• Korean Journal of Family Social Work
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• no.23
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• pp.225-262
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• 2008

The purpose of this study was to improve the understanding of essential experiences of children of Alcoholism and explore their adjustment process from the children's perspectives. The specific research questions explored in this study were: 1. What was the central phenomenon that children of Alcoholism have experienced? 2. What was the adjustment process of the children of Alcoholism. The grounded theory was adopted in this study to address the research questions. Data was collected through in-depth interviews with eight young adult aged from 18-30 years olds who experienced their parent's Alcoholism. Grounded theory based data analyses resulted in 85 concepts, 30 sub-categories, and 16 categories. The 'causal conditions' influencing the central phenomenon was 'self denial' and 'being suppressed' is the central phenomenon for the children of Alcoholism. The core issue in the process of an adjustment of children from a Alcoholism family was 'accepting the parental Alcoholic problem and re-defining the self', The results of this study suggest that counseling interventions are suggested to improve children's well-being and facilitate their adjustment. Therefore this study has implication on building theory of intervention on the offsprings who have parents of Alcoholism.

• Science of Emotion and Sensibility
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• v.25 no.2
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• pp.101-110
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• 2022

Alcohol abuse negatively affects the individual alcoholics and their families, including children. This paper investigates interventions that help children of alcoholics psychosocially and psychopathologically. We investigated domestic and international literature by searching the related databases and reviewing articles. Inclusion criteria were studies on psychological interventions for children of alcoholics (CoAs) or both CoAs and parents. Results suggest that the interventions help CoAs reduce their emotional and behavioral problems. After the review, the research results were discussed, and suggested further effective interventions. The study is valuable because it reviewed the studies that improved CoAs' psychological problems and suggested future directions

• Journal of Korean Public Health Nursing
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• v.17 no.2
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• pp.299-316
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• 2003

A phenomenological methodology was used to identify the life of children living with alcoholic parents. Nine adolescents participated in the in-depth interviews, done between October and December 2001. The Colaizzi's method was used for data analysis. The results of this study are as follows. One theme and thirteen meanings were identified, The one theme is Paradoxical Coping in Life. The meanings are obsessive behavior as a way to control father's behavior, always on the defensive due to anxiety and tension, being afraid of life alone due to paranoid thoughts, contradictory expectations about father's drinking behavior due to life with chronic tension, stress becoming familiar and life being boring and tendious without stimulation, life that is fake and filled with misinterpretations about reality, affection sought from others due to loneliness, compensatory life within peer group, negative expectation about the future due to negative experiences, controling others to protect ego, denial of real emotion to protect self from hurt, life of regretting self, and strong need for approval from others. The results of this study can provide a foundation for the development of programs for children of alcohol dependent parents.

• Korean Journal of Social Welfare
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• v.56 no.4
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• pp.317-343
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• 2004

The purpose of this study is to explore further understanding of variables, besides father's alcoholism, which relates to psychosocial adjustment among ADAF(adult daughters of alcoholic fathers). This study examines the relationship between father's alcoholism, family functioning, parental attachment and the psychosocial adjustment among the ADAF. From a larger sample of 463 female college students, 160 ADAF and a matched group of non-ADAF were identified to participate in the study. This survey was conducted in Seoul and Gyungi-do area. Participants completed self-report questionnaires, "The Korean Version of Children of Alcoholics Screening Test", "Inventory of Parent and Peer Attachment", "Satisfaction With Life Scale", "Self-esteem", "Beck Depression Inventory" and "Family Environment Scale". Path analyses was used to test the research question. Findings indicated that father's alcoholism had no direct effect on both the psychosocial adjustment of the ADAF and the family functioning. But father's alcoholism was significantly related to parental attachment. Family functioning was significant predictor of attachment to parents as well as psychosocial adjustment. Finally family functioning is important cause for parental attachment and psychosocial adjustment, specifically self-esteem and life satisfaction outcomes only. Therefore parental attachment was function as a mediator in the relationship between family functioning and psychosocial adjustment. In conclusion, this study showed that father's alcoholism did not predict outcome. We need to reconsider the assumption that direct link exists between adult adjustment difficulties and the presence of father's alcoholism. Implications for clinical and theoretical work with ADAF are discussed.

• Korean Journal of Social Welfare
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• v.56 no.3
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• pp.37-59
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• 2004

Short Michigan Alcoholism Screening Test for Fathers(F-SMAST) and Mothers(M-SMAST) is to measure the presence of an alcohol use disorder in one's father and/or mother. The purpose of this study is to evaluate the Korean version of the F-SMAST and M-SMAST. A total of 241 college students, who resided in Seoul and two other cities, participated in this study. The internal consistency of the Korean version of the F-SMAST and M-SMAST was assessed using alpha coefficient. The alpha coefficient of both the F-SMAST and the M-SMAST was 0.82. Standard Errors of Measurement(SEM) were also computed. SEMs of the F-SMAST and the M-SMAST were quite low. With a cut-off score of 3, the F-SMAST correctly identified 91 percent of respondents who were presumed to be children of alcoholics and correctly identified 81 percent of respondents who were presumed not to be children of alcoholics. Sensitivity and specificity of the M-SMAST with a cut-off score of 1 are 0.33 and 0.81, respectively. Several variables were examined in relation to the F-SMAST and the M-SMAST to examine convergent and discriminant validity. It was found that the F-SMAST and the M-SMAST were significantly correlated with most of convergent variables(average amount of drinking per day, AUDIT, distress) and had not statistically significant relationships with discriminant variables(demographic variables). This study suggests that the Korean version of the F-SMAST and the M-SMAST be repeatedly assessed across different sample in order to confirm the findings of this study.

