J Korean Acad Psychiatr Ment Health Nurs.  2016 Sep;25(3):237-248. 10.12934/jkpmhn.2016.25.3.237.

Effects of Ego-resilience Interventions among Children and Adolescents in Korea: A Meta-analysis

Affiliations
  • 1Department of Nursing, Suwon Women's University, Suwon, Korea. firstnun@swc.ac.kr

Abstract

PURPOSE
This study was a meta-analysis planned to exam effects of ego-resilience interventions among children and adolescents in Korea.
METHODS
Search for relevant articles included several electronic databases and hand-search from article references. Thirteen studies met inclusion criteria from 1,638 studies. Comprehensive Meta-Analysis (version 3) and Review Manager (version 5) were used to analyze effect sizes, investigate possible causes of heterogeneity and check publication bias with a funnel plot and its trim-and-fill analysis.
RESULTS
Overall effect size of ego-resilience interventions were medium (Hedges'g=0.66) and medium heterogeneity (I²=54%). Subgroup analysis was performed to estimate causes of heterogeneity. The effect size for normal populations (g=0.70) was larger than for risk populations (g=0.64). Interventions for primary school students (g=0.74) were more effective than interventions for adolescents (g=0.51). Interventions in the community (g=0.72) shown larger effect size than intervention at school (g=0.51). Art therapy (g=0.79) had a better effect than cognitive behavior therapy (g=0.62). Interventions with over 1,000 minutes (g=1.10) and intervention with over 11 sessions (g=1.40) were effective. This study found no significant publication bias.
CONCLUSION
Based on current findings, there is obvious evidence that ego-resilience interventions have significant effects in improving ego-resilience among children and adolescents in Korea.

Keyword

Resilience; Intervention; Meta-analysis

MeSH Terms

Adolescent*
Art Therapy
Child*
Cognitive Therapy
Humans
Korea*
Population Characteristics
Publication Bias

Figure

  • Figure 1 Flow of studies included from database search.

  • Figure 2 Forest plots of the effects of ego-resilience interventions.

  • Figure 3 Funnel plot of effect sizes by standard error.


Reference

1. Cho BH. Development of daily hassles scale and daily hassles coping behaviors scale for elementary school children. J Child Educ. 2006; 15(3):5–21.
2. Statistics Korea. 2015 Youth Statistics [Internet]. 2015. 04. cited 2016 Jun 28. Available from: http://www.kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=335384.
3. Tugade MM, Fredrickson BL. Resilient individuals use positive emotions to bounce back from negative emotional experiences. J Pers Soc Psychol. 2004; 86(2):320–333. DOI: 10.1037/0022-3514.86.2.320.
Article
4. Block J, Kremen AM. IQ and ego-resiliency: conceptual and empirical connections and separateness. J Pers Soc Psychol. 1996; 70(2):349–361. DOI: 10.1037/0022-3514.70.2.349.
Article
5. Beutel ME, Glaesmer H, Decker O, Fischbeck S, Braähler E. Life satisfaction, distress, and resiliency across the life span of women. Menopause. 2009; 16(6):1132–1138. DOI: 10.1097/gme.0b013e3181a857f8.
Article
6. Burns RA, Anstey KJ. The Connor-Davidson Resilience Scale (CD-RISC): testing the invariance of a uni-dimensional resilience measure that is independent of positive and negative affect. Pers Individ Dif. 2010; 48(5):527–531. DOI: 10.1016/j.paid.2009.11.026.
Article
7. Lee YS. Theoretical consideration about a resilience concept. Korean J Play Ther. 2013; 16(4):259–284.
8. Bae J, Park HJ, Yang MK. Effects of a Self-discovery Program for Ego resilience, Self-esteem, Stress and Depression in Elementary School Students. J Korean Acad Psychiatr Ment Health Nurs. 2012; 21(3):210–219.
Article
9. Park WJ, Kim MY. Effects of literary therapy intervention on ego resilience and maladaptive behavior in children of broken homes. J Korean Acad Psychiatr Ment Health Nurs. 2011; 20(2):143–156. DOI: 10.12934/jkpmhn.2011.20.2.143.
Article
10. Yoe JY. The effect of music therapy activities on resilience of internet addicted adolescents. Korean J Music Ther. 2012; 14(1):21–40.
Article
11. Hwang SD. Publication baias in meta-analysis: its meaning and analysis. Korean J Human Development. 2016; 23(1):1–19. DOI: 10.15284/kjhd.2016.23.1.1.
12. Leppin AL, Bora PR, Tiburt JC, Gionfriddo MR, ZeballosPalacios C, Dulohery MM, et al. The efficacy of resiliency training programs: a systematic review and meta-analysis of randomized trials. PLoS One. 2014; 9(10):1–15. DOI: 10.1371/journal.pone.0111420.
Article
13. Zenner C, Herrnleben-Kurz S, Walach H. Mindfulness-based interventions in schools-a systematic review and meta-analysis. Front Psychol. 2014; 5(603):1–20. DOI: 10.3389/fpsyg.2014.00603.
Article
14. Hu T, Zhang D, Wang J. A meta-analysis of the trait resilience and mental health. Pers Individ Dif. 2015; 76:18–27. DOI: 10.1016/j.paid.2014.11.039.
Article
15. Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003; 18(2):76–82. DOI: 10.1002/da.10113.
Article
16. Harvey J, Delfabbro PH. Psychological resilience in disadvantaged youth: a critical overview. Australian Psychologist. 2004; 39(1):3–13. DOI: 10.1080/00050060410001660281.
Article
17. Dray J, Bowman J, Wolfenden L, Campbell E, Freund M, Hodder R, et al. Systematic review of universal resilience interventions targeting child and adolescent mental health in the school setting: review protocol. Syst Rev. 2015; 4:186–194. DOI: 10.1186/s13643-015-0172-6.
Article
18. Scottish Intercollegiate Guidelines Network. SIGN 50: a guideline developer's handbook [Internet]. 2012. 05. cited 2016 Mar 29. Available from: http://www.sign.ac.uk/guidelines/fulltext/50/index.html.
19. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986; 7(3):177–188.
Article
20. Cohen J. Statistical power analysis. Curr Dir Psychol Sci. 1992; 1(3):98–101. DOI: 10.1111/1467-8721.ep10768783.
Article
21. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003; 327(7414):557–560. DOI: 10.1136/327.7414.557.
Article
22. Duval S, Tweedie R. A nonparametric "trim and fill" method of accounting for publication bias in meta-analysis. J Am Stat Assoc. 2000; 95(449):89–98. DOI: 10.1080/01621459.2000.10473905.
Article
23. Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997; 315(7109):629–634.
Article
24. Windle G, Bennett KM, Noyes J. A methodological review of resilience measurement scales. Health Qual Life Outcomes. 2011; 9(8):1–18. DOI: 10.1186/1477-7525-9-8.
Article
25. Kim KK, Im SI, Park IS. Meta-analysis of self-esteem improvement program. J Educational Research. 2015; 13(1):21–42.
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