Document Type : Original Article
Authors
General Health Department, Social Determinants of Health Research Center, Shahrekord University of Medical Science, Sharekord, Iran
Abstract
BACKGROUND: Students on campus are exposed to drug abuse and mental health disorders due
to various challenges and motivating factors. This issue requires attention to interventions based on
coping skills training. The present study was conducted with the aim to investigate the effect of an
assertiveness program on the drug use tendency, mental health, and quality of life in clinical students
of Shahrekord University of Medical Sciences in 2020.
MATERIALS AND METHODS: This is a quasi‑experimental study. Seventy clinical students (nursing,
midwifery, and intern students) attending Ayatollah Kashani and Hajar teaching hospitals of Shahrekord
were included into the study and randomly assigned into an intervention group and a control group.
The assertiveness training program was implemented for eight 1‑h sessions (one session per week
for 2 months) for the intervention group, while the control group received no programs. Both study
groups completed drug tendency questionnaire, depression, anxiety and stress scale, and quality of
life questionnaire in pretest, posttest, and 2‑month follow‑up. The data were analyzed using SPSS
software (v22), analysis of variance repeated measures, and t‑test.
RESULTS: The mean scores of drug use tendency (P = 0.26), stress (P = 0.31), anxiety (P = 0.29),
depression (P = 0.43), and quality of life (P = 0.33) showed no statistically significant difference
between the intervention and control groups in the pretest, but the scores of the drug use tendency,
stress, anxiety, and depression were statistically lower and the score of quality of life was statistically
higher than that of the control group in the posttest and 2‑month follow‑up (P < 0.05).
CONCLUSION: The findings of the study showed that assertiveness skill training as a preventive
program can reduce the students’ tendency to addiction and improve their mental health and quality
of life. Considering the effectiveness of the program, planners and policymakers can use it to plan
for reducing the youth tendency to drugs.
Keywords
- Jalili T, Afshin Z. A study of the effectiveness of assertive
behavior on dory on reducing the addiction potential. J Police
Med 2017;5:251-6.
2. Chou HL, Chou C. A quantitative analysis of factors related
to Taiwan teenagers’ smartphone addiction tendency using a
random sample of parent-child dyads. Comput Hum Behav
2019;99:335-44.
3. Moshki M, Aslinejad MA. The life skills training and preventive
behaviors of substances abuse among university students:
A longitudinal study. J Fasa Univ Med Sci 2013;3:194-201.
4. Auckloo MB K M, Davies B B. A Post-Mortem Toxicological
Investigation: Understanding the Role of Drugs of Abuse in
Violent Fatalities in Cape Town, South Africa: A preliminary
investigation. J Forensic Leg Med. 2019 Apr; 63:18-25. doi:
10.1016/j.jflm.2019.02.005. Epub 2019 Feb 21.
5. Razeghi N, Takallo ME, Rafei Z. The effectiveness of
mindfulness-based cognitive therapy on reducing drug tendency
and death anxiety among male adolescents with substance abuse.
Payesh (Health Monitor) 2019;18:77-85.
6. Firuozi Arnan R, Almardani S, Babapour Kheiredin J, Khanjani Z.
Relationship between religious beliefs and identity crisis with
drug abuse tendency. Islamic Perspect Educ Sci 2019;7:103-17.
7. Pathak DC, Pokharel B. Causes of drug abuse in youth: Case of
mid-western region of Nepal. J Adv Acad Res 2017;4:44-54.
8. Nemati Z, Matlabi H. Assessing behavioral patterns of Internet
addiction and drug abuse among high school students. Psychol
Res Behav Manag 2017;10:39-45.
9. Kermani A. Predicting tendency to drug abuse based on academic
alienation, negative academic emotions, and general self‑efficacy
in students. Sci Q Res Addict 2020;14:79-100.
10. Harkness D, Cotrell G. The social construction of co-dependency
in the treatment of substance abuse. Journal of Substance Abuse
Treatment. 1997;14(5): 473-479.
11. Pazani F, Mujembari K. A structural modeling analysis of
the relationships among psychological factors influencing
adolescents’ vulnerability to substance use with mediating role
of codependency. Q J Family Res 2018;14:69-90.
