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J Korean Acad Psychiatr Ment Health Nurs > Volume 28(1); 2019 > Article
Journal of Korean Academy of psychiatric and Mental Health Nursing 2019;28(1):50-63.
DOI: https://doi.org/10.12934/jkpmhn.2019.28.1.50    Published online April 5, 2019.
An Integrative Literature Review of Resilience in Adult Children of Alcoholics: Focusing on Operational Definitions and Moderators.
Hee Kyung Kim, Yoonwoo Ko
1Assistant Professor, Department of Nursing, Sangji University, Wonju, Korea. kheekyung@sangji.ac.kr
2Doctoral Student, Department of Nursing, Inha University, Incheon, Korea.
The objective of this study was to explore operational definitions and moderators of the resilience of adult children of alcoholics (ACOA) and its associated variables. METHODS: This integrative review was conducted based on a literature review method suggested by Whittemore and Knafl. Databases including PubMed, CINAHL, PsycINFO, and RISS were searched using the combinations of search terms such as; ‘adult children of alcoholics,’‘parental alcoholism,’‘resilience,’ and ‘children of alcoholics.’ RESULTS: Seventeen studies were selected for this review. Findings of integrative reviews reported operational definitions for the resilience of ACOA and moderators. The operational definition of ACOA's resilience is: (1) having no behavioral and emotional problem, (2) meeting social and developmental expectancies, (3) having the ability to cope with adversity, (4) having high self-concept, and (5) having a meaningful relationship. In addition, the varying environmental moderators include family communication, qualities of caring environment, parental communication, parentification, and social support. Several moderators were identified as positive effect, self-esteem, alcohol-specific coping style, locus of control, spirituality, the image of God, and dyadic cohesion in marital communication. CONCLUSION: Our study findings emphasize comprehensive understanding of diverse definition of resilience and moderators in developing nursing interventions to promote resilience in ACOA.
Key Words: Resilience, Psychological; Adult children; Alcoholism; Review
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