Efektivitas Terapi Kognitif Perilaku dalam Menurunkan Risiko Relapse Pecandu Narkoba yang Menjalani Rehabilitasi di Sumatera Utara: Penelitian

Endah Carina Br Saragih; Hasnida; Rahma Fauzia

doi:10.31004/jerkin.v4i2.3894

Authors

Endah Carina Br Saragih Universitas Sumatera Utara
Hasnida Universitas Sumatera Utara
Rahma Fauzia Universitas Sumatera Utara

DOI:

https://doi.org/10.31004/jerkin.v4i2.3894

Keywords:

Cognitive therapy, Coping skills, Drugs, Relapse

Abstract

Drug abuse is a multidimensional problem that remains a serious issue in Indonesia, as indicated by the increasing prevalence of narcotics users and the high rate of relapse among former addicts after rehabilitation. One of the psychosocial interventions implemented by the National Narcotics Board (BNN) in addressing drug addiction is Cognitive Behavior Therapy (CBT), which focuses on cognitive restructuring and the modification of maladaptive behaviors. This study aims to examine the effectiveness of CBT in reducing relapse risk among drug addicts undergoing rehabilitation in North Sumatra. The study employed a quantitative approach using a true experimental design, specifically a pretest–posttest control group design. The participants consisted of seven residents with drug addiction at the Titian Harapan Indonesia Foundation, Deli Serdang Regency, who were selected using a simple random sampling technique. Relapse risk was measured using the AWARE (Advance Warning of Relapse) scale before and after the CBT intervention, which was administered over five sessions. Data analysis was conducted using N-Gain score calculations. The results indicated a significant reduction in relapse risk scores among all participants, with an N-Gain value of -0.6583, which falls within the moderate category. These findings suggest that CBT is effective in reducing relapse risk by enhancing cognitive awareness of triggers, automatic thoughts, and emotional responses associated with addictive behavior. However, the moderate level of effectiveness indicates that CBT requires additional reinforcement, particularly in the form of practical and applicable coping skills, to enable participants to manage stress and high-risk situations independently in their daily lives.

References

Andrisias, S. W. (2013). Stigma negatif menjadi faktor utara mantan pecandu relapse. Diunduh dari http://www.kabarindonesia.com/berita print.php?id=20130626155856

Azwar, S. (2013). Reliabilitas dan validitas (4th ed.). Yogyakarta: Pustaka Pelajar.

Baron, R. A., & Byrne, D. (2005). Social psychology (10th ed.). Pearson Education.

Baker, A. L., Thornton, L. K., Hiles, S., Hides, L., & Lubman, D. I. (2018). Psychological interventions for cannabis use disorder: A systematic review. Journal of Substance Abuse Treatment, 88, 40–55.

Breslin, F. C., Sobell, L. C., Sobell, M. B., & Agrawal, S. (2000). A comparison of a brief and long version of the Situational Confidence Questionnaire. Behavior Research and Therapy, 38(12), 1211–1220.

Blume, A.W. (2005). Treating drug problems.Canada: John Wiley & Sons.

Carver, C. S., & Scheier, M. F. (1981). Attention and self-regulation: A control-theory approach to human behavior. Springer-Verlag.

Carver, C. S., & Scheier, M. F. (1998). On the self-regulation of behavior. Cambridge University Press.

Carroll, K. M., Rounsaville, B. J., & Keller, D. S. (1998). Relapse prevention strategies for the treatment of cocaine abuse: Cognitive-behavioral approaches. Journal of Substance Abuse Treatment, 15(4), 283–293. https://doi.org/10.1016/S0740-5472(97)00235-7

Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). Thousand Oaks, CA: SAGE Publications.

Covington, S., Burke, C., & Keane, B. (2021). Effectiveness of Integrated CBT and Coping Skills Training in Reducing Relapse Among Substance Users. Journal of Substance Abuse Treatment, 124, 108–115.

Duval, S., & Wicklund, R. A. (1972). A theory of objective self awareness. Academic Press.

Field, A. (2009). Discovering Statistics Using SPSS (Edisi ke-3). London: SAGE Publications.

Goleman, D. (1995). Emotional intelligence: Why it can matter more than IQ. Bantam Books.

Habibi, H., Basri, S., & Rahmadhani, F. (2016). Faktor-Faktor yang berhubungan dengan kekambuhan pengguna narkoba pada pasien rehabilitasi di balai rehabilitasi badan narkotika nasional Baddoka Makassar Tahun 2015. Al-Sihah: The Public Health Science Journal.

Marlatt, G.A., & Donovan, D.M. (2005). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Guilford Press.

Maarevand, M., Eghlima, M., Rafiey, H., Rahgozar, M., Deilamizadeh, A., Ekhtiari, H & Tadayyon, N. (2015). Community-based relapse prevention for opiate dependents: A randomized community controlled trial. Community Mental Health Journal, 51, 21–29. doi: 10.1007/s10597-014-9772-1

Magill, M., & Ray, L. A. (2009). Cognitive-behavioral treatment with adult alcohol and illicit drug users: A meta-analysis of randomized controlled trials. Journal of Studies on Alcohol and Drugs, 70(4), 516–527.

