The role of family expressed emotion and perceived social support in predicting addiction relapse

Int J High Risk Behav Addict. 2015 Mar 20;4(1):e21250. doi: 10.5812/ijhrba.21250. eCollection 2015 Mar.


Background: Emotional conditions governing the family and patients' perceived social support play important roles in the treatment or relapse process of the chronic disease.

Objectives: The current study aimed to investigate the role of family expressed emotion and perceived social support in prediction of addiction relapse.

Patients and methods: The descriptive-correlation method was used in the current study. The study population consisted of the individuals referred to the addiction treatment centers in Ardabil from October 2013 to January 2014. The subjects (n = 80) were randomly selected using cluster sampling method. To collect data, expressed emotion test by Cole and Kazaryan, and Multidimensional Scale of Perceived Social Support (MSPSS) were used, and the obtained data was analyzed using the Pearson's correlation coefficient and multiple regression analyses.

Results: Results showed a positive relationship between family expressed emotions and the frequency of relapse (r = 0.26, P = 0.011) and a significant negative relationship between perceived social support and the frequency of relapse (r = -0.34, P = 0.001). Multiple regression analysis also showed that perceived social support from family and the family expressed emotions significantly explained 12% of the total variance of relapse frequency.

Conclusions: These results have implications for addicted people, their families and professionals working in addiction centers to use the emotional potential of families especially their expressed emotions and the perceived social support of addicts to increase the success rate of addiction treatment.

Keywords: Expressed Emotion; Recurrence; Social Support; Substance Addiction.