The Interplay of Cognitive Distortions, Impulsive Sensation Seeking, and Relapse Probability among Clients with Substance Use Disorders

Background: Substance use disorders (SUDs) are characterized by chronic and recurrent patterns of 
substance abuse, often marked by high rates of relapse despite treatment. A substantial body of research 
has focused on identifying factors that contribute to relapse, with cognitive distortions emerging as a key 
predictor. Additionally, impulsive sensation seeking has been implicated in the etiology and 
maintenance of SUDs. While previous research has examined these constructs independently, their 
combined influence on relapse remains understudied. This study aims to investigate the predictive 
effects of cognitive distortions and impulsive sensation seeking on relapse probability among clients 
with SUDs. By identifying these factors, this research seeks to contribute to the development of more 
effective relapse prevention interventions. Aim: This study investigated the predictive effects of 
cognitive distortions and Impulsive Sensation Seeking on relapse probability among clients with SUDs. 
Subjects and Method: Design: A descriptive correlational analytical design was used. Subjects: A 
convenience sample of clients with SUDs who met the selection criteria. Tools: Four tools were 
used for data collection: socio-demographic and clinical data, the cognitive distortion scale (CDS), 
impulse sensation seeking (ImpSS), and the AWARE Questionnaire (The Advance Warning of 
Relapse). Results: Results indicated a high prevalence of cognitive distortions, impulsive sensation 
seeking, and the risk of relapse within the sample. Furthermore, there are significant positive 
correlations between cognitive distortions and both impulsive sensation seeking and relapse probability. 
Similarly, impulsive sensation seeking and relapse probability were significantly positively correlated. 
Collectively, the present study identified cognitive distortions and impulsive sensation seeking as 
significant predictors of relapse probability. Conclusion and Recommendation: The current study 
offers significant implications for clinical practice and prevention efforts. By identifying cognitive 
distortions as a primary driver of relapse, clinicians can develop targeted interventions to address these 
maladaptive thought patterns. Additionally, incorporating strategies to reduce impulsive sensation 
seeking may further enhance relapse prevention efforts.