Quality of Life During Recovery: The Role of Family Interaction and Self-Concept among Heads of Families Undergoing Drug Rehabilitation

Rasikhah Ula Qurrota  Aina; Risda Rizkillah; Musthofa

doi:10.61994/jipbs.v4i1.1281

Authors

Rasikhah Ula Qurrota Aina Institut Pertanian Bogor
Risda Rizkillah Institut Pertanian Bogor
Musthofa Institut Pertanian Bogor

DOI:

https://doi.org/10.61994/jipbs.v4i1.1281

Keywords:

Drug addicts, Family interaction, Head of family, Quality of life , Self-concept

Abstract

Heads of families involved in drug abuse often experience a decline in quality of life influenced by various psychosocial and familial factors. This study aims to analyze the influence of head of family characteristics, family characteristics, family interactions, and self-concept on the quality of life of family heads undergoing drug rehabilitation at BNN Lido Bogor. A quantitative approach was employed, supported by qualitative insights. Data were collected through questionnaires completed by 36 respondents and in-depth interviews with eight participants. The research was conducted from March to May 2025, and data were analyzed using descriptive statistics, correlation tests, and regression analysis with SPSS 25.0. The results showed that the level of addiction was significantly and negatively correlated with self-concept (r = –0.395, p < 0.05) and quality of life (r = –0.380, p < 0.05). In contrast, self-concept was significantly and positively correlated with both family interaction and quality of life. Regression analysis revealed that family interaction in the guidance dimension (β = 0.601, p = 0.010) and self-concept in the family dimension (β = 0.379, p = 0.005) significantly influenced the quality of life of the heads of families, with the model explaining 77.4% of the variance (Adjusted R² = 0.774). These findings highlight the vital role of family dynamics and individual self-perception in shaping the rehabilitation outcomes of individuals struggling with drug abuse. Strengthening family interactions—particularly in the guidance dimension—and fostering a positive self-concept are essential strategies to enhance the quality of life of family heads during the rehabilitation process.

References

Abdel-Rahman, A., Okasha, T., & El-Din, S. (2020). Social functioning and self-esteem among substance abusers at Port-Said Psychiatric Health Hospital. Port Said Scientific Journal of Nursing, 7(3), 1–14. https://doi.org/10.21608/pssjn.2020.35064.1038

Aisyah, N. (2020). Mengenali potensi diri. Medan: Universitas Medan Area.

Armoon, B., Fleury, M. J., Bayat, A. H., Bayani, A., Mohammadi, R., & Griffiths, M. D. (2022). Quality of life and its correlated factors among patients with substance use disorders: A systematic review and meta-analysis. Archives of Public Health, 80, 179. https://doi.org/10.1186/s13690-022-00940-0

Asridayanti, & Kristianingsih, S. A. (2019). Konsep diri dengan kecemasan pada narapidana pengguna narkotika dalam menghadapi masa depan. Jurnal Psikologi Talenta, 5(1). https://doi.org/10.26858/talenta.v5il.9533

Badan Narkotika Nasional [BNN]. (2022). Survei nasional penyalahgunaan NAPZA.

Badan Narkotika Nasional [BNN]. (2023). Buku saku informasi narkotika dan zat adiktif.

Bahar, O. S., Byansi, W., Nartey, P. B., Ibrahim, A., Boateng, A., Kumbelim, K., Nabunya, P., McKay, M. M., & Ssewamala, F. M. (2024). Self-esteem and self-concept as correlates of life satisfaction and attitudes toward school among Ghanaian girls. Journal of Research on Adolescence, 34(1), 185–191. https://doi.org/10.1111/jora.12910

Bhopti, A., Brown, T., & Lentin, P. (2016). Family quality of life. Journal of Early Intervention, 38, 191–211. https://doi.org/10.1177/1053815116673182

Chuang, Y. (2005). Effects of interaction pattern on family harmony and well-being: Test of interpersonal theory, relational-models theory, and Confucian ethics. Asian Journal of Social Psychology, 8(9), 272–291.

