The Relationship between Self-efficacy, Resilience and Social Support with Relapse Tendency in Substance Use Disorder in Indonesia

Authors

  • Tuty Yanuarti STIKES Abdi Nusantara
  • Mohd Nazri Bin Mohd Daud Universiti Malaysia Sabah
  • Noor Hassline Binti Mohamed Universiti Malaysia Sabah
  • Azman Bin Atil Universiti Malaysia Sabah
  • Rusmai Triaswati Rumah Sakit Ketergantungan Obat Jakarta

DOI:

https://doi.org/10.33755/jkk.v11i2.851

Keywords:

Indonesia, relapse prevention, resilience, self-efficacy, substance use disorder, social support

Abstract

Background: Substance use disorder (SUD) remains a major public health concern, with high relapse rates following detoxification treatment. Psychosocial factors such as self-efficacy, resilience, and social support may influence relapse outcomes, yet their roles remain underexplored in Indonesia.

Objective: This study aimed to examine the relationship between self-efficacy, resilience, social support, and relapse tendency among Indonesians with SUD.

Methods: A cross-sectional study was conducted at a rehabilitation center in Jakarta, Indonesia. Participants (n = 200; mean age = 37.56 ± 5.89 years) were adults (≥18 years) diagnosed with SUD by a psychiatrist. Standardized questionnaires assessed social support, self-efficacy, resilience, and relapse tendency. Correlation and mediation analyses were performed using bootstrapping with 5,000 samples (95% CI).

Results: Social support was negatively correlated with relapse tendency (r = –0.42, p < 0.01), while self-efficacy and resilience were significant mediators in this relationship. The direct effect of social support accounted for 58% of the total effect, and the indirect effect through self-efficacy and resilience accounted for 37.34%.

Conclusions: Higher social support reduces relapse risk, partly by enhancing self-efficacy and resilience. Strengthening these factors could be a key strategy in relapse prevention programs for Indonesians with SUD.

References

1. Hansford B. UNODC World Drug Report 2021: Pandemic Effects Ramp Up Drug Risks, as Youth Underestimate Cannabis Dangers [Internet]. 2021 [cited 2021 Jun 24]. Available from: https://www.unodc.org/unodc/press/releases/2021/June/unodc-world-drug-report-2021_-pandemic-effects-ramp-up-drug-risks–as-youth-underestimate-cannabis-dangers.html

2. National Narcotics Agency. Indonesia Drug Report 2020.

3. Yamada K. Endogenous modulators for drug dependence. Biol Pharm Bull. 2008;31(9):1635–8.

4. Kruegerjr NF, Reilly MD, Carsrud AL. Competing models of entrepreneurial intentions. J Bus Venturing. 2000;15(5-6):411–32.

5. Zeng X, Wei B. The relationship between the psychological capital of male individuals with drug abuse and relapse tendency: a moderated mediation model. Curr Psychol. 2021;1–10.

6. Childress AC, Komolova M, Sallee FR. An update on the pharmacokinetic considerations in the treatment of ADHD with long-acting methylphenidate and amphetamine formulations. Expert Opin Drug Metab Toxicol. 2019;15(11):937.

7. Liu J, Tian J, Li J. Modulating reconsolidation and extinction to regulate drug reward memory. Eur J Neurosci. 2019;50(8):2503–12.

8. Liu Y, Kornfield R, Shaw BR, Shah DV, McTavish F, Gustafson DH. Giving and receiving social support in online substance use disorder forums: How self-efficacy moderates effects on relapse. Patient Educ Couns. 2020;103(6):1125–33.

9. Cutrona CE, Russell DW. Type of social support and specific stress: Toward a theory of optimal matching. 1990.

10. Copeland J, Martin G. Web-based interventions for substance use disorders: a qualitative review. J Subst Abuse Treat. 2004;26(2):109–16.

11. Mo PKH, Coulson NS. Exploring the communication of social support within virtual communities: a content analysis of messages posted to an online HIV/AIDS support group. Cyberpsychol Behav. 2008;11(3):371–4.

12. Cutrona CE, Shaffer PA, Wesner KA, Gardner KA. Optimally matching support and perceived spousal sensitivity. J Fam Psychol. 2007;21(4):754.

13. Burleson BR. Explaining recipient responses to supportive messages. New Dir Interpers Commun Res. 2009;159.

14. Wright K. Social support within an online cancer community: an assessment of emotional support, perceptions of advantages and disadvantages, and motives for using the community from a communication perspective. J Appl Commun Res. 2002;30(3):195–209.

