Effectiveness Of Group Cognitive Behavioral Therapy In Improving Abstinence Self Efficacy Addicts During The Recovery Period At The Rehabilitation Center X Medan City2

Feb 27, 2025 by ADMIN 168 views

The Devastating Consequences of Drug Abuse

Drug abuse is a serious problem that causes various significant clinical consequences. According to the American Psychological Association (APA, 2004), the use of this maladaptive substance can cause disorders that affect the physical and mental health of individuals. In an effort to rehabilitate, Wade (2007) explained that the rehabilitation program is one method that can help addicts to overcome addiction. However, many addicts who have difficulty in undergoing the rehabilitation process because they often experience relapse due to doubts on their ability to stay away from drug use. This doubt reflects the low abstinence of self-efficacy - individual self-confidence in rejecting drug use - which needs to be improved.

The Importance of Abstinence Self-Efficacy

Abstinence self-efficacy is a crucial aspect of an individual's ability to overcome addiction. It refers to an individual's confidence in their ability to resist the temptation of drug use. When an individual has high abstinence self-efficacy, they are more likely to be successful in their recovery process. On the other hand, low abstinence self-efficacy can lead to relapse and a higher risk of addiction. Therefore, it is essential to improve abstinence self-efficacy in individuals struggling with addiction.

The Role of Cognitive Behavioral Therapy in Addiction Rehabilitation

Cognitive Behavioral Therapy (CBT) is a type of psychotherapy that has been widely used in addiction rehabilitation. CBT focuses on identifying and changing negative thought patterns and behaviors that contribute to addiction. It is a goal-oriented, problem-focused approach that helps individuals understand the relationship between their thoughts, feelings, and behaviors. CBT can be delivered in individual or group settings, and it has been shown to be effective in improving abstinence self-efficacy.

The Advantages of Group Cognitive Behavioral Therapy

Group CBT has several advantages over individual CBT. Firstly, it provides a sense of community and social support, which is essential for individuals struggling with addiction. Group members can share their experiences, provide encouragement, and offer support to one another. Secondly, group CBT is more efficient in terms of time, cost, and energy compared to individual approaches. Finally, group CBT allows individuals to learn from one another and develop new skills and coping strategies.

The Effectiveness of Group Cognitive Behavioral Therapy in Improving Abstinence Self-Efficacy

This study applied the design of the Pretest-Posttest Control Group experiment, with 20 research subjects chosen purposive sampling and divided into four groups. The first experimental group received cognitive restructuring techniques, the second group received a coping skill technique, the third group received a combination of the two techniques, while the control group did not accept both techniques. Qualitative data about rational thoughts and coping skills are collected, followed by the administration of Brief Situational Confidence Questionnaire (BSCQ) to measure abstinence self-efficacy quantitatively. This quantitative data is then analyzed using anova mixed design.

The Results of the Study

The results showed that both cognitive restructuring techniques and coping skills were effective in increasing abstinence self-efficacy. However, the application of the two techniques simultaneously proven to be more effective than the application separately. This shows the importance of a comprehensive approach in addict rehabilitation, where the development of rational thoughts and mastery of coping skills can strengthen each other to achieve more optimal results.

The Implications of the Study

In the context of recovery at the X rehabilitation center in Medan, the application of the Cognitive Behavioral Therapy group can be one of the promising solutions to help addicts achieve success in the recovery process. Strengthening Abstinence Self-Efficacy is not only about avoiding drugs, but also develops self-confidence and skills needed to face the challenges of daily life. With the support of group therapy, it is hoped that addicts can more easily achieve the goal of recovery and living a healthier and more productive life.

Conclusion

In conclusion, this study highlights the effectiveness of group cognitive behavioral therapy in improving abstinence self-efficacy in addicts during the recovery period at the rehabilitation center X of Medan City. The results of the study suggest that a comprehensive approach that combines cognitive restructuring techniques and coping skills can be more effective than individual approaches. Therefore, it is recommended that rehabilitation centers incorporate group cognitive behavioral therapy into their treatment programs to help addicts achieve success in their recovery process.

