Self-efficacy and demoralization in substance dependent patients
Patients who suffer from dependence of psychoactive substances experience many seductions in daily life for relapse to drug use. These seductions may lay in environmental situations - such as being in the company of others who use drugs, or meeting with someone who can sell you drugs – or in negative or even positive moods.
The patient’s self-efficacy to face these challenges and to remain abstinent is a relevant determinant of relapse. Self-efficacy refers to an individual’s belief in his or her innate ability to achieve goals. Albert Bandura defines it as a personal judgment of how well one can execute courses of action required to deal with prospective situations, in this case remaining abstinent in various situations.
Patients who apply for help in an addiction treatment center, often suffer from a lack of perspective, of hope. They are demoralized. This demoralization results in a reluctance in the patient to actively try to take life in his own hands, and to work on his problems, which hampers recovery. Previous studies showed that the level of demoralization in these patients is high, much higher than that of the general population, and even higher than that of patients with chronic somatic disease.
Objective of the study
In this study we want to explore the association between self-efficacy for abstinence and the level of demoralization. The emphasis will be on patients who use illicit drugs, other than alcohol, and who applied for help and (inpatient) detoxification because of these drugs.
We are looking for a 6th year medical student, who wants to contribute to this research, and who will interview approximately 30 to 40 patients who underwent inpatient detoxification at one of the clinics of Novadic-Kentron. The intern will be stationed at the facility in Vught, Noord-Brabant. In addition to taking the interviews, the intern will search the literature for what is already known about the aforementioned association in SUD patients. Data will be analyzed using the SPSS program. The intern completes his study by writing a paper in English, and by an oral presentation for the board of physicians of Novadic-Kentron. After positive completion of the internship, the possibilities of submitting the paper to a peer-reviewed journal will be discussed.
The study is presented to the medical ethical committee of the UMC Utrecht, who exempted the study from medical ethical review. Patients will be asked to give informed consent for participation. This procedure will be set up by the student.