Effectiveness of Logotherapy Intervention Program in Reducing Drug Cravings and Preventing Relapse among Males with Substance Dependence in Ahvaz





Logotherapy, Drug craving, Preventing relapse, Drug abuse, Health


Background: Given that the important characteristics of drug abuse are high relapse rate and craving, the use of new therapeutic interventions that help drug dependents can be very important. The present study aimed to investigate the effectiveness of logotherapy intervention program in reducing drug cravings and preventing relapse among males with substance dependence in Ahvaz in 2019.

Methods: The research method was quasi-experimental with a pretest-posttest design and a control group. The statistical population included all the males with addiction disorder who were referred to treatment centers in Ahvaz city during 2018. Using convenience sampling, we selected 30 males with addiction disorder willing to participate in the study and randomly divided them into experimental and control groups (n=15 per group). The research instruments included Gorski's Warning Signs of a Relapse and the Craving Questionnaire. The experimental group underwent eight sessions (90-minute sessions per week) of the logotherapy intervention program. Multivariate analysis of covariance (MANCOVA) was used to analyze the data. SPSS version 22.0 was further used to analyze the data.

Results: The mean ± SD of the drug craving for experimental and control groups in the post-test phase was 36.46±6.77 and 49.06±12.95, respectively. The results showed that intervention programs were effective in reducing drug craving and relapse in males with drug addiction (Pvalue= 0.001).

Conclusions: Training logotherapy was shown effective in reducing drug cravings and preventing relapse in males with substance dependence, and thus it can be used in drug rehabilitation centers to prevent relapse in clients.

Keywords: Logotherapy, Drug craving, Preventing relapse, Drug abuse, Health.