12. Rice JS. A Disease of One’s Own: Psychotherapy, Addiction and
the Emergence of Co-Dependency. University of Virginia, United
States Routledge; 2017.
13. Shabani F, Ghafari M, Boroumandfar Z. Educating to say ‘no’ to
reject high-risk suggestions through roleplaying model among
middle school students. Open Public Health J 2020;13:7-13.
14. Anandan R, Cross W, Olasoji M. Mental health nurses’ attitudes
towards consumers with co-existing mental health and drug and
alcohol problems: A scoping review. Issues Ment Health Nurs
2021;42:346-57.
15. Omura M, Levett-Jones T, Stone TE. Design and evaluation of an
assertiveness communication training programme for nursing
students. J Clin Nurs 2019;28:1990-8.
16. Omura M, Maguire J, Levett-Jones T, Stone TE. The effectiveness
of assertiveness communication training programs for healthcare
professionals and students: A systematic review. Int J Nurs Stud
2017;76:120-8.
17. Asazawa K, Jitsuzaki M, Mori A, Ichikawa T, Shinozaki K.
Effectiveness of a spousal support program in improving the
quality of life of male patients undergoing infertility treatment:
A pilot study. Int J Community Based Nurs Midwifery
2020;8:23-33.
18. Javadzade SH, Sharifirad G, Radjati F, Mostafavi F, Reisi M,
Hasanzade A. Relationship between health literacy, health status,
and healthy behaviors among older adults in Isfahan, Iran. J Educ
Health Promot 2012;1:31.
19. Tol A, Tavassoli E, Shariferad GR, Shojaeezadeh D.
Health-promoting lifestyle and quality of life among
undergraduate students at School of Health, Isfahan University
of Medical Sciences. J Educ Health Promot 2013;2:11.
20. Salehi M, Abdi M. Prediction of drug tendency use on the basis of
religious orientation and thrill-seeking of students. Glob J Psychol
Res 2019;9:8-15.
21. Salehpoor G, Rezaei S, Hosseininezhad M. Quality of life in
multiple sclerosis (MS) and role of fatigue, depression, anxiety,
and stress: A bicenter study from north of Iran. Iran J Nurs
Midwifery Res 2014;19:593-9.
22. Yousefy AR, Ghassemi GR, Sarrafzadegan N, Mallik S,
Baghaei AM, Rabiei K. Psychometric properties of the
WHOQOL-BREF in an Iranian adult sample. Community Ment
Health J 2010;46:139-47.
23. Ghoreishi A, Nobakht M, Armani A, Kheradmand A. Impact
of education on knowledge and attitude of medical students
about the abuse of prescription drugs in Iran. Res Bull Med Sci
2017;22:1-8. - 4. Barati M, Allahverdipour H, Moeini B, Farhadi NA, Mahjub H,
Jalilian F. Assertiveness Skills Training Efficiency on College
Students’ Persuasive Subjective Norms Against Substance
Abuse; Avicenna journal of clinical medicine (scientific journal of
Hamadan university of medical sciences and health services) FALL
2011, Volume 18, Number 3 (SN 61); Page(s) 40 To 49.
25. Mahigir F, Kumar GV. Psychological intervention in anxiety of
patients with major thalassemia. Asian J Dev Matters 2010;4:189-92.
26. Mahmoudi Q, Azeemi H, Zarghami M. The effect of assertive
training on degree of anxiety and assertiveness of nursing
students. J Gorgan Univ Med Sci. 2004; 6 (2):66-72.
27. Shahsavari M, Ahmadi MS. The Effect of Group Assertiveness
Training on Students’ Depression and Anxiety the First Scientific
Conference on Educational Sciences and Psychology, Social and
Cultural Injuries Tehran; 2014.
28. Naderi N, Momeni J, Hosseinian S. Effectiveness of training
assertiveness behavior on life quality in school and social anxiety
of females’ students. New Educ Approaches 2015;10:101-16.
29. Mahmoodi M, Zahrakar K, Shabani H. The effectiveness of life
skills training on the improvement of students’ life quality.
Transform Psychol 2013;1:22-9.
30. Karbasian S, Sharif JT, Abdkhodaee MS. The effectiveness of
assertiveness group training on employees’ self-assertiveness
and work life quality. J Ind Organ Psychol Stud 2019;6:159-76.