15. Tracy E, Munson MR, Peterson LT, Floersch JE. Social support: A mixed blessing for women in substance abuse treatment. J Soc Work Pract Addict. 2010;10(3):257–82.

16. Gogineni A, Stein MD, Friedmann PD. Social relationships and intravenous drug use among methadone maintenance patients. Drug Alcohol Depend. 2001;64(1):47–53.

17. Havassy BE, Hall SM, Wasserman DA. Social support and relapse: Commonalities among alcoholics, opiate users, and cigarette smokers. Addict Behav. 1991;16(5):235–46.

18. Jiang S, Liu L, Chui WH. Social support and Chinese female offenders’ prison adjustment. Prison J. 2014;94(1):30–51.

19. Wilkins B. Book Review: Stress, Coping, and Development: An Integrative Perspective, 2nd ed. by Aldwin CM. New York: Guilford; 2008.

20. Zeng X, Lu M, Chen M. The relationship between family intimacy and relapse tendency among people who use drugs: a moderated mediation model. Subst Abuse Treat Prev Policy. 2021;16:48.

21. Bandura A. Guide to the construction of self-efficacy scales. In: Self-Efficacy Beliefs Adolesc. 2006. p. 307–37.

22. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191.

23. Bandura A. Self-efficacy: The exercise of control. New York: Freeman; 1997.

24. Greco A, Steca P, Pozzi R, Monzani D, D’Addario M, Villani A, et al. Predicting depression from illness severity in cardiovascular disease patients: self-efficacy beliefs, illness perception, and perceived social support as mediators. Int J Behav Med. 2014;21(2):221–9.

25. Burling TA, Reilly PM, Moltzen JO, Ziff DC. Self-efficacy and relapse among inpatient drug and alcohol abusers: a predictor of outcome. J Stud Alcohol. 1989;50(4):354–60.

26. Hoeppner BB, Kelly JF, Urbanoski KA, Slaymaker V. Comparative utility of a single-item versus multiple-item measure of self-efficacy in predicting relapse among young adults. J Subst Abuse Treat. 2011;41(3):305–12.

27. Lozano BE, Stephens RS. Comparison of participatively set and assigned goals in the reduction of alcohol use. Psychol Addict Behav. 2010;24(3):581.

28. Forcehimes AA, Tonigan JS. Self-efficacy as a factor in abstinence from alcohol/other drug abuse: A meta-analysis. Alcohol Treat Q. 2008;26(4):480–89.

29. Kelly J, Greene MC. Where there's a will there's a way: a longitudinal investigation of the interplay between recovery motivation and self-efficacy in predicting treatment outcome. Psychol Addict Behav. 2014;28(3):928.

30. Saks AM. Longitudinal field investigation of the moderating and mediating effects of self-efficacy on the relationship between training and newcomer adjustment. J Appl Psychol. 1995;80(2):211.

31. Schwarzer R, Jerusalem M. Generalized self-efficacy scale. In: Measures in health psychology: A user’s portfolio. Causal and control beliefs. 1995. p. 35–7.

32. Sekaran U, Bougie R. Research methods for business: A skill building approach. 7th ed. Chichester: John Wiley & Sons; 2016.

33. Sugiyono. Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Bandung: Alfabeta; 2017.

34. Notoatmodjo S. Metodologi penelitian kesehatan. Jakarta: Rineka Cipta; 2010.

35. Arikunto S. Prosedur Penelitian: Suatu Pendekatan Praktik. Jakarta: Rineka Cipta; 2010.

36. World Health Organization. Management of substance abuse: Lexicon of alcohol and drug terms published by the World Health Organization [Internet]. Geneva: WHO; 1994 [cited 2021 Jul 2]. Available from: https://www.who.int/substance_abuse/terminology/who_lexicon/en/

37. BNN. Peta Ketahanan Keluarga Terhadap Penyalahgunaan Narkoba di Provinsi Jawa Barat Tahun 2019. Jakarta: Badan Narkotika Nasional; 2019.

38. Widhiarso W. Skala psikologi: konsep dasar pengembangan alat ukur psikologi. Yogyakarta: UGM Press; 2020.

39. Suminar DR, Zulkarnain I. Dukungan sosial, efikasi diri dan kebermaknaan hidup pada penyalahguna narkoba yang sedang menjalani rehabilitasi. J Psikol. 2012;39(2):226–36.

