Iran Medical Council Journal of Iranian Medical Council 2645-338X 3 3 2020 07 01 Object Relations and Vulnerability to Substance Abuse Relapse among Addicts Visiting Narcotics Anonymous Centers in Qom City, 2018 163 167 120009 EN Mohammad Javad Khademi Department of Psychology, Islamic Azad University, Tonekabon Branch, Tonekabon, Iran 0000-0002-6828-2003 Nader Monirpoor Department of Psychology, Islamic Azad University, Qom Branch, Qom, Iran Zeynab Ebrahimi Department of Psychology and Exceptional Children Education, Faculty of Psychology and educations, Tehran University, Tehran, Iran Vahid Rashedi School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran 0000-0002-3972-3789 Journal Article 2020 07 10 Abstract Background: Substance abuse is a chronic disorder that has been a major social problem in most countries in recent decades. This study aimed to investigate the object relations and vulnerability to substance abuse relapse among addicts visiting Narcotics Anonymous Centers. Methods: In a cross-sectional study, 385 addicts who visited Narcotics Anonymous Centers in Qom city were entered. A demographic questionnaire, Timeline Followback Interview, and Bell Object Relations Inventory were used to gather the required data and SPSS-21 was used to analyze the data. Results: In general, 61.5 and 92.2 percent of participants were married and employed, respectively. There was a significant positive relationship between subscales of alienation, insecure attachment, egocentricity (p < 0.001), and vulnerability to substance relapse. Conclusion: According to findings, it seems that patterns of relation with initial objects and damages incurred by failure in objects-driven need expressions may have deep effects on people’s future life trajectories, mainly substance abuse and its relapse.

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