De Leon, G. (2000). The therapeutic community: Theory, model, and method. Springer Publishing Company. https://connect.springerpub.com/content/book/978-0-8261-1667-3

Du, H., Li, X., Lin, D., & Tam, C. C. (2014). Hopelessness, individualism, collectivism, and substance use among young rural-to-urban migrants in China. Health Psychology and Behavioral Medicine, 2(1), 211–220. https://doi.org/10.1080/21642850.2014.888656

Fassino, S., Daga, G. A., Delsedime, N., Rogna, L., & Boggio, S. (2004). Quality of life and personality disorders in heroin abusers. Drug and Alcohol Dependence, 76(1), 73–80. https://doi.org/10.1016/j.drugalcdep.2004.04.005

Fitts, W. H., & Warren, W. L. (1996). Tennessee self concept scale manual: Second edition. Los Angeles, CA: Western Psychological Services.

Ghazalli, F., Ghani, N., Abdullah, B., Chik, W., Ali, E., Mohd, Z., & Rahman, S. (2017). Patterns of interactions between family members and drug addicts. The International Journal of Academic Research in Business and Social Sciences, 7(4), 303–312. https://doi.org/10.6007/IJARBSS/V7-I4/2807

Hoesny, R., Lubis, N., & Sahril, N. F. (2018). Hubungan fungsi perawatan keluarga dengan kualitas hidup lansia yang menderita penyakit kronis. Jurnal Fenomena Kesehatan, 2(1), 215–227.

Isnaini, Y., Hariyono, W., & Ken Utami, I. (2011). Hubungan antara dukungan keluarga dengan keinginan untuk sembuh pada penyalahgunaan NAPZA di lembaga pemasyarakatan Wirogunan Kota Yogyakarta. Jurnal Kesmas, 5(2), 162–232.

Khomsan, A. (2000). Teknik pengukuran pengetahuan gizi. Bogor, ID: Departemen Gizi Masyarakat dan Sumberdaya Keluarga, IPB Fakultas Pertanian.

Kupetz, M., Larosa, M., Klagsbrun, D., & Davis, I. (1977). Drug abuse and the family. Family Process, 16, 141–147. https://doi.org/10.1111/J.1545-5300.1977.00141.X

Liu, Z. (2023). Relation between family environment, life satisfaction, depression and anxiety. Lecture Notes in Education Psychology and Public Media. https://doi.org/10.54254/2753-7048/24/20230794

Lodhi, F., Rabbani, U., Khan, A., Raza, O., Naieni, K., Yaseri, M., Farooq, U., & Montazeri, A. (2020). Factors associated with quality of life among joint and nuclear families using the World Health Organization's quality of life instrument (WHOQOL-BREF). https://doi.org/10.21203/rs.3.rs-33471/v1

Luna, E., Ruiz, M., Malyutina, S., Titarenko, A., Kozela, M., Pajak, A., Kubinova, R., & Bobak, M. (2020). The prospective association between frequency of contact with friends and relatives and quality of life in older adults from Central and Eastern Europe. Social Psychiatry and Psychiatric Epidemiology, 55, 1001–1010. https://doi.org/10.1007/s00127-020-01834-8

Magta, M. (2019). Peran komunikasi keluarga terhadap konsep diri anak usia dini. Pratama Widya: Jurnal Pendidikan Anak Usia Dini, 4(1), 66–72. https://doi.org/10.25078/pw.v4i1.1070

Ma, Z., Liu, Y., Wan, C., Jiang, J., Li, X., & Zhang, Y. (2021). Health-related quality of life and influencing factors in drug addicts based on the scale QLICD-DA: A cross-sectional study. Health and Quality of Life Outcomes, 20. https://doi.org/10.1186/s12955-022-02012-x

Magor-Blatch, L., Bhullar, N., Thomson, B., & Thorsteinsson, E. B. (2014). A systematic review of studies examining effectiveness of therapeutic communities. Therapeutic Communities: The International Journal of Therapeutic Communities, 35(4), 168–184. https://doi.org/10.1108/TC-07-2013-0024

Mardiyah, A., Dupai, L., & Prasetya, F. (2018). Studi kualitatif kualitas hidup mantan pecandu NAPZA di klinik rehabilitasi BNN (Badan Narkotika Nasional) di Kota Kendari Tahun 2017. Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat, 3(1), 1–8.

