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Home⇛Journal of Interdisciplinary Perspectives⇛vol. 4 no. 3 (2026)

Exploring Self-Stigma, Resilience, and Risk of Relapse Among Plea Bargainers in Drug-Related Cases: Basis for the Enhancement of Community Assisted Recovery and Rehabilitation Outpatient Training Services – Salubong Aftercare

Bernie B. Valencia | Elmer Gonzales De Jose

Discipline: social sciences (non-specific)

 

Abstract:

The main purpose of the study was to investigate whether self-stigma and resilience were predictors of risk of relapse among plea bargainers in drugrelated cases, utilizing a descriptive correlation design. A non-probability sampling, specifically a combination of purposive and convenience sampling, was employed. A total of three hundred male plea bargainers in drug-related cases participated in the study. Results revealed that among the respondents, neither self-stigma nor resilience significantly predicted the risk of relapse. However, internalized stigma, as a domain of self-stigma, significantly predicted Compulsivity for Drug (CD), a domain of risk of relapse. Similarly, Enacted Stigma, Anticipated Stigma, and Overall Self-Stigma collectively predicted the Lack of Negative Expectancy for the Drug (NE). The study's results helped enhance Community Assisted Recovery and Rehabilitation Outpatient Training Services - Salubong Aftercare in community-based drug rehabilitation.



References:

