Development and Evaluation of a Family-Centered Psychological Intervention Program on Self-Worth in Women with Substance Use Disorder
Keywords:
Family-centered intervention, self-worth, women’s addiction.Abstract
Objective: The present study aimed to develop and evaluate the effectiveness of a culturally adapted family-centered psychological intervention program in improving self-worth and its components among women with substance use disorders.
Methods and Materials: This research employed a mixed-methods design. In the qualitative phase, a descriptive phenomenological approach was used, and data were collected through semi-structured interviews with 10 addiction specialists and therapists in Tehran, which were analyzed using Colaizzi’s thematic analysis method. The extracted themes informed the development of a 12-session family-centered psychological intervention program whose content validity was confirmed using CVR and CVI indices. In the quantitative phase, a quasi-experimental pretest–posttest design with a control group was implemented. Thirty women with substance use disorders were selected from addiction treatment centers in Tehran and randomly assigned to an experimental group (n = 15) and a control group (n = 15). The Self-Worth Scale was administered before and after the intervention. Data were analyzed using multivariate and univariate analyses of covariance in SPSS.
Findings: Multivariate analysis of covariance revealed a significant overall effect of the intervention on posttest self-worth and its components (p < .001). Univariate ANCOVA indicated significant improvements in total self-worth, family support, competition and achievement, physical appearance, divine love, academic competence, virtue and moral integrity, and approval from others in the experimental group compared with the control group (all p < .01), with large effect sizes.
Conclusion: The family-centered psychological intervention was highly effective in enhancing self-worth and multiple dimensions of psychological functioning in women with substance use disorders, highlighting the central role of family processes in addiction recovery and psychosocial rehabilitation.
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References
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