J Korean Acad Psychiatr Ment Health Nurs.  2019 Mar;28(1):50-63. 10.12934/jkpmhn.2019.28.1.50.

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

Affiliations
  • 1Assistant Professor, Department of Nursing, Sangji University, Wonju, Korea. kheekyung@sangji.ac.kr
  • 2Doctoral Student, Department of Nursing, Inha University, Incheon, Korea.

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.

Keyword

Resilience, Psychological; Adult children; Alcoholism; Review

MeSH Terms

Adult Children*
Adult*
Alcoholics*
Alcoholism
Child
Humans
Internal-External Control
Methods
Nursing
Parents
Resilience, Psychological
Spirituality

Figure

  • Figure 1. Flow diagram of study selection.

  • Figure 2. Operational definition of adult children of alcoholics (ACOA)' resilience.


Reference

1. Ministry of Health and Welfare. The Survey of Mental Disorders in Korea 2016. Ministry of Health and Welfare Statistics [Internet]. 2016. [cited 2018 Sep 28]. Available from:. http://www.mohw.go.kr/react/jb/sjb1101vw.jsp?SEQ=85&MENU_ID=03320101&page=1&PAR_MENU_ID=03#.
2. Ministry of Health and Welfare. Korea National Health & Nutrition Examination Survey 2017. Ministry of Health and Welfare Statistics [Internet]. 2017. [cited 2018 Dec 27]. Available from:. http://www.mohw.go.kr/react/jb/sjb1101vw.jsp?SEQ=88&MENU_ID=03320101&page=1&PAR_MENU_ID=03#.
3. Park HS, Lee SG. Association between psychological characteristics of adult-children of alcoholics and psychosocial problems. Korean Journal of Social Welfare. 2001; 46:118–144.
4. Lee HH, Cranford JA. Does resilience moderate the associations between parental problem drinking and adolescents' internalizing and externalizing behaviors? A study of Korean adolescents. Drug and Alcohol Dependence. 2008; 96(3):213–221. https://doi.org/10.1016/j.drugalcdep.2008.03.007.
5. Kim HK, Lee MH. Factors influencing resilience of adult children of alcoholics among college students. Journal of Korean Academy of Nursing. 2011; 41(5):642–651. https://doi.org/10.4040/jkan.2011.41.5.642.
Article
6. Lee HR, Park SM. A study of the relationships between attachment to parents, image of God and resilience among adult children of alcoholics (ACOA). Korean Journal of Christian Counseling. 2013; 24(2):181–213.
7. Drapkin ML, Eddie D, Buffington AJ, McCrady BS. Alcohol-specific coping styles of adult children of individuals with alcohol use disorders and associations with psychosocial functioning. Alcohol and Alcoholism. 2015; 50(4):463–469. https://doi.org/10.1093/alcalc/agv023.
Article
8. Jennison KM, Johnson KA. Resilience to drinking vulnerability in women with alcoholic parents: the moderating effects of dyadic cohesion in marital communication. Substance Use & Misuse. 1997; 32(11):1461–1489. https://doi.org/10.3109/10826089709055873.
Article
9. Hinz LD. College student adult children of alcoholics: psychological resilience or emotional distance? Journal of Substance Abuse. 1990; 2(4):449–457. https://doi.org/10.1016/S0899-3289(12)80005-8.
Article
10. Yau WYW, Zubieta JK, Weiland BJ, Samudra PG, Zucker RA, Heitzeg MM. Nucleus accumbens response to incentive stimuli anticipation in children of alcoholics: relationships with precursive behavioral risk and lifetime alcohol use. The Journal of Neuroscience. 2012; 32(7):2544–2551. https://doi.org/10.1523/JNEUROSCI.1390-11.2012.
Article
11. Werner EE. Resilient offspring of alcoholics: a longitudinal study from birth to age 18. Journal of Studies on Alcohol. 1986; 47(1):34–40.
Article
12. Palmer N. Resilience in adult children of alcoholics: a non-pathological approach to social work practice. Health & Social Work. 1997; 22(3):201–209. https://doi.org/10.1093/hsw/22.3.201.
Article
13. Earvolino-Ramirez M. Resilience: a concept analysis. Nursing Forum. 2007; 42(2):73–82. https://doi.org/10.1111/j.1744-6198.2007.00070.x.
