Volume 18, Issue 74 (2-2025)                   etiadpajohi 2025, 18(74): 85-106 | Back to browse issues page

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Noroozi Homayoon M, Sadri Damirchi E, Sadeghi M, Hatami Nejad M. The Structural Relationships of Perceived Social Support with Craving in Substance-Dependent Individuals Undergoing Methadone Maintenance Treatment: The Mediating Role of Anxiety Sensitivity. etiadpajohi 2025; 18 (74) :85-106
URL: http://etiadpajohi.ir/article-1-3190-en.html
Ph.D. Student, Department of Psychology, University of Tehran, Tehran, Iran.
Abstract:   (179 Views)
 Objective: The present study aimed to investigate the mediating role of anxiety sensitivity in the relationship between perceived social support and craving in substance-dependent individuals undergoing methadone maintenance treatment. Method: This was a descriptive-correlational study using structural equation modeling. The statistical population included all substance-dependent patients visiting methadone maintenance treatment centers in Khorramabad city in 2023. Sample size was determined based on the general rule of thumb by Kline (2015). Considering 12 observable variables and the possibility of attrition, a sample size of 220 individuals was selected using the convenience method sampling. The research tools included the anxiety sensitivity index, the multidimensional scale of perceived social support, and the craving questionnaire. Data were analyzed using Pearson's correlation in SPSS-26 and structural equation modeling in AMOS-24. Results: Perceived social support had a significant direct and negative effect on craving, while anxiety sensitivity showed a significant direct and positive effect on craving. Furthermore, anxiety sensitivity significantly mediated the relationship between perceived social support and craving. Overall, the results indicated that the research model had a good fit. Conclusion: Anxiety sensitivity as a mediating variable can weaken the effects of social support on reducing craving. Therefore, it is suggested that therapeutic interventions focusing on strengthening social support networks and reducing anxiety sensitivity, such as teaching coping skills, should be designed and implemented to help decrease craving and increase the effectiveness of maintenance treatment.
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Type of Study: Research | Subject: Special
Received: 2024/09/12 | Accepted: 2025/04/29 | Published: 2025/09/8

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