Ramadhani, I., & Rizanizarli. (2022). Tindak pidana penyalahgunaan narkotika yang dilakukan oleh orang tua sebagai kepala keluarga. Jurnal Bimbingan dan Penyuluhan Islam, 6(3), 248–255.

Rizkiani, R., Hasanah, U., & Utami, V. G. P. (2015). Hubungan antara interaksi keluarga dengan self-esteem remaja. Jurnal Konseling dan Pendidikan, 3(3), 79–85. https://doi.org/10.21009/JKKP.021.07

Rizky, R., Nurfarhanah, Karneli, Y., & Zadrian, A. (2024). Authentic happiness in marriage: How do effective communication and positive emotional support contribute? Journal of Educational, Health and Community Psychology, 13(4), 1586–1905.

Saefudin, Y., Hartiwiningsih, & Isharyanto. (2020). Rehabilitation policy for drugs abuse in Indonesia. Indian Journal of Forensic Medicine & Toxicology, 14(4), 4113–4115. https://doi.org/10.37506/ijfmt.v14i4.12285

Sari, D. M., Fatah, M. Z., & Nurmala, I. (2021). Peran keluarga dalam membantu proses pemulihan penyalahguna NAPZA. Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education, 9(1), 59–68. https://doi.org/10.20473/jpk.V9.I1.2021.59-68

Setyowati, S. (2013). Pengaruh konsep diri dan kemampuan sosialisasi terhadap kualitas hidup lansia. Jurnal Kebidanan dan Keperawatan Aisyiyah, 9(2), 1–10. https://doi.org/10.31101/jkk.275

Sivakumar, V., Patel, J., & Chandramohan, N. (2020). A study on relationship between quality of life and self-concept among mothers of children with disabilities. High Technology Letters, 26(12), 33–47. https://www.researchgate.net/publication/376893974

Sood, S., Hussain, S., & Sharma, R. (2024). Exploring the impact of family environment on quality of life, wellness, and self-concept: A comprehensive analysis. African Journal of Biomedical Research, 27(3S). https://doi.org/10.53555/AJNR.v27i3S.1687

Tay Gek Hsia, J., & Yusoff, N. H. (2025). The impact of social support on substance abuse recovery in Asia: A scoping review. Asian Journal of Human Services, 28, 334–350. https://doi.org/10.14391/ajhs.28.334

[UNODC] United Nations Office on Drug and Crime. (2024). UNODC World Drug Report 2024: Harms of world drug problem continue to mount amid expansions in drug use and markets.

[UNODC] United Nations Office on Drug and Crime. (2024). Unsur terapi keluarga untuk perawatan remaja dengan Napza dan gangguan penggunaan zat lainnya. UNODC Treatnet Family Brochure.

Vallejo, M. A., Jordan, C. M., & González-Robles, A. (2021). In-treatment changes in quality of life-related variables in therapeutic communities for cocaine abusers. International Journal of Environmental Research and Public Health, 18(14), 7516. https://doi.org/10.3390/ijerph18147442

Vashishta, N. N., & Ahmad, W. (2020). Self-concept among adults with intellectual disability in relation to quality of life. The International Journal of Indian Psychology, 8(3), 329–336. https://doi.org/10.25215/0803.040

[WHO] World Health Organization. (2011). Global atlas on cardiovascular disease prevention and control, policies, strategies and interventions [Internet]. Diakses 15 Desember 2015, dari http://www.who.int/cardiovascular_diseases/publications/atlas_cvd/en/

Yehya, Y., Haddad, C., Obeid, S., Tahan, F., Nabout, R., Hallit, S., & Kazour, F. (2019). Affective temperament in Lebanese with substance abuse disorders. Perspectives in Psychiatric Care. https://doi.org/10.1111/ppc.12346

Yulianti, A. (2018). Konsep diri mantan pecandu NAPZA (Skripsi). Universitas Brawijaya. Diakses dari https://repository.ub.ac.id/id/eprint/13329/