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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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- Resilience, Psychological; Adult children; Alcoholism; Review
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- 28±Ç 1È£ pp. 50-63
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- 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.
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28-1-50-±èÈñ°æ-ÃÖÁ¾.pdf
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