The Effects of Individual Counseling Based on Reality Therapy on Resilience and Stress among Drug Detoxification Patients
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Abstract
Abstract
Objectives: (1) To examine the effects of individual counseling based on reality therapy on resilience and stress levels among drug detoxification patients; (2) To analyze the nature of problems, fundamental needs, behavior modification planning, perceived changes in resilience, and stress management after counseling.
Materials and methods: This mixed-methods study used purposive sampling to select 10 drug detoxification patients with stress scores above 41. Each participant received 10 sessions of individual counseling based on reality therapy (1 hour/session, twice a week). Data were collected using a Resilience Scale and Stress Scale (reliability coefficients α = .98 and .90), intake forms, counseling records, and reflective journals. Quantitative data were analyzed using the Wilcoxon Signed-Rank Test, and qualitative data were analyzed using content analysis.
Results: After counseling, participants showed a statistically significant increase in resilience and a significant decrease in stress (p < .01). The results of the qualitative analysis indicated the following major themes resistance to treatment, family relationships, emotional behaviors, and belief systems. Fundamental needs identified were love and belonging, power, and survival. All participants planned to reduce or discontinue drug use, perceived improvements in resilience, and demonstrated stress management strategies, such as relaxation techniques.
Conclusion: Individual counseling based on reality therapy helps enhance resilience and reduce stress in drug detoxification patients. Further comparative research with diverse populations and alternative therapeutic approaches is recommended to improve treatment efficacy.
Keywords: Drug detoxification patients, Individual counseling, Reality therapy, Resilience, Stress
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เรื่องที่ลงตีพิมพ์ในวารสารจิตวิทยาคลินิกแล้วถือเป็นลิขสิทธิ์การเผยแพร่โดยวารสารจิตวิทยาคลินิกแต่เพียงผู้เดียว การตีพิมพ์หรือเผยแพร่ซ้ำในที่อื่นต้องได้รับอนุญาตจากกองบรรณาธิการวารสารฯ
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