Disengaged Coping as a Mediator Between Dysfunctional Attitudes and Psychological Distress in Patients with Substance Use Disorder

Abstract

This study aimed to explore the intricate relationship between dysfunctional attitudes, psychological distress, and disengaged coping strategies among individuals diagnosed with substance use disorders in public and private hospitals and rehabilitation service providers for substance use disorder settings. The study uses a cross-sectional research design. The study was conducted at the Department of Clinical Psychology, National University of Medical Sciences (NUMS), with rehabilitation service providers for substance use disorder. The sample consisted of patients with substance use disorder (N=400) aged 18-50 (X=33.8, SD=7.195), and was selected using a purposive sampling technique. The demographic information form, dysfunctional attitude scale, Kessler Psychological Distress and Coping Strategies Inventory-Short Form. Data Analysis was done by using Regression Analysis and Mediation Analysis through SPSS V-27. Additionally, socioeconomic disadvantage was prevalent, as nearly half of the sample (49.5%) came from lower-income backgrounds. The findings revealed a strong association between dysfunctional attitudes and psychological distress (β = 0.42, t = 12.58, p < 0.001). Disengaged coping Strategies were found to mediate this relationship partially (β = 0.71, t = 5.30, p < 0.001). This research emphasises the importance. These findings highlight the critical role of dysfunctional attitudes in exacerbating psychological distress among individuals with SUD. Given that maladaptive coping strategies further compound distress, interventions should focus on cognitive restructuring techniques and promoting adaptive coping mechanisms, such as problem-solving and emotional regulation. The study underscores the urgent need for culturally sensitive interventions and integrated mental health services in Pakistan to bridge the existing gaps in SUD treatment. Addressing these cognitive and behavioural factors could significantly improve psychological well-being and recovery outcomes in affected individuals.