علل بازگشت به اعتیاد به مواد مخدر و راهکار‌‌های پیشنهادی در مراجعه کنندگان به مراکز ترک اعتیاد: یک مطالعه کیفی

Background and Objectives: Drug addiction is one the major challenges both internationally and in Iran, and return to addiction is considered as an important factor. The present study aimed to determine the experiences regarding the reasons of returning to addiction among the people referring to rehabilitation centers. Materials and Methods: This is a qualitative study with the interpretational approach which was conducted in Zahedan city in 2017. Twenty two patients, who had a history of drug rehabilitation and return to using drugs again, were selected by purposive sampling method. Data was assembled by semi-structured questionnaires and personal interview and analyzed by content analyzing method. Results: Twenty patients were male (90.9%) and 6 of them (27.2%) were unemployed. Based on the results, there were 5 major implications including “familial and social factors”, “rehabilitation centers”, “sexual and personal factors”, “economic factors”, and “therapeutic issues”, and 26 minor implications pertaining to the reasons of returning to drug use. The majority of participants considered family issues, bad conditions of the rehab centers, unemployment, and temptation as the main reasons of the return to using drugs again. Choosing appropriate rehab center, more family supervision and support, not to be punished by family, and emotional, nutritional, and job related supports after the drug rehabilitation were the participant’s proposal strategies. Conclusion: The results indicated that the rehabilitation centers and sexual issues play an important role in returning to addiction, therefore it is necessary to reduce returning to addiction through more emphasis and supervision on the rehabilitation centers. Key words: Return, Addiction, Drug withdrawal   Funding: This research was funded by Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran. Conflict of interest: None declared. Ethical approval: The Ethics Committee of Zahedan University of Medical Sciences (Ir.zaums.rec.1395.282) approved the study.   How to cite this article: Khammarnia M, Peyvand M. The Reasons of Return to Drug Addiction and Suggested Solutions Among the People Referring to Rehabilitation Centers: A Qualitative Study. J Rafsanjan Univ Med Sci 2018; 17 (6): 523-38. [Farsi]