Article
14. Park S, Schepp KG. A systematic review of research on children of alcoholics: their inherent resilience and vulnerability. Journal of Child and Family Studies. 2015; 24(5):1222–1231. https://doi.org/10.1007/s10826-014-9930-7.
Article
15. Lee EY, Lee JS. An intergrative review on Korean nursing studies related to problematic drinker's children. Journal of the Korea Academia-Industrial cooperation Society. 2015; 16(12):8844–8852. https://doi.org/10.5762/KAIS.2015.16.12.8844.
Article
16. Whittemore R, Knafl K. The integrative review: updated methodology. Journal of Advanced Nursing. 2005; 52(5):546–553. https://doi.org/10.1111/j.1365-2648.2005.03621.x.
Article
17. Thompson B, Diamond KE, McWilliam R, Snyder P, Snyder SW. Evaluating the quality of evidence from correlational research for evidence-based practice. Exceptional Children. 2005; 71(2):181–194. https://doi.org/10.1177/001440290507100204.
Article
18. Heitzeg MM, Nigg JT, Yau WYW, Zubieta JK, Zucker RA. Affective circuitry and risk for alcoholism in late adolescence: differences in frontostriatal responses between vulnerable and resilient children of alcoholic parents. Alcoholism, Clinical and Experimental Research. 2008; 32(3):414–426. https://doi.org/10.1111/j.1530-0277.2007.00605.x.
Article
19. Werner EE, Johnson JL. The role of caring adults in the lives of children of alcoholics. Substance Use & Misuse. 2004; 39(5):699–720. https://doi.org/10.1081/JA-120034012.
Article
20. Godsall RE, Jurkovic GJ, Emshoff J, Anderson L, Stanwyck D. Why some kids do well in bad situations: relation of parental alcohol misuse and parentification to children's self-concept. Substance Use & Misuse. 2004; 39(5):789–809. https://doi.org/10.1081/JA-120034016.
Article
21. Hall CW, Webster RE. Multiple stressors and adjustment among adult children of alcoholics. Addiction Research & Theory. 2007; 15(4):425–434. https://doi.org/10.1080/16066350701261865.
Article
22. Barrera M, Hageman DN, Gonzales NA. Revisiting hispanic adolescents' resilience to the effects of parental problem drinking and life stress. American Journal of Community Psychology. 2004; 34(1-2):83–94. https://doi.org/10.1023/B:AJCP.0000040148.72858.81.
Article
23. Haverfield MC, Theiss JA. Parental communication of responsiveness and control as predictors of adolescents' emotional and behavioral resilience in families with alcoholic versus nonalcoholic parents. Human Communication Research. 2017; 43(2):214–236. https://doi.org/10.1111/hcre.12102.
24. Hall JC. An exploratory study of the role of kinship ties in promoting resilience among African American adult children of alcoholics. Journal of Human Behavior in the Social Environment. 2007; 15(2-3):61–78. https://doi.org/10.1300/J137v15n02_05.
Article
25. Carle AC, Chassin L. Resilience in a community sample of children of alcoholics: its prevalence and relation to internalizing symptomatology and positive affect. Journal of Applied Developmental Psychology. 2004; 25(5):577–595. https://doi.org/10.1016/j.appdev.2004.08.005.
Article
26. Kim JH. The college adjustment of adult children of alcoholics: focused on moderating effect of protective factors. Journal of Social Work Practice. 2008; 7:131–157.
27. Haverfield MC, Theiss JA. Parent's alcoholism severity and family topic avoidance about alcohol as predictors of perceived stigma among adult children of alcoholics: implications for emotional and psychological resilience. Health Communication. 2016; 31(5):606–616. https://doi.org/10.1080/10410236.2014.981665.
Article
28. Kim JH. Resilience. 1st ed.Gyeonggi-do: Wisedomhouse;2011. p. 310.
29. Wagnild GM, Young HM. Development and psychometric evaluation of the resilience scale. Journal of Nursing Measurement. 1993; 1(2):165–178.
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