Article

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.

Langue : ANGLAIS