40. Yusuf AM. Metodologi Penelitian (Quantitatif, Kualitatif & Penelitian Gabungan). Jakarta: Prenadamedia Group; 2017.

41. Hayati EN, Sari CYI. Efikasi diri dalam mencegah kekambuhan pada residen pengguna narkoba. J Psikol Ulayat. 2020;7(2):183–97.

42. Amelia H, Harahap PP, Lubis DP. Hubungan efikasi diri dan dukungan sosial dengan resiliensi pada residen wanita pengguna narkoba. J Ris Psikol. 2021;12(1):93–102.

43. Helmi T, Pratiwi FD. Efikasi diri pada mantan pecandu narkoba. Psikoislamika J Psikol Isl. 2018;15(1):65–74.

44. Rosnani R, Nurwahidah N. Hubungan dukungan sosial dan efikasi diri terhadap kecemasan menghadapi masa rehabilitasi pengguna narkoba. Al-Mashlahah J Ilm Ilmu Syariah. 2022;10(2):1–11.

45. Winahyu KM, Hartati RS. Hubungan efikasi diri dengan resiliensi pada mantan narapidana kasus narkoba. J Psychol Sci Prof. 2022;6(2):113–22.

46. Lailyun N, Retnowati S. Pengaruh religiusitas dan efikasi diri terhadap resiliensi narapidana kasus narkotika. Psikostudia J Psikol. 2021;10(3):212–21.

47. Nisa K, Ekawati YN. Dukungan sosial teman sebaya terhadap efikasi diri pada narapidana di Lapas Narkotika Kelas IIA Yogyakarta. J Penelitian Psikol. 2022;9(1):15–24.

48. Wahyuningsih M, Iswanti FC. Pengaruh efikasi diri dan dukungan sosial terhadap kecenderungan kekambuhan pada mantan pecandu narkoba. J Riset Psikol. 2019;10(1):1–8.

49. Puspitasari IM, Azhar K. Hubungan efikasi diri dengan intensi kekambuhan pengguna narkoba pasca rehabilitasi. J Psikol Islam. 2021;8(1):1–13.

50. Fitriyana H, Nursalam N, Yusuf A, Hargono R. Efikasi diri, kontrol diri dan mekanisme koping terhadap kekambuhan penyalahgunaan zat. J Ners. 2021;15(3):583–9.

51. Isnaini R. Efikasi diri dalam mencegah kekambuhan pada residen pengguna narkoba. J Psikol Islam. 2022;9(2):85–93.

52. Utami EM, Suhariadi F. Pengaruh pelatihan efikasi diri terhadap peningkatan efikasi diri dan penurunan kecenderungan kekambuhan pada klien narkoba. J Psikol Isl. 2017;4(1):1–15.

53. Febrianti R. Hubungan antara efikasi diri dengan resiliensi pada pengguna narkoba yang sedang menjalani masa rehabilitasi. J Psikol Isl. 2021;8(1):35–47.

54. Zahroh W. Efikasi diri dan resiliensi terhadap kecenderungan kekambuhan pecandu narkoba. J Psikol. 2022;18(2):95–106.

55. Azhar M. Hubungan antara efikasi diri dengan resiliensi pada pengguna narkoba yang menjalani rehabilitasi. J Psikol Klin dan Kesehat Ment. 2020;9(1):12–8.

56. Siregar M, Hutapea K. Efikasi diri dalam mencegah kekambuhan pada residen pengguna narkoba. J Psikodimensia. 2022;21(1):75–84.

57. Lestari A. Efikasi diri dan strategi koping terhadap kecenderungan kekambuhan pada residen pengguna narkoba. J Ilmu Perilaku. 2022;6(2):102–10.

58. Ramadhani K. Hubungan antara dukungan sosial dan efikasi diri dengan kecenderungan kekambuhan pada pengguna narkoba. J Psikol. 2022;19(1):43–53.

59. Pratiwi RE. Pengaruh efikasi diri terhadap kecenderungan kekambuhan pada pengguna narkoba yang sedang menjalani rehabilitasi. J Psikodimensia. 2021;20(2):121–8.

60. Hidayati NO, Dewi S, Mentari VZ, Nurhidayah I. Mental Health Problems among Adolescent Prisoners: A Literature Review. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal). 2023;9(4).

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Published

2025-04-30

How to Cite

Yanuarti, T., Daud, M. N. B. M., Mohamed, N. H. B., Atil, A. B., & Triaswati, R. (2025). The Relationship between Self-efficacy, Resilience and Social Support with Relapse Tendency in Substance Use Disorder in Indonesia. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 11(2), 234–243. https://doi.org/10.33755/jkk.v11i2.851