The problem of relapse among drug addicts after rehabilitation is still very high, reaching almost 90%. This indicates the need for interventions that target not only cognitive aspects but also practical skills in dealing with triggers. This study aims to test the effectiveness of Cognitive Behavior Therapy (CBT) and the combination of CBT with Coping Skills (CS) in reducing relapse risk. This study used a true experimental method with a pretest-posttest control group design. Participants were 14 residents at the Titian Harapan Indonesia Foundation who were randomly assigned into two groups. The instrument used was the AWARE (Advance Warning of Relapse) Scale which was valid and reliable (Cronbach's Alpha 0.914). Data analysis using the Mann-Whitney test showed a p-value of 0.008 (<0.05), indicating a significant difference in effectiveness between the two groups. Based on the N-Gain test, the CBT & CS combination group showed a reduction in relapse risk in the high category (-0.71), while the single CBT group was in the medium category (-0.65). These findings conclude that integrating cognitive restructuring and coping skills training provides a more comprehensive therapeutic impact than single therapy in preventing relapse.
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