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The Relationship of Personality Organization and Resilience With Treatment Motivation and Early Recovery Rates in Patients With Opioid and Polysubstance Use Disorders.

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Title: The Relationship of Personality Organization and Resilience With Treatment Motivation and Early Recovery Rates in Patients With Opioid and Polysubstance Use Disorders.
Authors: Fidan, Yağmur Sever (AUTHOR), Karakuş, Oğuz Bilal (AUTHOR), Çallı, Sümeyye Yasemin (AUTHOR), Güleç, Hüseyin (AUTHOR)
Source: Substance Use & Misuse. 2026, Vol. 61 Issue 1, p100-109. 10p.
Subjects: Substance abuse treatment, Psychological resilience, Substance abuse, Defense mechanisms (Psychology), T-test (Statistics), Data analysis, Questionnaires, Interviewing, Logistic regression analysis, Treatment effectiveness, Psychological adaptation, Severity of illness index, Tertiary care, Descriptive statistics, Chi-squared test, Motivation (Psychology), Longitudinal method, Personality, Opioid analgesics, Case-control method, One-way analysis of variance, Analysis of variance, Statistics, Factor analysis, Data analysis software, Confidence intervals, Patient aftercare, Evaluation
Geographic Terms: Turkey
Abstract: Introduction: Personality organization, defense mechanisms, psychological resilience, and treatment motivation are key psychological constructs that influence both the development and treatment outcomes of substance use disorders (SUD). The aim of this study is to investigate the relationships between treatment motivation, acute remission rates, personality organization, and psychological resilience in patients diagnosed opioid use disorder (OUD) and polysubstance use disorder (PSUD). Method: The study included 30 patients with opioid use disorder (OUD), 30 with polysubstance use disorder (PSUD), all diagnosed according to DSM-5 criteria, and 30 healthy controls (HC). Participants with OUD and PSUD were receiving inpatient treatment in this prospective case-control study. The study utilized the following instruments: Sociodemographic Data Form, Resilience Scale for Adults (RSA), Personality Organization Diagnostic Form, Motivation for Treatment Scale (MfTS), and Addiction Profile Index. MfTS and RSA were administered once more during follow-up assessments for patients who had achieved early remission. Results: PSUD group exhibited significantly higher scores for immature defense mechanisms compared to both OUD and HC groups, while mature defenses were significantly lower in both SUD groups relative to controls (p < 0.001). A significant positive correlation was identified between mature defenses and both treatment motivation and resilience levels (p < 0.05), while mature defenses showed a negative correlation with addiction severity (p < 0.05). Resilience levels emerged as a significant predictor of early remission (p = 0.011), and mediation analysis confirmed that resilience mediated the relationship between mature defenses and addiction severity (β= −0.151, 95% CI: −0.266 to −0.042). Conclusion: Mature defense mechanisms and resilience predict early remission and reducing addiction severity. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The Relationship of Personality Organization and Resilience With Treatment Motivation and Early Recovery Rates in Patients With Opioid and Polysubstance Use Disorders.
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  Data: Introduction: Personality organization, defense mechanisms, psychological resilience, and treatment motivation are key psychological constructs that influence both the development and treatment outcomes of substance use disorders (SUD). The aim of this study is to investigate the relationships between treatment motivation, acute remission rates, personality organization, and psychological resilience in patients diagnosed opioid use disorder (OUD) and polysubstance use disorder (PSUD). Method: The study included 30 patients with opioid use disorder (OUD), 30 with polysubstance use disorder (PSUD), all diagnosed according to DSM-5 criteria, and 30 healthy controls (HC). Participants with OUD and PSUD were receiving inpatient treatment in this prospective case-control study. The study utilized the following instruments: Sociodemographic Data Form, Resilience Scale for Adults (RSA), Personality Organization Diagnostic Form, Motivation for Treatment Scale (MfTS), and Addiction Profile Index. MfTS and RSA were administered once more during follow-up assessments for patients who had achieved early remission. Results: PSUD group exhibited significantly higher scores for immature defense mechanisms compared to both OUD and HC groups, while mature defenses were significantly lower in both SUD groups relative to controls (p &lt; 0.001). A significant positive correlation was identified between mature defenses and both treatment motivation and resilience levels (p &lt; 0.05), while mature defenses showed a negative correlation with addiction severity (p &lt; 0.05). Resilience levels emerged as a significant predictor of early remission (p = 0.011), and mediation analysis confirmed that resilience mediated the relationship between mature defenses and addiction severity (β= −0.151, 95% CI: −0.266 to −0.042). Conclusion: Mature defense mechanisms and resilience predict early remission and reducing addiction severity. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Substance Use &amp; Misuse is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/10826084.2025.2546500
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      – Code: eng
        Text: English
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        Type: general
      – SubjectFull: Psychological resilience
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      – SubjectFull: Substance abuse
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      – SubjectFull: Defense mechanisms (Psychology)
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      – SubjectFull: Questionnaires
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      – SubjectFull: Interviewing
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      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Psychological adaptation
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      – SubjectFull: Severity of illness index
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Evaluation
        Type: general
      – SubjectFull: Turkey
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      – TitleFull: The Relationship of Personality Organization and Resilience With Treatment Motivation and Early Recovery Rates in Patients With Opioid and Polysubstance Use Disorders.
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              Text: 2026
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