Parental Factors Associated with Smartphone Overuse in Preschoolers: A Systematic Review and Meta-Analysis

Purpose@#This study aimed to identify parental factors associated with smartphone overuse in preschoolers. @*Methods@#A systematic reviewwas conducted according to PRISMA guidelines. Relevant studies published in peer-reviewed journals from 2009 to June 2019 were identifiedthrough systematic search in 10 electronic databases (PubMed, CINAHL, Cochrane Central, EMBASE, Web of Science, NDSL, KISS, KMbase,KoreaMed, and RISS). Standardized effect sizes were calculated to quantify the associations of parental factors with smartphoneoveruse in preschoolers using meta-analysis. @*Results@#A total of 30 cross-sectional studies involving 7,943 participants met the inclusioncriteria. The following were negatively correlated with smartphone overuse in preschoolers: mother’s parenting self-efficacy (r =-.35),mother-child attachment (r =-.28), mother’s positive parenting behavior (r =-.28), mother’s positive parenting attitude (r =-.25), and father’sparenting involvement (r =-.15). Further, maternal factors such as smartphone addiction tendency (r =.41), parenting stress (r =.40), negativeparenting behavior (r =.35), negative parenting attitude (r =.14), smartphone usage time (r =.26), employment status (r =.18), and age(r =.12) were positively correlated with smartphone overuse in preschoolers. @*Conclusion@#Several parental factors influence smartphoneoveruse in preschoolers. These findings emphasize the need to assess and enhance the parental factors identified in this study to preventsmartphone overuse in preschoolers. Accordingly, we recommend the development of preventive interventions to strengthen parent-relatedprotective factors and mitigate risk factors.

Interventions to Reduce the Problems of Abused Children and Adolescents in Residential Facilities in South Korea: An Integrative Review

PURPOSE: The purpose of this study was to review the literature on intervention studies for abused children and adolescent in residential facilities in South Korea (ACARF-K). The goal was to understand the problems they experience, to evaluate the content and effectiveness of interventions applied to them, and to develop evidence-based nursing intervention programs. METHODS: We used four electronic databases to search for relevant articles. 18 studies according to Whittemore and Knafl's integrative review method to synthesize the literature. RESULTS: The ACARF-K experienced problems in biophysical, psychological, and sociocultural domains related to attachment impairment. Effective intervention strategies were building trust through empathy and fulfillment of needs, encouraging ACARF-K to express themselves and helping them to clarify emotions in an unthreatening environment, and improving their self-concept through activities in which they experienced achievement. CONCLUSION: Interventions are needed to help restore attachment damage among ACARF-K. The interventions in this study utilized emotional, cognitive, relational, and behavioral therapeutic tools to improve their psychological and social capacities. Future intervention programs for ACARF-K should include these key elements.

An Integrative Review on the Contents and Effectiveness of Emotion Coaching Interventions for Parents / 정신간호학회지

PURPOSE: The purpose of this integrative literature review was to synthesize contents of emotion coaching interventions (ECI) for parents and explore unique changes in parents, parents-child, or child outcomes. METHODS: This research was conducted according to Whittemore and Knafl's integrative review method, which encompassed problem identification, literature search, data evaluation, data analysis, and presentation stages. Relevant searching terms in English and Korean were used for eight electronic databases: MEDLINE, EMBASE, Cochrane library, CINAHL, RISS, KISS, NDSL, and DBpia. RESULTS: A total of 28 studies were selected: 16 Korean and 12 non-Korean ones. Among the selected studies, the ECI for parents was found to be effective in regulating both the parent's and child's emotions. The contents of the ECI seems to be applicable and understandable using self-reflection, emotional competency improvement, and emotion coaching proficiency, especially for demonstration and maintenance of a positive attitude. CONCLUSION: The ECI was an effective intervention which is helpful for child rearing, emotional regulation, and social competence for parents. In addition, it had a positive effect in regulating behavioral problems in children through interventions provided to the parents.

The Effects of an Enneagram Program on Codependency, Anger, and Interpersonal Relationship in Wives of Alcoholics / 정신간호학회지

PURPOSE: The purpose of this study was to develop an Enneagram program (EP) and examine the effects on codependency, anger and interpersonal relationship in wives of alcoholics. METHODS: A nonequivalent control group pre-posttest design was used. Participants were 26 wives of alcoholics (experimental group: 12, control group: 14). From March 17 to August 18, 2014, six two-hour sessions of EP were provided to the experimental group over six weeks. Data were collected using the Codependency Recovery Potential Survey (CRPS), Korean State-Trait Anger Expression Inventory (STAXI-K) and Relationship Change Scale (RCS). and analyzed using PASW 18.0 with Fisher's exact test, t-test, and Mann-Whitney U test. RESULTS: The experimental group showed lower scores for codependency (Z=-2.17, p=.030) and anger (Z=-2.43, p=.015) than the control group. However, there was no significant difference in interpersonal relationship score between two groups. CONCLUSION: The EP for wives of alcoholics was effective in improving codependency and anger. A randomized clinical trial is needed to confirm the value of this EP.