Mulyati, R., & Setiawan, D. (2020). Efektivitas Pelatihan Keterampilan Koping dalam Menurunkan Risiko Kekambuhan pada Residen Rehabilitasi Narkoba. Jurnal Psikologi Klinis dan Kesehatan Mental, 9(2), 101–112.

Monti, P. M., Rohsenow, D. J., & Abrams, D. B. (2001). Coping and Social Skills Training for Alcohol and Drug Abuse Clients: A Cognitive-Behavioral Therapy Manual. New York: Guilford Press.

Nurjannah, N., & Fitria, R. (2021). Efektivitas Pelatihan Keterampilan Koping terhadap Penurunan Stres pada Klien Rehabilitasi Narkoba. Jurnal Psikologi Ulayat, 8(2), 85–96.

Purnomo, I. D., & Hardjanto, G. (2016). Terapi Dengan Pendekatan Konsep Kognitif Perilaku Untuk Mencegah Relapse Pada Pengguna Narkoba. Psikodimensia, 15(1), 152-174.

Sari, N. L. K. R., Hamidah, H., & Marheni, A. (2020). Terapi Kognitif Perilaku untuk Menurunkan Potensi Kekambuhan pada Narapidana Mantan Pecandu Narkoba. Intuisi: Jurnal Psikologi Ilmiah, 12(1), 113-122.

Semaraputri, S. A. K. T., Hamidah, H., & Budisetyani, I. G. A. P. W. (2020). Cognitive-behavioral coping skill training pada narapidana yang sedang menjalani program rehabilitasi. Jurnal Diversita, 6(2), 183-193.

Sinha, R. (2011). New findings on biological factors predicting addiction relapse vulnerability. Current Psychiatry Reports, 13(5), 398–405.

Siregar, A., & Ramadhani, D. (2020). Pengaruh Terapi Kognitif-Perilaku dan Pelatihan Coping terhadap Penurunan Risiko Kekambuhan pada Residen Rehabilitasi Narkoba. Jurnal Ilmiah Psikologi Terapan, 8(1), 43–54.

Ratih, E. P., & Utami, M. S. (2019). Efektivitas terapi kognitif perilakuan untuk meningkatkan efikasi diri abstinen NAPZA. Gadjah Mada Journal of Professional Psychology (GamaJPP), 4(2), 185-184.

United Nations Office on drugs and crime (2003). Drug Abuse Treatment and Rehabilitation: a Practical Planning and Implementation Guide.New York: UNODC

Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic Advances from the Brain Disease Model of Addiction. New England Journal of Medicine.

Washton, A. M., & Zweben, J. E. (2006). Treating Alcohol and Drug Problems in Psychotherapy Practice: Doing What Works. New York: Guilford Press.

Witkiewitz, K., & Marlatt, G. A. (2004). Relapse Prevention for Alcohol and Drug Problems: That Was Zen, This Is Tao. American Psychologist.

Yazdi, K., Farnia, V., & Alikhani, M. (2020). The Mediating Role of Coping Skills in Cognitive Behavioral Interventions for Substance Use Relapse Prevention. Addictive Behaviors Reports, 12, 100–123.

Hendershot, C. S., Witkiewitz, K., George, W. H., & Marlatt, G. A. (2011). Relapse Prevention for Addictive Behaviors. Substance Abuse Treatment, Prevention, and Policy.

Kelly, J. F., & Greene, M. C. (2014). Beyond Relapse: A Systematic Review of the Role of Recovery in Addiction Treatment. Addiction.

Liu, J. H. (2013). Globalization and identity: Cultural psychology perspectives. Beijing: Peking University Press.

Maltby, J., Houran, J., Lange, R., Ashe, D. D., & McCutcheon, L. E. (2002). Thou shalt worship no other gods–unless they are celebrities: The relationship between celebrity worship and religious orientation. Personality and Individual Differences, 32(7), 1157–1172. https://doi.org/10.1016/S0191-8869(01)00095-9

Maltby, J., Giles, D. C., Barber, L., & McCutcheon, L. E. (2005). Personality and coping: A context for examining celebrity worship and mental health. British Journal of Psychology, 96(4), 411–428. https://doi.org/10.1348/000712605X80731

McCutcheon, L. E., Lange, R., & Houran, J. (2002). Conceptualization and measurement of celebrity worship. British Journal of Psychology, 93(1), 67–87. https://doi.org/10.1348/000712602162454

Prayoga, R. (2018). Hubungan antara kontrol diri dengan tingkat celebrity worship pada remaja penggemar selebriti. Jurnal Psikologi, 16(1), 55–63.

Puspitasari, M. (2016). Hubungan kontrol diri dengan celebrity worship pada mahasiswa. Jurnal Psikologi Insight, 8(2), 120–130.

Raviv, A., Bar-Tal, D., Raviv, A., & Biran, B. (1996). Measuring adolescents' images of, and attitudes toward, celebrities. Journal of Youth and Adolescence, 25(5), 631–651. https://doi.org/10.1007/BF01537356

Tangney, J. P., Baumeister, R. F., & Boone, A. L. (2004). High self-control predicts good adjustment, less pathology, better grades, and interpersonal success. Journal of Personality, 72(2), 271–324. https://doi.org/10.1111/j.0022-3506.2004.00263.x

Wallston, K. A. (dalam Adeonalia, 2002). Konsep kontrol diri dan aplikasinya dalam psikologi kesehatan. Jakarta: UI Press.