The Relation Between Social Support, Coping Skill And Concurrent Drug Use Among Methadone Maintenance Treatment Clients At Kelantan

Introduction: Concurrent drug use among MMT clients has raised serious concerns and undermined the effectiveness of MMT program. Enhancing and maintaining the client’s good social support and coping skill may have potential to counter this problem. To clarify this issue, we comprehensively explored...

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Main Author:	Ahmad Fatihi Bin Makhtar
Format:	Thesis
Language:	en_US
Subjects:	Methadone maintenance > Malaysia Drug abuse > Treatment
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id	my-usim-ddms-12598
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spelling	my-usim-ddms-125982024-05-29T04:24:19Z The Relation Between Social Support, Coping Skill And Concurrent Drug Use Among Methadone Maintenance Treatment Clients At Kelantan Ahmad Fatihi Bin Makhtar Introduction: Concurrent drug use among MMT clients has raised serious concerns and undermined the effectiveness of MMT program. Enhancing and maintaining the client’s good social support and coping skill may have potential to counter this problem. To clarify this issue, we comprehensively explored the relation between social support, coping skills and concurrent drug use among MMT clients at Kelantan. Method: Face-to-face surveys were conducted with 312 clients randomly recruited from 28 MMT government facilities throughout each district at Kelantan. The Multidimensional Scale of Perceived Social Support (MSPSS) was used to assess client’s perceived social support, the Brief COPE questionnaire was used to assess coping strategies and concurrent heroin use was measured based on self-report of concurrent drugs use during the past 7, 30 and 90 days. Result: Among the 312 participants, 48.4% self-reported to have continued illicit drug use within 30 days with used opiate 49.7% and followed by Amphetamines (Pil Kuda) with 39%. Among them, 42.9% reported still practiced injected opiate drugs and 10.2% reported injected amphetamine (Pil Kuda). Based on our analysis, it was found that having higher levels of perceived social support (OR=0.98, 95% CI .96,.990) and the implementation of adaptive coping strategies (OR=0.92, 95% CI .87-.97) was associated with lower likelihood of concurrent drug use. On the other hand, the use of maladaptive coping strategies (OR=1.19, 95% CI 1.12,1.26) such as self-blame, humour, substance use and behavioural disengagement and unsatisfied with dose (OR=2.19, 95% CI 1.07,4.48) was associated with increased likelihood of concurrent drug use. Conclusion: Adaptive coping strategies synergized with higher levels of perceived social support may serve a key psychosocial predictor in successful recovery process among MMT clients at Kelantan. Universiti Sains Islam Malaysia 2022-08 Thesis en_US https://oarep.usim.edu.my/handle/123456789/12598 https://oarep.usim.edu.my/bitstreams/c3edd9e4-09a4-464b-96d7-ae4f48ada71e/download 8a4605be74aa9ea9d79846c1fba20a33 Methadone maintenance--Malaysia Drug abuse--Treatment
institution	Universiti Sains Islam Malaysia
collection	USIM Institutional Repository
language	en_US
topic	Methadone maintenance--Malaysia Drug abuse--Treatment
spellingShingle	Methadone maintenance--Malaysia Drug abuse--Treatment Ahmad Fatihi Bin Makhtar The Relation Between Social Support, Coping Skill And Concurrent Drug Use Among Methadone Maintenance Treatment Clients At Kelantan
description	Introduction: Concurrent drug use among MMT clients has raised serious concerns and undermined the effectiveness of MMT program. Enhancing and maintaining the client’s good social support and coping skill may have potential to counter this problem. To clarify this issue, we comprehensively explored the relation between social support, coping skills and concurrent drug use among MMT clients at Kelantan. Method: Face-to-face surveys were conducted with 312 clients randomly recruited from 28 MMT government facilities throughout each district at Kelantan. The Multidimensional Scale of Perceived Social Support (MSPSS) was used to assess client’s perceived social support, the Brief COPE questionnaire was used to assess coping strategies and concurrent heroin use was measured based on self-report of concurrent drugs use during the past 7, 30 and 90 days. Result: Among the 312 participants, 48.4% self-reported to have continued illicit drug use within 30 days with used opiate 49.7% and followed by Amphetamines (Pil Kuda) with 39%. Among them, 42.9% reported still practiced injected opiate drugs and 10.2% reported injected amphetamine (Pil Kuda). Based on our analysis, it was found that having higher levels of perceived social support (OR=0.98, 95% CI .96,.990) and the implementation of adaptive coping strategies (OR=0.92, 95% CI .87-.97) was associated with lower likelihood of concurrent drug use. On the other hand, the use of maladaptive coping strategies (OR=1.19, 95% CI 1.12,1.26) such as self-blame, humour, substance use and behavioural disengagement and unsatisfied with dose (OR=2.19, 95% CI 1.07,4.48) was associated with increased likelihood of concurrent drug use. Conclusion: Adaptive coping strategies synergized with higher levels of perceived social support may serve a key psychosocial predictor in successful recovery process among MMT clients at Kelantan.
format	Thesis
author	Ahmad Fatihi Bin Makhtar
author_facet	Ahmad Fatihi Bin Makhtar
author_sort	Ahmad Fatihi Bin Makhtar
title	The Relation Between Social Support, Coping Skill And Concurrent Drug Use Among Methadone Maintenance Treatment Clients At Kelantan
title_short	The Relation Between Social Support, Coping Skill And Concurrent Drug Use Among Methadone Maintenance Treatment Clients At Kelantan
title_full	The Relation Between Social Support, Coping Skill And Concurrent Drug Use Among Methadone Maintenance Treatment Clients At Kelantan
title_fullStr	The Relation Between Social Support, Coping Skill And Concurrent Drug Use Among Methadone Maintenance Treatment Clients At Kelantan
title_full_unstemmed	The Relation Between Social Support, Coping Skill And Concurrent Drug Use Among Methadone Maintenance Treatment Clients At Kelantan
title_sort	relation between social support, coping skill and concurrent drug use among methadone maintenance treatment clients at kelantan
granting_institution	Universiti Sains Islam Malaysia
_version_	1812444690679595008

The Relation Between Social Support, Coping Skill And Concurrent Drug Use Among Methadone Maintenance Treatment Clients At Kelantan

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