The Interplay of Cognitive Distortions, Impulsive Sensation Seeking, and Relapse Probability among Clients with Substance Use Disorders

Abstract

Background: Substance use disorders (SUDs) are characterized by chronic and recurrent patterns of substance abuse, often marked by high rates of relapse despite treatment. A substantial body of research has focused on identifying factors that contribute to relapse, with cognitive distortions emerging as a key predictor. Additionally, impulsive sensation seeking has been implicated in the etiology and maintenance of SUDs. While previous research has examined these constructs independently, their combined influence on relapse remains understudied. This study aims to investigate the predictive effects of cognitive distortions and impulsive sensation seeking on relapse probability among clients with SUDs. By identifying these factors, this research seeks to contribute to the development of more effective relapse prevention interventions. Aim: This study investigated the predictive effects of cognitive distortions and Impulsive Sensation Seeking on relapse probability among clients with SUDs. Subjects and Method: Design: A descriptive correlational analytical design was used. Subjects: A convenience sample of clients with SUDs who met the selection criteria. Tools: Four tools were used for data collection: socio-demographic and clinical data, the cognitive distortion scale (CDS), impulse sensation seeking (ImpSS), and the AWARE Questionnaire (The Advance Warning of Relapse). Results: Results indicated a high prevalence of cognitive distortions, impulsive sensation seeking, and the risk of relapse within the sample. Furthermore, there are significant positive correlations between cognitive distortions and both impulsive sensation seeking and relapse probability. Similarly, impulsive sensation seeking and relapse probability were significantly positively correlated. Collectively, the present study identified cognitive distortions and impulsive sensation seeking as significant predictors of relapse probability. Conclusion and Recommendation: The current study offers significant implications for clinical practice and prevention efforts. By identifying cognitive distortions as a primary driver of relapse, clinicians can develop targeted interventions to address these maladaptive thought patterns. Additionally, incorporating strategies to reduce impulsive sensation seeking may further enhance relapse prevention efforts.