  1. Andrade, C. (2020). The inconvenient truth about convenience and purposive samples. Indian Journal of Psychological Medicine, 43(1), 86–88. https://doi.org/10.1177/0253717620977000 Budhwani, H., Hearld, K., Hasbun, J.,
  2. Charow, R., Rosario, S., Tillotson, L., McGlaughlin, E., & Waters, J. (2017). Transgender female sex workers’ HIV knowledge, experienced stigma, and condom use in the Dominican Republic. PLOS One, 12(11), e0186457. https://doi.org/10.1371/journal.pone.0186457 
  3. Bueza, M. (2017). IN NUMBERS: The Philippines’ ‘war on drugs. Rappler. https://tinyurl.com/7zjfp88v 
  4. Chen, D., & Anderson, C. (2023). Categorical data analysis. International Encyclopedia of Education (Fourth Edition), pp. 575–582.
  5. Ciocchini, P., & Lamchek, J. (2023). The “War on Drugs” in Philippine criminal courts: Legal professionals’ moral discourse and plea bargaining in drug-related cases. Criminal Legalities and Minorities in the Global South, pp. 209–228. https://doi.org/10.1007/978-3-031-17918-1_11 
  6. Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 614–625.
  7. da Silveira, P.S., Casela, A.L.M., Monteiro, É.P., Ferreira, G.C.L., de Freitas, J.V.T., Machado, N.M., Noto, A.R., & Ronzani, T.M. (2018). Psychosocial understanding of self-stigma among people who seek treatment for drug addiction. Stigma and Health, 3(1), 42–52. https://doi.org/10.1037/sah0000069 
  8. Dallas, J.C., Jullamate, P., Vatanasin, D., Moungkum, S., Nadarajan, S., & Krungkraipetch, N. (2023). Resilience and influencing factors among youths undergoing substance abuse treatment in Thailand: A cross-sectional study. Sage Open Nursing, 9, 237796082311579. https://doi.org/10.1177/23779608231157986 
  9. Dormann, C.F., Elith, J., Bacher, S., Buchmann, C., Carl, G., Carré, G., & Lautenbach, S. (2013). Collinearity: A review of methods to deal with it and a simulation study evaluating their performance. Ecography, 36(1), 27–46. 
  10. Douglas, H. (2022). Sampling techniques for qualitative research. Principles of Social Research Methodology, pp. 415–426.
  11. Elkalla, I.H.R., El-Gilany, A.-H., Baklola, M., et al. (2023). Assessing self-stigma levels and associated factors among substance use disorder patients at two selected psychiatric hospitals in Egypt: A cross-sectional study. BMC Psychiatry, 23, 592. https://doi.org/10.1186/s12888-023-05093-0 
  12. Ellingsen, M.M., Clausen, T., Johannesen, S.L., Martinsen, E., & Hallgren, M. (2023). Effects of acute exercise on affect, anxiety, and self-esteem in poly-substance dependent inpatients.  European Addiction Research, 29(4), 285–293. https://doi.org/10.1159/000531042 
  13. Farooq, N., & Riaz, S. (2022). Psychosocial factors as the determinants of relapse in individuals with substance use disorder. International Journal of Innovations in Science and Technology, 4(6), 97–104. https://doi.org/10.33411/ijist/2022040611 
  14. Gnawali, Y.P. (2022). Use of Mathematics in quantitative research. Ganeshman Darpan, 7(1), 10–15. https://doi.org/10.3126/gd.v7i1.53528 
  15. Hair, J., Jr., Black, W., Babin, B., & Anderson, R. (2014). Multivariate data analysis (7th ed.). Pearson. 
  16. Hakimian, J., Dong, T., Barahona, J., Lagishetty, V., Tiwari, S., Azani, D., Barrera, M., Lee, S., Severino, A., Mittal, N., Cahill, C., Jacobs, J., & Walwyn, W. (2019). Dietary supplementation with Omega-3 Polyunsaturated Fatty Acids reduces opioid-seeking behaviors and alters the gut microbiome. Nutrients, 11(8), 1900.
  17. Hendianti, G.N., & Uthis, P. (2018). Factors related to methamphetamine relapse risk among clients in the substance rehabilitation center of National Narcotics Board in West Java, Indonesia.  Journal of Health Research, 32(4), 279–287. https://doi.org/10.1108/jhr-05-2018-035 
  18. Hernanto, F.F., Harsa, A.P., & Permana, R.A. (2020). Resilience among drug abuser under treatment program in drug rehabilitation center in Surabaya. Journal of Vocational Nursing, 1(2), 135. https://doi.org/10.20473/jovin.v1i2.23561 
  19. Hoidrag, T. (2022). Self-stigma associated with seeking psychological help in adolescents with addictive behaviors.  
  20. Ishtiaq, M. (2019). Book Review: Creswell, J. W. (2014). Research design: Qualitative, quantitative and mixed methods approach (4th ed.). Thousand Oaks, CA: Sage. English Language Teaching, 12(5), 40. https://doi.org/10.5539/elt.v12n5p40 
