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Psychosocial difficulties in alcohol dependence: a systematic review of activity limitations and participation restrictions

Psychosocial difficulties in alcohol dependence: a systematic review of activity limitations and participation restrictions
Psychosocial difficulties in alcohol dependence: a systematic review of activity limitations and participation restrictions
Abstract Purpose: There has been a lack of comprehensive reviews targeting specific aspects of functioning and the difficulties faced by persons with alcohol dependence. The aim of the present review was to systematically compile the existing literature on activity limitations and participation restrictions as defined in the International Classification of Functioning, Disability and Health (ICF) in the context of alcohol dependence. Methods: A database search (MEDLINE and PsychINFO) was performed for studies published in English (2005-2012), examining the activity limitations and participation restrictions in alcohol dependence. Using a standardised protocol, information about the studies' characteristics and data on activity limitations and participation restrictions, their evolution, onset, determinants and associations with other variables were extracted from the studies under review. Results: A total of 211 difficulties in activities and participation in persons with alcohol dependence were extracted from 125 papers. The spectrum of studies was wide, and their overall quality was good. A common reason for the exclusion of studies was an inconclusive definition of alcohol dependence. Issues with interpersonal interactions, economic and professional life, dealing with aggression and legal problems were the most frequently reported difficulties. Problems with high-risk behaviours and in seeking appropriate treatment were also common. The most frequent determinants of the onset and evolution of the identified difficulties were factors pertaining to the course of alcohol dependence. These difficulties were rarely the studies' focus; therefore, the data on their underlying causes and courses were limited. Conclusions: The results confirm that alcohol dependence profoundly affects the family and social network of the afflicted person. The treatment of alcohol dependence can contribute to the alleviation of these associated difficulties. The ICF offers a new perspective on evaluating the wide range of difficulties encountered in the context of alcohol dependence. Implications for Rehabilitation Alcohol dependence profoundly affects the family and social network of the afflicted person. The most frequent difficulties in activities and participation have to do with interpersonal interactions, economic and work life, dealing with aggression and legal problems. Problems with high-risk behaviours and in seeking appropriate treatment are also common. Treatment targeted at reduction or cessation of alcohol use is effective in reducing these psychosocial difficulties. The ICF offers a structure for systematic evaluation of the wide range of difficulties encountered in alcohol dependence.
activities and participation, alcohol dependence, icf, psychosocial difficulties, psychosocial functioning
0963-8288
1227-1239
Levola, J.
71f88aca-54ed-4c49-815d-4fe9c5a2e8bc
Holopainen, A.
91037e1c-520a-4feb-9019-b444438dff77
Kaskela, T.
1b8f243f-a7b9-4662-8a73-f82db8153aae
Sabariego, C.
649cdf85-62d5-4eb9-b181-5f6333f02d95
Tourunen, J
36114f85-111e-4809-87a4-5d2b84964255
Cieza, A.
a0df25c5-ee2c-4580-82b3-d0a75591580e
Pitkänen, T.
cbf3f7ee-5f97-4594-9b05-7378fc29ee4d
Levola, J.
71f88aca-54ed-4c49-815d-4fe9c5a2e8bc
Holopainen, A.
91037e1c-520a-4feb-9019-b444438dff77
Kaskela, T.
1b8f243f-a7b9-4662-8a73-f82db8153aae
Sabariego, C.
649cdf85-62d5-4eb9-b181-5f6333f02d95
Tourunen, J
36114f85-111e-4809-87a4-5d2b84964255
Cieza, A.
a0df25c5-ee2c-4580-82b3-d0a75591580e
Pitkänen, T.
cbf3f7ee-5f97-4594-9b05-7378fc29ee4d

Levola, J., Holopainen, A., Kaskela, T., Sabariego, C., Tourunen, J, Cieza, A. and Pitkänen, T. (2014) Psychosocial difficulties in alcohol dependence: a systematic review of activity limitations and participation restrictions. Disability and Rehabilitation, 36 (15), 1227-1239. (doi:10.3109/09638288.2013.837104). (PMID:24079366)

Record type: Article

Abstract

Abstract Purpose: There has been a lack of comprehensive reviews targeting specific aspects of functioning and the difficulties faced by persons with alcohol dependence. The aim of the present review was to systematically compile the existing literature on activity limitations and participation restrictions as defined in the International Classification of Functioning, Disability and Health (ICF) in the context of alcohol dependence. Methods: A database search (MEDLINE and PsychINFO) was performed for studies published in English (2005-2012), examining the activity limitations and participation restrictions in alcohol dependence. Using a standardised protocol, information about the studies' characteristics and data on activity limitations and participation restrictions, their evolution, onset, determinants and associations with other variables were extracted from the studies under review. Results: A total of 211 difficulties in activities and participation in persons with alcohol dependence were extracted from 125 papers. The spectrum of studies was wide, and their overall quality was good. A common reason for the exclusion of studies was an inconclusive definition of alcohol dependence. Issues with interpersonal interactions, economic and professional life, dealing with aggression and legal problems were the most frequently reported difficulties. Problems with high-risk behaviours and in seeking appropriate treatment were also common. The most frequent determinants of the onset and evolution of the identified difficulties were factors pertaining to the course of alcohol dependence. These difficulties were rarely the studies' focus; therefore, the data on their underlying causes and courses were limited. Conclusions: The results confirm that alcohol dependence profoundly affects the family and social network of the afflicted person. The treatment of alcohol dependence can contribute to the alleviation of these associated difficulties. The ICF offers a new perspective on evaluating the wide range of difficulties encountered in the context of alcohol dependence. Implications for Rehabilitation Alcohol dependence profoundly affects the family and social network of the afflicted person. The most frequent difficulties in activities and participation have to do with interpersonal interactions, economic and work life, dealing with aggression and legal problems. Problems with high-risk behaviours and in seeking appropriate treatment are also common. Treatment targeted at reduction or cessation of alcohol use is effective in reducing these psychosocial difficulties. The ICF offers a structure for systematic evaluation of the wide range of difficulties encountered in alcohol dependence.

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More information

e-pub ahead of print date: 30 September 2013
Published date: 2014
Keywords: activities and participation, alcohol dependence, icf, psychosocial difficulties, psychosocial functioning
Organisations: Psychology

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Local EPrints ID: 358610
URI: https://eprints.soton.ac.uk/id/eprint/358610
ISSN: 0963-8288
PURE UUID: 5deb5b9c-ffc1-4790-9f6d-d33d0f275acc

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Date deposited: 14 Oct 2013 09:06
Last modified: 16 Jul 2019 21:20

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