Overcoming methamphetamine withdrawal syndrome through cognitive behavioural therapy in female correctional inmates

Khirza Maulida Fitri; Rita Hadi Widyastuti

doi:10.26714/mki.4.4.2021.323-329

Overcoming methamphetamine withdrawal syndrome through cognitive behavioural therapy in female correctional inmates

Khirza Maulida Fitri⁽¹⁾, Rita Hadi Widyastuti^(2*)

(1) Nursing Department, Medicine Faculty, Universitas Diponegoro
(2) Nursing Department, Medicine Faculty, Universitas Diponegoro
(*) Corresponding Author

Abstract

Cognitive-behavioural therapy (CBT) approaches have among the highest level of empirical support for drug and alcohol use disorder treatment. The unbearable impact of withdrawal syndrome such as physical related problems, psychological, social and behavioural can take a long-term impact such as affective and anxiety disorder that can lead to depression. CBT as an intervention that improves coping-skill, and strategy to change a maladaptive mindset should be convenient to reduce withdrawal symptoms. The effect of CBT intervention on the severity of the symptoms of methamphetamine withdrawal syndrome is still narrow. This research is aimed to find out the CBT effect on withdrawal symptoms in both qualitative and quantitative methods on female inmates. This research uses a case study design. Data were conducted using Amphetamine Withdrawal Questionnaire (AWQ) before and after CBT intervention. Data were analyzed using univariate analysis presented as distribution frequency on both before and after the intervention and discussed with single case analysis. The result showed that CBT affects reducing withdrawal syndrome symptoms severity after 4 weeks and 4 session intervention. CBT affects decreasing withdrawal syndrome severity level. Based on these findings, the correctional nurse needs to develop comprehensive nursing care by providing CBT on a rehabilitation program to decrease female inmates’ withdrawal syndrome severity level.

Keywords

Withdrawal syndrome; Cognitive behavioral therapy; Female inmates

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References

Joe GW, Rowan-Szal GA, Greener JM, Dwayne Simpson D, Vance J. Male Methamphetamine-User Inmates in Prison Treatment: During Treatment Outcomes. J Subst Abus Treat 2010;38. https://doi.org/10.1016/j.jsat.2009.08.002.Male.

Adiyanti MG. Inisiasi Ketangguhan Masyarakat dalam Mengatasi Adiksi NAPZA : Menelaah Program Rehabilitasi Initiation of Community Resilience on Drug Addiction : Exploring Rehabititation Programs 2019;27:87–108. https://doi.org/10.22146/buletinpsikologi.45890.

Hairina Y, Komalasari S. Kondisi Psikologis Narapidana Narkotika Di Lembaga Permasyarakatan Narkotika Klas II Karang Intan Martapura, Kalimantan Selatan. J Stud Insa 2017;5:94–104. https://doi.org/http://dx.doi.org/10.18592/jsi.v5i1.1353.

Kemenkes. Gambararn Umum Penyalashgunaan Narkoba di Indonesia. Bul Jendela Data Dan Inf 2014.

WHO. Clinical guidelines for withdrawal management and treatment of drug dependence in closed settings. Manila: WHO Library Cataloguing in Publication Data Clinical; 2009.

NSW H. Guideline Drug and Alcohol Withdrawal Clinical Practice Guidelines - NSW 2008.

Smout M. Psycotherapy for Methamphetamine Dependence : Treatment Manual. March. Gouverment of South Australia; 2008.

Mcgregor C, Clin MP, Ph D, Srisurapanont M, D M, Mitchell A, et al. Psychometric evaluation of the Amphetamine Cessation Symptom Assessment 2008;34:443–9. https://doi.org/10.1016/j.jsat.2007.05.007.

Vik PW. Methamphetamine Use By Incarcerated Women: Comorbis Mood and Anxiety Problem. Women’s Heal 2007:256–63. https://doi.org/10.1016/j.whi.2006.12.004.

Der-Avakian A, Markou A. Withdrawal from chronic exposure to amphetamine, but not nicotine, leads to an immediate and enduring deficit in motivated behavior without affecting social interaction in rats. Behav Pharmacol 2010;21:359–68. https://doi.org/10.1097/FBP.0b013e32833c7cc8.Withdrawal.

Manning V, Gar JBB, Mroz K, Campbell SC, Piercy H, Staiger PK, et al. Journal of Substance Abuse Treatment Feasibility and acceptability of approach bias modi fi cation during methamphetamine withdrawal and related methamphetamine use outcomes 2019;106:12–8. https://doi.org/10.1016/j.jsat.2019.07.008.

Grigg J, Manning V, Arunogiri S, Volpe I, Frei M, Phan V, et al. Methamphetamine Treatment Guidelines : Practice Guidelines for Health Professionals. Second Edi. Victoria: Turning Point; 2018.

Baker A, Kay-Lambkin F, Lee NK, Claire M, Jenner L. A brief cognitive behavioural intervention for regular amphetamine users : A treatment guide. Newcastle: Australian Government Department of Health and Ageing; 2003.

Vujanovic AA, Smith LJ, Green CE, Lane SD, Schmitz JM. Development of a novel , integrated cognitive-behavioral therapy for co-occurring posttraumatic stress and substance use disorders : A pilot randomized clinical trial. Contemp Clin Trials 2018;65:123–9. https://doi.org/10.1016/j.cct.2017.12.013.

Jalali F. The Effectiveness of Cognitive-Behavioral Group Therapy in Reducing Craving among Methamphetamine Abusers Living with HIV / AIDS. IMedPub Journals 2018;4:1–8. https://doi.org/10.21767/2471-853X.100076.

Carroll KM, Kiluk BD. Cognitive Behavioral Interventions for Alcohol and Drug Use Disorders: Through the Stage Model and Back Again. Psychol Addict Behav 2018;31:847–61. https://doi.org/10.1037/adb0000311.Cognitive.

Brook S, Fitzgerald L, Selvey L, Maher L. International Journal of Drug Policy Turning points , identity , and social capital : A meta-ethnography of methamphetamine recovery 2019;67:79–90. https://doi.org/10.1016/j.drugpo.2019.02.002.

Srisurapanont M, Jarusuraisin N, Jittiwutikan J. Amphetamine withdrawal : I . Reliability , validity and factor structure of a measure 1998.

Hill R. Evidence-Based Practices for Treatment of Methamphetamine Dependency: A Review. Guleph: Community Enganged Scholarship Institute; 2015.

Yin RK. Case study research and applications: Design and methods. sixth. Los Angeles: SAGE Publication; 2018.

Wolitzky-taylor K, Drazdowski TK, Niles A, Roy-byrne P, Ries R, Rawson R, et al. Behaviour Research and Therapy Change in anxiety sensitivity and substance use coping motives as putative mediators of treatment e ffi cacy among substance users. Behav Res Ther 2018;107:34–41. https://doi.org/10.1016/j.brat.2018.05.010.

Wolitzky-taylor K, Niles AN, Ries R, Krull JL, Rawson R, Roy-byrne P, et al. Behaviour Research and Therapy Who needs more than standard care ? Treatment moderators in a randomized clinical trial comparing addiction treatment alone to addiction treatment plus anxiety disorder treatment for comorbid anxiety and substance use disord. Behav Res Ther 2018;107:1–9. https://doi.org/10.1016/j.brat.2018.05.005.