Browsing by Author "Tizitawork Enkubahiry"

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    Psychosocial predictors of relapse risk among patients with substance use disorders in mental health facilities in Addis Ababa, Ethiopia
    (Addis Ababa University, 2026-06) Tizitawork Enkubahiry; Assefa Berihun
    Substance use disorder is a major public health concern characterized by high rates of relapse, which negatively affects treatment outcomes and long term recovery, and despite the existence of treatment programs, psychosocial factors such as loneliness, perceived stigma, and social support remain insufficiently understood as predictors of relapse, particularly in the Ethiopian context. As a result, this study assessed psychosocial factors as predictors of relapse among patients with substance use disorder receiving treatment in mental health facilities in Addis Ababa, Ethiopia. The study was conducted using an institution based cross sectional design, and a consecutive sampling technique was employed to select 422 patients receiving treatment for substance use disorder in selected mental health facilities. To gather relevant data, the research employed standardized questionnaires, including the AWARE scale for relapse, the revised UCLA Loneliness Scale, the Perceived Stigma of Addiction Scale (PSAS), and the Multidimensional Scale of Perceived Social Support (MSPSS), and the data were analyzed using IBM SPSS Statistics version 26 through descriptive statistics, Pearson correlation analysis, and multiple linear regression analysis, with statistical significance considered at p < .05. Among the main findings of the study, all three psychosocial factors predicted relapse independently and jointly, with loneliness and perceived stigma positively associated with relapse (β = .465, p < .05 and β = .424, p < .05, respectively), while perceived social support was negatively associated with relapse (β = -.566, p < .05), and together these factors accounted for approximately 41.4% of the variance in relapse among patients with substance use disorder. According to the findings of the study, the researcher concluded that psychosocial factors play a significant role in relapse among patients with substance use disorder attending treatment facilities, and recommended that mental health facilities and other stakeholders should consider strengthening social support systems, reducing stigma, and addressing loneliness within treatment and rehabilitation services in order to improve long term recovery and reduce relapse rates. Keywords: Substance use disorder, Relapse, Loneliness, Perceived stigma, Social support