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Chulalongkorn Medical Journal

Abstract

Background: Congruence, a state of being able to communicate within oneself and with others, is classified as one of the main structures of the Satir’s model for psychotherapy. High self-esteem and congruence are important indicators of fully functioning human beings, especially of patients who used drugs such as methamphetamine (meth).

Objectives: The study’s purposes were to explore the congruence, self-esteem, and related factors among individuals who used meth and received treatment at a substance dependency treatment center in Thailand.

Methods: Levels of congruence, self-esteem, and family relationship were collected from 340 patients with meth use problems at the largest substance dependency treatment center in Thailand by using the Family Relationship Questionnaire, the Congruence Scale, and the Coopersmith Self-Esteem Inventory Adult Form, respectively.

Results: Of 340 subjects, 218 (64.1%) had slightly high congruence and 260 (76.5%) had moderate level of self-esteem. Congruence significantly positively correlated with self-esteem (r = 0.657, P < 0.001). Factors that related to decrease congruence included having history of using crystal meth (ice), current meth use, and having psychiatric disorders during drug use. However, having good family relationship could increase congruence. Factors that were related to high self-esteem included using meth for less than 11 years and having a good family relationship.

Conclusion: Having good family relationship predicts having high levels of congruence and self-esteem in individuals who used meth. Developing programs or activities that are related to their families are important to improve psychological well-being of patients with meth use problems.

DOI

10.56808/2673-060X.5449

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