  21. Jan, M.M., Faisal, U., Ahmad, T., Waheed, F., Ehsan, N., Bilal, L.Z., Akbar, T., Ullah, H., Malik, A.S., Nawaz, S., & Ahmed, F. (2022). Assessment of risk factors of relapse in drug addicts in rehabilitation centers in Peshawar City. Journal of Medical Sciences, 30(04), 265–269. https://doi.org/10.52764/jms.22.30.4.6 
  22. Jang, K.W., Lee, H.K., Park, B.J., Kang, H.-C., Lee, S.-K., Kim, C.-H., Nam, S.K., & Roh, D. (2023). Social stigma and discrimination toward people with drug addiction: A national survey in Korea. Psychiatry Investigation, 20(7), 671–680. https://doi.org/10.30773/pi.2023.0065 
  23. Kassani, A., Niazi, M., Hassanzadeh, J., & Menati, R. (2015). Survival analysis of drug abuse relapse in addiction treatment centers. International Journal High Risk Behaviors & Addiction, 4(3). https://doi.org/10.5812/ijhrba.23402 
  24. Kim, E.Y., & Jang, M.H. (2019). The mediating effects of self-esteem and resilience on the relationship between internalized stigma and quality of life in people with schizophrenia. Asian Nursing Research, 13(4), 257–263. https://doi.org/10.1016/j.anr.2019.09.004 
  25. Massah, O., Taremian, F., Moloodi, R., Farhadi, M.H., & Ahounbar, E. (2018). Relapse among patients referring to residential rehabilitation centers for drug use disorders in Iran and its related factors. Iranian Rehabilitation Journal, 139–146. https://doi.org/10.32598/irj.16.2.139 
  26. Maxwell, S.E. (2000). Sample size and multiple regression analysis. Psychological Methods, 5(4), 434–458.
  27. Moore, K.E., Stein, M.D., Kurth, M.E., Stevens, L., Hailemariam, M., Schonbrun, Y.C., & Johnson, J.E. (2019). Risk factors for self-stigma among incarcerated women with alcohol use disorder.  Stigma and Health, 5(2), 158–167. https://doi.org/10.1037/sah0000182 
  28. Motyka, M., Al-Imam, A., Haligowska, A., & Michalak, M. (2022). Helping women suffering from drug addiction: Needs, barriers, and challenges. International Journal of Environmental Research and Public Health, 19(21), 14039. https://doi.org/10.3390/ijerph192114039
  29. Newman, B.N., & Crowell, K.A. (2021). The intersectionality of criminality and substance use self-stigmas. Stigma and Health, 8(2), 212–222.
  30. Ogai, Y., Haraguchi, A., Kondo, A., Ishibashi, Y., Umeno, M., Kikumoto, H., Hori, T., Komiyama, T., Kato, R., Aso, K., Asukai, N., Senoo, E., & Ikeda, K. (2007). Development and validation of Stimulant Relapse Risk Scale for drug abusers in Japan. Drug and Alcohol Dependence, 88, 174–171. 
  31. Pallant, J. (2021). SPSS survival manual: A step-by-step guide to data analysis using IBM SPSS (9th ed.). Open University Press. 
  32. Pilafas, G., Strongylaki, N.P., Papaioannou, D., Menti, D., & Lyrakos, G. (2020). Adaptation of “Nicholson McBride Resilience Questionnaire” (NMRQ) in Greek. A reliability and validity study in an epidemiological Greek sample. Health & Research Journal, 6(4), 123. https://doi.org/10.12681/healthresj.25629 
  33. Post, F., Buchta, M., Kemmler, G., Pardeller, S., Frajo-Apor, B., & Hofer, A. (2021). Resilience predicts self-stigma and stigma resistance in stabilized patients with Bipolar I Disorder. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.678807 
  34. Raharni, R., Isfandari, S., Purnamasari, T., Susianti, A.L., & Mujiati, M. (2022). Determinant factors of narcotics, psychotropic, and addictive substances abuse relapse in a drug rehabilitation centre in Indonesia. Pharmacy Education, 22(2), 207–212. https://doi.org/10.46542/pe.2022.222.207212 
  35. Rahman, M.S. (2016). The advantages and disadvantages of using qualitative and quantitative approaches and methods in language “Testing and Assessment” research: A Literature review.  Journal of Education and Learning, 6(1), 102. https://doi.org/10.5539/jel.v6n1p102 
  36. Razali, N.M., & Wah, Y.B. (2011). Power comparisons of Shapiro-Wilk, Kolmogorov-Smirnov, Lilliefors and Anderson-Darling tests. Journal of Statistical Modeling and Analytics, 2(1), 21– 33. 
  37. Rundle, S., Cunningham, J., & Hendershot, C. (2021b). Implications of addiction diagnosis and addiction beliefs for public stigma: A cross-national experimental study. Drug and Alcohol Review, 40(5), 842–846. https://doi.org/10.1111/dar.13244 
