Welche Beeinträchtigungen erleben Patienten mit substanzbezogenen Störungen in ihrem Alltag?

Background: The International Classification of Functioning, Disability and Health (ICF) provides a conceptual framework and a standardized language to describe limitations of functioning. This study assesses the limitations experienced by patients with substance use disorders in their everyday lives using the ICF as a framework. Methods: Three focus groups of patients discussed impairments in their everyday functioning. We included adult participants who were in treatment for a substance use disorder at the time of the study. Two independent researchers derived meaningful concepts from transcripts of the group discussions and assigned them to ICF categories following the linking rules by Cieza. Results: 27 patients participated in the study (age M = 44.15, 25.9 % female). A total of 870 meaningful concepts were linked to 185 different ICF categories (Cohen's κ = .44). The most frequently identified ICF categories were Health care services (6.2 %; n = 54), Insight (6 %; n = 52), and Motivation (3.4 %; n = 30). Conclusions: The patients suffered from various functional limitations in their daily lives. The linkage to the ICF allows us to map these limitations onto the bio-psycho-social model of health and translates them into a universal language.