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An Integrative Literature Review of Resilience in Adult Children of Alcoholics: Focusing on Operational Definitions and Moderators

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KMID : 0607320190280010050
±èÈñ°æ ( Kim Hee-Kyung ) - »óÁö´ëÇб³ º¸°Ç°úÇдëÇÐ °£È£Çаú

°íÀ±¿ì ( Ko Yoon-Woo ) - ÀÎÇÏ´ëÇб³ °£È£Çаú

Abstract

Purpose: 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.
KeyWords
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Resilience, Psychological, Adult children, Alcoholism, Review
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