• Journal of the Korean Home Economics Association
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• v.49 no.4
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• pp.37-50
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• 2011

The purpose of this study is to examine the relationships between children's roles, parental attachment, teacher's concerns and school adjustment among Children's Alcoholics(COAs). Participants were 2,803 middle and high school students in Seoul. The regression analysis results showed that hero role was positively associated with school bonding and academic performance but increased the level of anxiety/depression. Meanwhile, scapegoat and lost children's roles were negatively associated with school bonding and also increased the level of anxiety/depression. Mascot role were positively associated with school bonding and academic performance but had no relation with anxiety/depression. Regarding moderating effects, maternal attachment moderated the relationship between scapegoat role and school bonding while teacher's concerns moderated the relationship between hero role and anxiety/depression, and the relationship between scapegoat role and anxiety/depression. These findings suggested that practitioners need to consider the contributions of children's roles on school adjustment and moderating effects of maternal attachment or teacher's concerns when intervention programs are developed to improve school adjustment among COAs.

• Journal of Korean Academy of Psychiatric and Mental Health Nursing
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• v.28 no.1
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• pp.50-63
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• 2019

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.

• Korean Journal of Social Welfare
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• v.46
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• pp.118-144
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• 2001

To examine association between psychological characteristics of Adult-Children of Alcoholics and psychosocial Problems was a purpose of this study. The data were collected on a written questionaire completed 765 adolescents who were consisted of children of alcoholic and nonalcoholic parents. Parental alcoholism was established using CAST and psychosocial problems were assessed by Youth Self Report. Psychological characteristics of ACOA were identified by Adult Children of Alcoholics Screening Test. This study showed that children of alcoholics possess distinct psychological characteristics and they have experienced a variety of psychosocial problems. Hierarchical regression analysis was conducted in order to determine the extent to which characteristics of ACOA affected on psychosocial problems. As a results, psychological characteristics of ACOA were significantly associated with them after controlling for the correlates of family structure, level of family functioning, and parental alcoholism. In addition, two group of ACOA were created on the basis of scores of ACAST. High-risk group had significantly higher YSR scores than low-risk group and it revealed that clinical intervention was needed for many adolescents in high-risk group. The results underscored the importance of ACOA syndrome in adaptation of children with alcoholic parents and suggested the need of future research focusing on development process of subtypes of ACOA.

• Journal of Korean Academy of Nursing
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• v.41 no.5
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• pp.642-651
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• 2011

Purpose: The purpose of this study was to explore the resilience of adult children of alcoholics (ACOA) who are college students, and examine factors contributing to their resilience. Methods: A total of 459 college students from a university in Incheon, participated in this study. Data were collected between April 6 to 30, 2010 using the Korean version of the Children of Alcoholics Screening Test (CAST-K), CAGE, Social Support, Self-Esteem, Family Adaptability and Cohesion, and Resilience measurements. Data were analyzed using the SPSS/WIN 18.0 program. Results: Overall, ACOA group showed lower scores of resilience, social support, self-esteem and family adaptability and cohesion compared to non-ACOA group. Resilience among the ACOA group showed significant relationships with self-esteem (r=.53, p<.001), social support (r=.43, p<.001), and family adaptability and cohesion (r=.25, p<.013). Multiple regression analysis showed that 45% of the variance for resilience in the ACOA group was accounted for by age, gender, social support, self-esteem, and religion. Conclusion: The results of the study show that self-esteem and social support are important determinants of resilience in ACOA, thus it is recommend that further resilience training programs for ACOA be developed to enhance their social support and self-esteem, and ultimately to increase their resilience.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.6 no.1
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• pp.56-64
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• 1995

Family is a primary unit of the major socialization processing for children. Parents among the family members are one of the most important figures from whom the child and adolescent acquire a wide variety of behavior patterns, attitudes, values and norms. An organization of family members product family structural functioning. Abnormal family structure is one of the most important reference models in the learning of antisocial patterns of behavior. Therefore incest and child sexual abuse including spouse abuse, elderly abuse, and neglect occurs in the abnormal family structural setting. In particular, incest, a specific form of sexual abuse, was once thought to be a phenomenon of great rarity, but our clinical experiences, especially over the past decade, have made us aware that incest and child sexual abuse is not rare case and on the increasing trend. Therefore, the aim of this study was to determine the family problem and dynamics of incest family, and character pattern of post-incest adolescent victim in Korea. A total of 1,838 adolescents from middle and high school(1,237) and juvenile correctional institute(601) were studied, sampled from Korean student population and adolescent delinquent population confined in juvenile correctional institutes, using proportional stratified random sampling method. The subjects' ages ranged from 12 to 21 years. Data were collected through questionnaire survey. Data analysis was done by IBM PC of Behavior Science Center at the Korea university, using SAS program. Statistical methods employed were Chi-square, principal component analysis and t-test etc. The results of this study were as follows ; 1) Of 1,071 subjects, 40(3.7%) reported incest experiences(sibling incest : 1.6% ; another type of incest : 2.1%) in their family setting. 2) The character pattern of post-incest adolescent victim was more socially maladjusted, immature, impulsive, rigid, anxious and dependent than non-incest adolescent. Also they showed some problem in academic performance and their assertiveness. 3) The other family members of incest family revealed more psychological and behavioral problem such as depression, alcoholism, psychotic disorder and criminal act than the non-incest family, even though there is no evidence of the context between them. 4) The family dynamics of incest family tended to be dysfunctional trend, as compared with non-incest family. It showed that the psychological instability of family member, parental rejection toward their children, coldness and indifference among family member and marital discordance between the parents had significant correlation with incest.