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Psychosocial Predictors of Relapse Prevention among Newly Discharged Substance Use Disorder Patients in a Nigerian Psychiatric Facility

Adesola Comfort Akinpelu and Raymond Ozemoya Igomigo
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Adesola Comfort Akinpelu: Department of Psychology, University of Ibadan
Raymond Ozemoya Igomigo: Department of Psychology, University of Ibadan

International Journal of Research and Scientific Innovation, 2025, vol. 12, issue 7, 1561-1566

Abstract: Background: Relapse following treatment for substance use disorder (SUD) presents a global public health concern, particularly in low- and middle-income countries. Despite treatment gains, many patients experience relapse shortly after discharge, often due to psychosocial challenges that are insufficiently addressed in conventional interventions. Aim: This study investigates the influence of self-efficacy, coping strategies, perceived social support, and treatment adherence on relapse prevention among newly discharged SUD patients in Nigeria. Method: Using a mixed-method approach, 187 patients discharged from the Federal Neuropsychiatric Hospital, Yaba were surveyed using standardized instruments: the General Self-Efficacy Scale, Brief COPE, MSPSS, MMAS-8, and the Advance Warning of Relapse Questionnaire. Qualitative interviews were also conducted and analyzed thematically. Results: Quantitative analysis showed that all four psychosocial variables significantly predicted relapse prevention (R² = 0.619, p

Date: 2025
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