  38. Schiel, R., Kaps, A., Stein, G., & Steveling, A. (2016). Identification of predictors for weight reduction in children and adolescents with overweight and obesity (IDA-Insel Survey). Healthcare, 4(1), 5. https://doi.org/10.3390/healthcare4010005 
  39. Sharif, N.S.N.M., Kamarudin, M.K.A., Hassan, M.S.N.A., Potikengrith, T., & Lertbunchardwong, K. (2023). Promoting factors to relapse among drug addicts: A review. International Journal of Academic Research in Business and Social Sciences, 13(5). https://doi.org/10.6007/ijarbss/v13-i5/16994 
  40. Simpson, V. (2020). Community resilience: One community’s view of recovery from the opioid epidemic. International Journal of Community Well-Being, 4(1), 3–15.  https://doi.org/10.1007/s42413-020-00064-9 
  41. Strickland, N.J., Tang, K.T.Y., Wekerle, C., & Stewart, S.H. (2022). Fostering resilience and countering stigma: A qualitative exploration of risk and protective factors for negative psychological consequences among alcohol-involved sexual assault survivors. Psychological Trauma Theory Research Practice and Policy, 15(6), 1012–1021.  https://doi.org/10.1037/tra0001300 
  42. Tran, B.X., Vu, P.B., Nguyen, L.H., Latkin, S.K., Nguyen, C.T., Phan, H.T.T., & Latkin, C. (2016b). Drug addiction stigma in relation to methadone maintenance treatment by different service delivery models in Vietnam. BMC Public Health, 16(1). https://doi.org/10.1186/s12889-016-2897-0 
  43. Tristanto, A., Afrizal, A., Setiawati, S., & Ramadani, M. (2022). Overview of community stigma and self-stigma related to HIV and AIDS. Alfuad Jurnal Sosial Keagamaan, 6(1), 1.  https://doi.org/10.31958/jsk.v6i1.5485 
  44. United Nations Office on Drugs and Crime. (2022). Compulsory treatment and rehabilitation in East and Southeast Asia. United Nations.
  45. Vilus, B., & Perich, T. (2021). The relationship between rumination, depression and self-stigma in hazardous drinkers: An exploratory study. Discover Psychology, 1(1).  https://doi.org/10.1007/s44202-021-00006-2 
  46. Wang, D.-F., Zhou, Y.-N., Liu, Y.-H., Hao, Y.-Z., Zhang, J.-H., Liu, T.-Q., & Ma, Y.-J. (2022). Social support and depressive symptoms: Exploring stigma and self-efficacy in a moderated mediation model. BMC Psychiatry, 22(1). https://doi.org/10.1186/s12888-022-03740-6 
  47. Wang, K., Schick, M., & Weiss, N. (2022). The role of executive functioning deficits in the association between substance-use-related stigma and substance use problems among trauma exposed individuals. Substance Abuse, 43(1), 171–178. https://doi.org/10.1080/08897077.2021.1903652 
  48. Wooldridge, J.M. (2016). Introductory econometrics: A modern approach (7th ed.). Cengage Learning. 
  49. Wu, S.L.-J., Huang, H.-M., & Lee, H.-H. (2014). Comparison of Convenience Sampling and Purposive Sampling. The Journal of Nursing, 61(3), 105–111. https://doi.org/10.6224/JN.61.3.105 Yamashita, A., Yoshioka, S.-i., & Yajima, Y. (2021). Resilience and related factors as predictors of relapse risk in patients with substance use disorder: A cross-sectional study. Substance Abuse Treatment Prevention and Policy, 16(1). https://doi.org/10.1186/s13011-021-00377-8 
  50. Yeung, N.C.Y., Kan, K.K.Y., Wong, A.L.Y., & Lau, J.T.F. (2020). Self-stigma, resilience, perceived quality of social relationships, and psychological distress among Filipina domestic helpers in Hong Kong: A mediation model. Stigma and Health, 6(1), 90–99. https://doi.org/10.1037/sah0000246 
  51. Zeng, X., & Wei, B. (2021). The relationship between the psychological capital of male individuals with drug abuse and relapse tendency: A moderated mediation model. Current Psychology, 42(12), 10334–10343. https://doi.org/10.1007/s12144-021-02325-y 
  52. Zeng, X., Lu, M., & Chen, M. (2021). The relationship between family intimacy and relapse tendency among people who use drugs: A moderated mediation model. Substance Abuse Treatment Prevention and Policy, 16(1). https://doi.org/10.1186/s13011-021-00386-7 
  53. Zhao, W., Duan, F., Li, X., Li, J., Xia, L., Ren, Z., Song, L., Song, P., Mu, L., Wang, L., Zhang, J., Song, X., Wang, Z., Chen, J., Zhang, X., & Jiao, D. (2023). Cognitive control in heroin use disorder patients after prolonged methadone maintenance treatment. Research Square. https://doi.org/10.21203/rs.3.rs-3682356/v1

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