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Abstract

Knowing the patient’s personality can assist the clinician in improving their relationship and tailoring the interventions for the patient. Several studies have reported that treatment and prevention programs must be tailored to an individual’s social and cultural attributes to facilitate continuous recovery and prevent relapse. This study aimed to develop a deeper understanding of the personality typology, clinical features, and risk of relapse in Filipinos with substance use problems in rehabilitation centers. We used a sequential-explanatory mixed-method approach with two phases (Phase 1: descriptive, cross-sectional design; Phase 2: phenomenological design) to provide an evidence-based framework to tailor treatment according to the personality of individuals with substance use problems. Phase 1 results revealed only one personality cluster for Filipinos with substance use problems, i.e., neurotic-extravert. Participants also had high scores on different scales in the MCMI-III and displayed high chances of reusing illicit substances. Phase 2 revealed four themes: avoidance coping, unwillingness to change, preference for social activities, and perceived lack of support. Integrating the findings of our two phases led to the development of the proposed treatment framework for Filipinos with substance use problems, including activities focused on developing positive coping mechanisms, increasing the motivation of Filipinos with substance use problems, having social activities, fostering support systems, and a post-treatment program. Our study’s findings may aid mental health professionals engaged in substance use prevention and recovery in creating better treatment programs and reducing posttreatment relapse tendencies.

Bahasa Abstract

Mengetahui kepribadian pasien dapat membantu klinisi meningkatkan hubungan dengan pasien serta menyesuaikan intervensi yang lebih efektif. Beberapa penelitian melaporkan bahwa program pengobatan dan pencegahan harus disesuaikan dengan atribut sosial dan budaya individu untuk memfasilitasi pemulihan berkelanjutan mencegah kekambuhan. Penelitian ini bertujuan untuk mengembangkan pemahaman yang lebih dalam mengenai tipe kepribadian, fitur klinis, dan risiko kambuh pada warga Filipina dengan masalah penyalahgunaan zat di pusat rehabilitasi. Kami menggunakan pendekatan mixed-method jenis sequential-explanatory dengan dua fase (Fase 1: desain deskriptif, cross-sectional; Fase 2: desain fenomenologis) untuk menyediakan kerangka kerja berbasis bukti yang dapat menyesuaikan perawatan sesuai dengan kepribadian individu dengan masalah penyalahgunaan zat. Hasil Fase 1 mengungkapkan hanya satu klaster kepribadian untuk warga Filipina dengan masalah penyalahgunaan zat, yaitu Neurotik-Ekstravert. Partisipan juga memiliki skor tinggi pada berbagai skala dalam MCMI-III dan menunjukkan peluang tinggi untuk kembali menggunakan zat terlarang. Sementara itu, Fase 2 mengungkapkan empat tema: Coping Avoidance, Ketidakmauan untuk Berubah, Preferensi pada Aktivitas Sosial, dan Kurangnya Dukungan yang Dirasakan. Integrasi temuan dari dua fase ini menghasilkan pengembangan kerangka perawatan yang diusulkan bagi warga Filipina dengan masalah penyalahgunaan zat, termasuk aktivitas yang difokuskan pada pengembangan mekanisme coping positif, peningkatan motivasi, penyediaan aktivitas sosial, penguatan sistem dukungan, dan program pasca perawatan. Temuan penelitian kami dapat membantu para profesional kesehatan mental yang terlibat dalam pencegahan dan penyalahgunaan zat untuk menciptakan program perawatan yang lebih baik dan mengurangi kecenderungan kekambuhan setelah perawatan.

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