International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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Factors contributing to relapse and treatment success among substance abuse patients: a narrative review on Indian studies

Author(s) Ms. SWARNADEVI S SUNDAR RAJAN V, Ms.Akilandeswari
Country India
Abstract Abstract
“Substance Use Disorders (SUDs) remain a critical public health challenge in India, where the high frequency of relapse often undermines clinical interventions. This narrative study investigates the multidimensional factors that contribute to either recurrent substance use or sustained treatment success. Moving beyond a traditional literature synthesis, this research adopts a biopsychosocial framework to explore the ‘recovery journey’ of sixty participants within a tertiary care setting in Chennai, Tamil Nadu.The study utilizes a narrative approach to examine the interplay between internal psychological triggers—measured via the Penn Alcohol Craving Scale (PACS)—and external environmental anchors, measured via the Brief Assessment of Recovery Capital (BARC-10). The findings illustrate a significant narrative tension: while persistent cravings and financial instability act as primary catalysts for relapse, robust ‘Social Capital’ and family cohesion serve as the most effective protectors of sobriety.
The results emphasize that in the Indian cultural context, recovery is a collective rather than an individual process. This study concludes that reducing relapse rates requires a shift toward ‘asset-based’ clinical models that prioritize the building of Recovery Capital and family-centered aftercare, rather than focusing solely on symptom management.”
Keywords Relapse, Treatment Success, Recovery Capital, Substance Use Disorder (SUD), Biopsychosocial Model, Penn Alcohol Craving Scale (PACS), BARC-10, Narrative Study, India
Field Sociology > Philosophy / Psychology / Religion
Published In Volume 8, Issue 1, January-February 2026
Published On 2026-02-12
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E-ISSN 2582-2160
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