{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T20:33:28Z","timestamp":1792269208006,"version":"4.4.0"},"reference-count":55,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:00:00Z","timestamp":1722816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Accessible Summary<\/jats:title><jats:sec><jats:title>What is known on the subject?<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Opioid use disorder (OUD) is a prevalent problem among Egyptian youth, and achieving recovery and abstinence is challenging. Cognitive behavioural therapy (CBT), a well\u2010known approach, can be particularly beneficial when it addresses psychological aspects such as resilience and self\u2010esteem.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>What does the paper add to existing knowledge?<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Our research is recognized as a trailblazer in integrating a spiritual adaptation of CBT with spiritual elements for treating patients with OUD in the Egyptian context. This innovative approach marks a significant advancement in the field.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>The study found a statistically significant increase in the mean scores of resilience, self\u2010esteem, and spirituality (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001 each) following the spiritual adaptation of CBT sessions compared to the control group.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>What are the implications for practice?<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>The findings can guide psychiatrists and nurses in providing more comprehensive and effective care to patients with OUD by incorporating a spiritual adaptation of CBT with spiritual components into treatment plans.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><\/jats:sec><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Opioid use disorder (OUD) is a prevalent problem among Egyptian youth, and achieving recovery and abstinence is challenging. Cognitive behavioural therapy (CBT), a well\u2010known approach, can be particularly beneficial when it addresses psychological aspects such as resilience, self\u2010esteem and spirituality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to evaluate the effectiveness of a spiritual adaptation of CBT in enhancing these factors among clients with OUD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A quasi\u2010experimental study with a control group was conducted using a pretest\u2010posttest design. The study included 49 clients with OUD and 46 clients in the control group. The Rosenberg Self\u2010Esteem Scale\u2013Modified Arabic Version, Daily Spiritual Experience Scale, and the Connor\u2013Davidson Resilience Scale were used as measurement tools. CBT was delivered in 60\u2010min group sessions. After 3\u2009months, the questionnaires were re\u2010administered to evaluate the effectiveness of a spiritual adaptation of CBT sessions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study found a statistically significant increase in the mean scores of resilience, self\u2010esteem and spirituality (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001 each) following a spiritual adaptation of CBT sessions compared to the control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>A spiritual adaptation of CBT effectively enhanced resilience, self\u2010esteem and spirituality in clients with OUD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for Practice<\/jats:title><jats:p>Understanding the effectiveness of a spiritual adaptation of CBT in enhancing resilience, self\u2010esteem and spirituality can enable psychiatrists and nurses to provide more comprehensive and effective care to patients with OUD.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpm.13089","type":"journal-article","created":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T07:04:59Z","timestamp":1722841499000},"page":"112-124","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Effectiveness of a spiritual adaptation of cognitive behavioural therapy in improving resilience, self\u2010esteem and spirituality among clients with opioid use disorder: A quasi\u2010experimental study"],"prefix":"10.1111","volume":"32","author":[{"given":"Hassan Mohammed","family":"Sonbol","sequence":"first","affiliation":[{"name":"Lecturer of Psychiatry, Faculty of Medicine Mansoura University  Mansoura Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6495-508X","authenticated-orcid":false,"given":"Mona","family":"Metwally El\u2010Sayed","sequence":"additional","affiliation":[{"name":"Assistant Professor of Psychiatric Nursing and Mental Health, Faculty of Nursing Alexandria University  Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samah Mohamed","family":"Taha","sequence":"additional","affiliation":[{"name":"Assistant Professor of Psychiatric Nursing and Mental Health, Faculty of Nursing Mansoura University  Mansoura Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Abdelwahab Khedr","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Applied Medical Sciences Hafr Albatin University  Hafr Albatin Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7718-4942","authenticated-orcid":false,"given":"Ayman Mohamed","family":"El\u2010Ashry","sequence":"additional","affiliation":[{"name":"Lecturer of Psychiatric Nursing and Mental Health, Faculty of Nursing Alexandria University  Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eman Sameh","family":"Abd Elhay","sequence":"additional","affiliation":[{"name":"Assistant Professor of Psychiatric Nursing and Mental Health, Faculty of Nursing Mansoura University  Mansoura Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,5]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuropharm.2021.108519"},{"issue":"3","key":"e_1_2_15_3_1","first-page":"119","article-title":"The role of self\u2010esteem in a tendency towards drugs, theft, and prostitution","volume":"3","author":"Alavi H. 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