev Med Public Health 2023;56(2):100-110. https://doi.org/10.3961/jpmph.22.471 
  35. Wangensteen T, Hystad J. Trust and collaboration between patients and staff in SUD treatment: a qualitative study of patients' reflections on inpatient SUD treatment four years after discharge. Nordisk Alkohol Nark 2022;39(4):418-436. https://doi.org/10.1177/14550725221082366 
  36. Stokes M, Schultz P, Alpaslan A. Narrating the journey of sustained recovery from substance use disorder. Subst Abuse Treat Prev Policy 2018;13(1):35. https://doi.org/10.1186/s13011-018-0167-0 
  37. Shaari AA, Waller B. Self-help group experiences among members recovering from substance use disorder in Kuantan, Malaysia. Soc Work Groups 2023;46(1):51-67. https://doi.org/10.1080/01609513.2022.2057393 
  38. Pettersen G, Bjerke T, Hoxmark EM, Eikeng Sterri NH, Rosenvinge JH. From existing to living: exploring the meaning of recovery and a sober life after a long duration of a substance use disorder. Nordisk Alkohol Nark 2023;40(6):577-589. https://doi.org/10.1177/14550725231170454 
  39. Yang M, Mamy J, Gao P, Xiao S. From abstinence to relapse: a preliminary qualitative study of drug users in a compulsory drug rehabilitation center in Changsha, China. PLoS One 2015;10(6):e0130711. https://doi.org/10.1371/journal.pone.0130711 
  40. Iswardani T, Dewi ZL, Mansoer WW, Irwanto I. Meaning-making among drug addicts during drug addiction recovery from the perspective of the meaning-making model. Psych 2022;4(3):589-604. https://doi.org/10.3390/psych4030045 
  41. Dundas I, Ravnanger K, Binder PE, Stige SH. A qualitative study of use of mindfulness to reduce long-term use of habit-forming prescription drugs. Front Psychiatry 2020;11:493349. https://doi.org/10.3389/fpsyt.2020.493349 
  42. Brunelle N, Bertrand K, Landry M, Flores-Aranda J, Patenaude C, Brochu S. Recovery from substance use: drug-dependent people's experiences with sources that motivate them to change. Drugs Educ Prev Policy 2015;22(3):301-307. https://doi.org/10.3109/09687637.2015.1021665 
  43. Rettie HC, Hogan L, Cox M. Personal experiences of individuals who are recovering from a drug or alcohol dependency and are involved in social-based recovery groups. Drugs Educ Prev Policy 2020;27(2):95-104. https://doi.org/10.1080/09687637.2019.1597337 
  44. Martinelli TF, Roeg DP, Bellaert L, Van de Mheen D, Nagelhout GE. Understanding the process of drug addiction recovery through first-hand experiences: a qualitative study in the Netherlands using lifeline interviews. Qual Health Res 2023;33(10):857-870. https://doi.org/10.1177/10497323231174161 
  45. Zhou ES. Social support. In: Michalos AC, editor. Encyclopedia of quality of life and well-being research. Dordrecht: Springer; 2014. https://doi.org/10.1007/978-94-007-0753-5_2789 
  46. Ozbay F, Johnson DC, Dimoulas E, Morgan CA, Charney D, Southwick S. Social support and resilience to stress: from neurobiology to clinical practice. Psychiatry (Edgmont) 2007;4(5):35-40. 
  47. Stevens E, Jason LA, Ram D, Light J. Investigating social support and network relationships in substance use disorder recovery. Subst Abus 2015;36(4):396-399. https://doi.org/10.1080/08897077.2014.965870 
  48. Korcha RA, Polcin DL, Bond JC. Interaction of motivation and social support on abstinence among recovery home residents. J Drug Issues 2016;46(3):164-177. https://doi.org/10.1177/0022042616629514 
  49. Turuba R, Toddington C, Tymoschuk M, Amarasekera A, Howard AM, Brockmann V, et al. "A peer support worker can really be there supporting the youth throughout the whole process": a qualitative study exploring the role of peer support in providing substance use services to youth. Harm Reduct J 2023;20(1):118. https://doi.org/10.1186/s12954-023-00853-3 
  50. Scott E. The different types of social support; 2023 [cited 2024 Mar 14]. Available from: https://www.verywellmind.com/types-of-social-support-3144960 
  51. Ruisoto P, Contador I. The role of stress in drug addiction. An integrative review. Physiol Behav 2019;202:62-68. https://doi.org/10.1016/j.physbeh.2019.01.022 
  52. American Psychological Association. Manage stress: strengthen your support network; 2022 [cited 2023 Mar 2]. Available from: https://www.apa.org/topics/stress/manage-social-support 
  53. Grav S, Hellzen O, Romild U, Stordal E. Association between social support and depression in the general population: the HUNT study, a cross-sectional survey. J Clin Nurs 2012;21(1-2):111-120. https://doi.org/10.1111/j.1365-2702.2011.03868.x 
  54. Lookatch SJ, Wimberly AS, McKay JR. Effects of social support and 12-step involvement on recovery among people in continuing care for cocaine dependence. Subst Use Misuse 2019;54(13):2144-2155. https://doi.org/10.1080/10826084.2019.1638406 
  55. Nikmanesh Z, Baluchi MH, Pirasteh Motlagh AA. The role of self-efficacy beliefs and social support on prediction of addiction relapse. Int J High Risk Behav Addict 2017;6(1):e21209. https://doi.org/10.5812/ijhrba.21209 
  56. Grim BJ, Grim ME. Belief, behavior, and belonging: how faith is indispensable in preventing and recovering from substance abuse. J Relig Health 2019;58(5):1713-1750. https://doi.org/10.1007/s10943-019-00876-w 
  57. Susanti H, Wardani IY, Fitriani N, Kurniawan K. Exploration the needs of nursing care of drugs addiction service institutions in Indonesia. Open Access Maced J Med Sci 2022;10(G): 45-51. https://doi.org/10.3889/oamjms.2022.7778 
  58. Substance Abuse and Mental Health Services Administration. TIP 42: substance use disorder treatment for people with co-occurring disorders; 2020 [cited 2024 Mar 14]. Available from: https://store.samhsa.gov/product/tip-42-substance-use-treatment-persons-co-occurring-disorders/pep20-02-01-004 
  59. National Institute on Drug Abuse. Principles of drug addiction treatment: a research-based guide (third edition); 2018 [cited 2024 Mar 14]. Available from: https://nida.nih.gov/sites/default/files/podat-3rdEd-508.pdf 
  60. Domingues LP, Dos Santos EL, Locatelli DP, Bedendo A, Noto AR. Interprofessional training on substance misuse and addiction: a longitudinal assessment of a Brazilian experience. Int J Environ Res Public Health 2023;20(2):1478. https://doi.org/10.3390/ijerph20021478 
  61. Adams M. The importance of self awareness in addiction recovery; 2017 [cited 2024 Mar 14]. Available from: https://whitesandstreatment.com/2017/11/10/self-awareness-in-addiction-recovery/
  62. Pickard H. Addiction and the self. Nous 2021;55(4):737-761. https://doi.org/10.1111/nous.12328