Recommendations

Based on the findings of this study, the following recommendations are made:

Rehabilitation centers should incorporate group cognitive behavioral therapy into their treatment programs to help addicts achieve success in their recovery process.
A comprehensive approach that combines cognitive restructuring techniques and coping skills should be used to improve abstinence self-efficacy in addicts.
Further research should be conducted to explore the effectiveness of group cognitive behavioral therapy in improving abstinence self-efficacy in different populations of addicts.

Limitations of the Study

This study has several limitations that should be acknowledged. Firstly, the sample size was small, and the study was conducted in a single rehabilitation center. Secondly, the study only measured abstinence self-efficacy as an outcome variable, and did not explore other potential outcomes such as drug use or mental health symptoms. Finally, the study did not control for potential confounding variables such as age, sex, or education level.

Future Directions

Future research should aim to address the limitations of this study by:

Conducting larger-scale studies to explore the effectiveness of group cognitive behavioral therapy in improving abstinence self-efficacy in different populations of addicts.
Exploring other potential outcomes such as drug use or mental health symptoms.
Controlling for potential confounding variables such as age, sex, or education level.

Conclusion

Q: What is Group Cognitive Behavioral Therapy?

A: Group Cognitive Behavioral Therapy (CBT) is a type of psychotherapy that involves a group of individuals with similar goals and challenges working together to achieve recovery from addiction. CBT focuses on identifying and changing negative thought patterns and behaviors that contribute to addiction.

Q: How does Group CBT differ from Individual CBT?

A: Group CBT differs from individual CBT in that it provides a sense of community and social support, which is essential for individuals struggling with addiction. Group members can share their experiences, provide encouragement, and offer support to one another. Additionally, group CBT is more efficient in terms of time, cost, and energy compared to individual approaches.

Q: What are the benefits of Group CBT for addiction recovery?

A: The benefits of Group CBT for addiction recovery include:

A sense of community and social support
Increased motivation and accountability
Improved coping skills and strategies
Enhanced self-confidence and self-esteem
Reduced feelings of isolation and loneliness

Q: How does Group CBT help individuals improve their abstinence self-efficacy?

A: Group CBT helps individuals improve their abstinence self-efficacy by teaching them cognitive restructuring techniques and coping skills. Cognitive restructuring involves identifying and challenging negative thought patterns and replacing them with more positive and realistic ones. Coping skills involve learning strategies for managing stress, anxiety, and other emotions that may trigger drug use.

Q: What are some common challenges that individuals may face in Group CBT?

A: Some common challenges that individuals may face in Group CBT include:

Difficulty sharing personal experiences and feelings
Fear of judgment or criticism from others
Difficulty trusting others or forming relationships
Feeling overwhelmed or anxious in a group setting

Q: How can individuals overcome these challenges and get the most out of Group CBT?

A: Individuals can overcome these challenges and get the most out of Group CBT by:

Being open and honest about their experiences and feelings
Practicing self-compassion and self-care
Building relationships with group members and developing a sense of community
Seeking support from group leaders and other resources as needed

Q: What are some signs that Group CBT is working for an individual?

A: Some signs that Group CBT is working for an individual include:

Improved mood and reduced symptoms of depression and anxiety
Increased motivation and engagement in recovery activities
Improved relationships with family and friends
Reduced drug use and improved overall health and well-being

Q: How long does Group CBT typically last?

A: Group CBT typically lasts for several weeks or months, depending on the individual's needs and goals. The length of treatment can vary depending on the specific program and the individual's progress.

Q: What are some common misconceptions about Group CBT?

A: Some common misconceptions about Group CBT include:

That it is a "one-size-fits-all" approach that doesn't take into account individual differences and needs
That it is only for individuals with severe addiction or mental health issues
That it is a "quick fix" or a "magic solution" for addiction recovery

Q: How can individuals find a Group CBT program that is right for them?

A: Individuals can find a Group CBT program that is right for them by:

Researching local treatment centers and programs
Asking for referrals from healthcare providers or other professionals
Checking with insurance providers to see if they cover Group CBT
Reaching out to group leaders or program directors to ask questions and learn more about the program.