Congruence and self-esteem of patients receiving treatment for methamphetamine use at a substance dependency treatment center in Thailand

Chotiporn  Prompa; Rasmon  Kalayasiri

Authors

Chotiporn Prompa Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
Rasmon Kalayasiri Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

Keywords:

Congruence, family relationship, methamphetamine, Satir’s model, self-esteem

Abstract

Background: Congruence, a state of being able to communicate within oneself and with others, is classified as one of the main structures of the Satir’s model for psychotherapy. High self-esteem and congruence are important indicators of fully functioning human beings, especially of patients who used drugs such as methamphetamine (meth).

Objectives: The study’s purposes were to explore the congruence, self-esteem, and related factors among individuals who used meth and received treatment at a substance dependency treatment center in Thailand.

Methods: Levels of congruence, self-esteem, and family relationship were collected from 340 patients with meth use problems at the largest substance dependency treatment center in Thailand by using the Family Relationship Questionnaire, the Congruence Scale, and the Coopersmith Self-Esteem Inventory Adult Form, respectively.

Results: Of 340 subjects, 218 (64.1%) had slightly high congruence and 260 (76.5%) had moderate level of self-esteem. Congruence significantly positively correlated with self-esteem (r = 0.657, P < 0.001). Factors that related to decrease congruence included having history of using crystal meth (ice), current meth use, and having psychiatric disorders during drug use. However, having good family relationship could increase congruence. Factors that were related to high self-esteem included using meth for less than 11 years and having a good family relationship.

Conclusion: Having good family relationship predicts having high levels of congruence and self-esteem in individuals who used meth. Developing programs or activities that are related to their families are important to improve psychological well-being of patients with meth use problems.

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References

Office of the Narcotics Control Board (ONCB). Report drug prevention and problem solving performance for fiscal year 2019. Bangkok: Office of the Narcotics Control; 2019.

Narkdilok S. The study of incident rate with relapse use of metamphetamine at Prince Mother National Institute on Drug Abuse Treatment (PMNIDAT). Thai J Addict 2020;6:47-58.

Limsuwan N, Limsuwan Ni. Satir Psychotherapy and Self-development 4 ed. Bangkok: Chulalongkorn University Printing House; 2018.

Satir V, Banmen J, Gomori M, Gerber J. The Satir model: Family therapy and beyond. Palo Alto, California: Science and Behavior Books; 1991.

Suvannathat C. Knowledge about strengthening the family according to the strong family base for family practitioners. 2nd ed. Bangkok: Department of Woman's Affairs and Family Development in collaboration with Behavioral Science Research Institute SWU; 2012.

Intichoti N. Family relationship, Informational support, Hardiness, Adaption, Amphetamine abuser youth [Thesis Master of Nursing Science Program]. Bangkok: Chulalongkorn university; 2002.

Hiranyatheb T, Udomsubpayakul U, Kongsakon R. Factors associated with non-relapse in clients who completed the rehabitilation programme in compulsory treatment system for drug addiction. J Psychiatrc Assoc Thailand 2013;58:157-64.

Pattrakorn A, Chaipichitpan N. The effect of FAST Model for addiction patient in Thanyarak Institute. J Psychiatr Assoc Thailand 2015;60:71-81.

Intichoti N. Relationships between personal factors, family relationship, informational support, hardiness, and adaptation of amphetamine abuser youth out patient department, Thanyarak hospital [Thesis]. Bangkok: Chulalongkorn University; 2002.

Srikosai S, Taweewattanaprecha S. Psychometric properties of the life congruence scale based on the Satir Model: Thai Version. J Psychiatr Assoc Thailand 2012;57:75-88.

Supreda B. Effects of reality group counseling on self-esteem and mental health self care behavior of amphetamine addicts [Thesis]. Chiangmai: Chiangmai University; 2003.

Boonruang P, Wongpanarak N, Rungreangkulkij S, Boonprakob Y, Sathonphan B, Doungsatwong D. A development of strengthening spiritual program among patients with amphetamine dependence at Thanyarak Khon Kaen Hospital. Journal of Department of Medical Services 2559;43:142-7.

Substance Abuse and Mental Health Service Administration (SAMHSA). Enhancing motivation for change in substance use disorder treatment; 2019.

Khajehdaluee M, Zavar A, Alidoust M, Pourandi R. The relation of self-esteem and illegal drug usage in high school students. Iran Red Crescent Med J 2013;15:e7682. https://doi.org/10.5812/ircmj.7682

Alavi HR. The role of self-esteem in tendency towards drugs, theft and prostitution. Addict Health 2011;3:119-24.

Gossop M. Drug dependence and self-esteem Int J Ment Health Addict 1976;11:741-53.

https://doi.org/10.3109/10826087609058810

Hunt BR, Guindon MH. Alcohol and other drug use and self-esteem in young adults. In: Guindon MH, editor. self-esteem across the lifespan: Issues and interventions. New York: Routledge; 2010. 219-29.

https://doi.org/10.4324/9780203884324

Inoue L, Bellini LC, Paiano M, Haddad MD, Marcon SS. Life perceptions and future perspectives of drug users: understand to care. SMAD, Rev Eletrônica Saúde Mental Álcool Drog 2019;15:52-9.

https://doi.org/10.11606/issn.1806-6976.smad.2019.000417