1. Noyani A, Chaman R, Mousavi SA, Khorsand M. Investigating the Relationship between Attention Deficit Hyperactivity Disorder and Drug Abuse: A Case-Control Study. International Journal of Health Studies. 2019;5(1):24-26.
2. Hasin DS, O'Brien CP, Auriacombe M, et al. DSM-5 criteria for substance use disorders: recommendations and rationale. Am J Psychiatry. 2013;170(8):834-851.
3. Moos RH, Moos BS. Rates and predictors of relapse after natural and treated remission from alcohol use disorders. Addiction. 2006;101(2):212-222.
4. Andersson HW, Wenaas M, Nordfjærn T. Relapse after inpatient substance use treatment: A prospective cohort study among users of illicit substances. Addictive Behaviors. 2019;90:222-8.
5. Amiri H, Makvandi B, Askari P, Naderi F, Ehteshamzadeh P. The Effectiveness of Matrix Interventions in Reducing the Difficulty in Cognitive Emotion Regulation and Craving in Methamphetamine-Dependent Patients. International Journal of Health Studies. 2019;5(4):21-24.
6. Rosenberg H. Clinical and laboratory assessment of the subjective experience of drug craving. Clinical Psychology Review. 2009;29(6):519-34.
7. Goldberg AE. The (in)Significance of the Addiction Debate. Neuroethics. 2020;13(3):311-24.
8. Mohammad Alizadeh Namini A, Esmaeilzadeh Akhoundi M, Mohammad Safarlou N. Evaluate the effectiveness of motivational interviewing in drug craving and drug therapy. Shenakht. 2017;4(2):1-11.
9. Hendershot CS, Witkiewitz K, George WH, Marlatt GA. Relapse prevention for addictive behaviors. Substance Abuse Treatment, Prevention, and Policy. 2011;6(1):17.
10. Hendershot CS, Witkiewitz K, George WH, Marlatt GA. Relapse prevention for addictive behaviors. Subst Abuse Treat Prev Policy. 2011;6:17.
11. Visser L, de Winter AF, Veenstra R, Verhulst FC, Reijneveld SA. Alcohol use and abuse in young adulthood: do self-control and parents' perceptions of friends during adolescence modify peer influence? The TRAILS study. Addict Behav. 2013;38(12):2841-2846.
12. Joolaee S, Fereidooni Z, Seyed Fatemi N, Meshkibaf MH, Mirlashari J. Exploring needs and expectations of spouses of addicted men in Iran: a qualitative study. Glob J Health Sci. 2014;6(5):132-141.
13. Wong PTP. (Viktor Frankl’s Meaning-Seeking Model and Positive Psychology. In: Batthyany A., Russo-Netzer P. (eds) Meaning in Positive and Existential Psychology. Springer, New York, NY. 2014.
14. Golshan A, Zargham Hajebi M, Sobhi Gharamaleki N. The effect of Logotherapy group training on changes of depression, self-esteem and intimacy attitudes in physically disabled women. Iranian Journal of Health Psychology. 2020;2(2):101-112.
15. Schulenberg SE, Schnetzer LW, Winters MR, Hutzell RR. Meaning-centered couples therapy: Logotherapy and intimate relationships. Journal of Contemporary Psychotherapy: On the Cutting Edge of Modern Developments in Psychotherapy. 2010;40(2):95-102.
16. Martin RA, MacKinnon S, Johnson J, Rohsenow DJ. Purpose in life predicts treatment outcome among adult cocaine abusers in treatment. J Subst Abuse Treat. 2011;40(2):183-188.
17. Ameli M. Integrating Logotherapy with Cognitive Behavior Therapy: A Worthy Challenge. In: Batthyány A. (eds) Logotherapy and Existential Analysis. Logotherapy and Existential Analysis: Proceedings of the Viktor Frankl Institute Vienna, vol 1. Springer, Cham. 2016.
18. Thompson GR. Meaning Therapy for Addictions: A Case Study. Journal of Humanistic Psychology. 2016;56(5):457-482.
19. Heather N. Is the concept of compulsion useful in the explanation or description of addictive behaviour and experience? Addictive Behaviors Reports. 2017;6:15-38.
20. Laudet AB, White WL. Recovery capital as prospective predictor of sustained recovery, life satisfaction, and stress among former poly-substance users. Subst Use Misuse. 2008;43(1):27-54.
21. Carreno D, Pérez-Escobar JA. Addiction in existential positive psychology (EPP, PP2.0): from a critique of the brain disease model towards a meaning-centered approach. Counselling Psychology Quarterly. 2019;32(3-4):415-35.
22. Thompson G. A Meaning-Centered Therapy for Addictions. International Journal of Mental Health and Addiction. 2012;10(3):428-40.
23. Esalati P, Arab A, Mehdinezhad V. Effectiveness of Frankl’s Logotherapy on Health (Decreasing Addiction Potential and Increasing Psychological Well-being) of Students with Depression. Iranian Journal of Health Education and Health Promotion. 2019;7(1):84-92.
24. Yaghubi M, Abdekhoda M, Khani S. Effectiveness of Religious-Spiritual Group Therapy on Spiritual Health and Quality of Life in Methadone-treated Patients: A Randomized Clinical Trial. Addict Health. 2019;11(3):156-164.
25. Miller WR, Harris RJ. A simple scale of Gorski's warning signs for relapse. J Stud Alcohol. 2000 Sep;61(5):759-65.
26. Niknam M, Madahi M, SHafiabadi A. investigating the effectiveness of logo therapy on craving and relapse prevention in women with substance dependency. Quarterly Journal of Health Psychology. 2018;7(25):56-73.
27. Mohammadi A, Kargar Shaker A. Effectiveness of Structured Matrix Treatment on Craving, Hardiness and Well-being in Methamphetamine Abusers. J Police Med. 2018; 7 (2): 75-80.
28. Kemp R. The Worlding of Addiction. The Humanistic Psychologist. 2011;39(4):338-47.
29. Feigin R, Sapir Y. The relationship between sense of coherence and attribution of responsibility for problems and their solutions, and cessation of substance abuse over time. J Psychoactive Drugs. 2005;37(1):63-73.
30. Khaledian M, Yarahmadi M, Mahmoudfakhe H. Effect of group logotherapy in reducing depression and increasing hope in drug addicts. Journal of Research & Health. 2016;6(1):167-74.







How to Cite

Effectiveness of Logotherapy Intervention Program in Reducing Drug Cravings and Preventing Relapse among Males with Substance Dependence in Ahvaz. (2021). International Journal of Health Studies, 7(3), 11-15. https://doi.org/10.22100/ijhs.v7i3.854