An Integrative Review on the Contents and Effectiveness of Depression and Anxiety Interventions applied to Unmarried Mothers Living in Residential Facilities

Taekyun Gwon; Gumhee Lee; Eunbyeol Kang; Jungyi Moon; Juae Jeong

doi:10.16952/pns.2019.16.1.45

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Gwon, Lee, Kang, Moon, and Jeong: An Integrative Review on the Contents and Effectiveness of Depression and Anxiety Interventions applied to Unmarried Mothers Living in Residential Facilities

Original Article

Perspectives in Nursing Science 2019; 16(1): 45-54.

Published online: 30 April 2019

DOI: https://doi.org/10.16952/pns.2019.16.1.45

An Integrative Review on the Contents and Effectiveness of Depression and Anxiety Interventions applied to Unmarried Mothers Living in Residential Facilities

Taekyun Gwon¹, Gumhee Lee², Eunbyeol Kang³, Jungyi Moon³, Juae Jeong³

¹Assistant Professor, Gyeongbuk College of Health, Gimcheon, Korea.

²Graduate Student, College of Nursing, Seoul National University, Seoul, Korea.

³Graduate Student, College of Nursing, Seoul National University · Registered Nurse, Department of Nursing, Seoul National University Hospital, Seoul, Korea.

Corresponding author: Lee, Gumhee. College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 03080, Korea. Tel: +82-2-740-8488, Fax: +82-2-765-4103, lghpw@snu.ac.kr

Received 29 March 2019 Revised 5 April 2019 Accepted 8 April 2019

The Research Institute of Nursing Science Seoul National University

Abstract

Purpose

The purposes of this study was to review the literature on intervention for treating anxiety and depression among unmarried mothers living in facilities, and to understand core that could promote the development of more effective interventions.

Methods

Key words in English and Korean were used to search through eight electronic databases-PubMed, Cochrane Library, EMBASE, CINAHL, RISS, DBpia, NDSL, and the National Assembly Library.

Results

Ten studies were ultimately selected for the integrative review and were evaluated in terms of contextual and methodological quality. The studies consisted of seven quasi-experimental studies and three case report studies. The selected studies utilized music, art, forest therapy, dancing, education, and play programs to change mothers' perceptions, emotions, and behavior and to improve their relationships with their babies or others.

Conclusion

It is important to consider mothers' self-awareness and emotional expression, and to improve their relationships with their babies or others as core elements when developing intervention programs for anxiety and/or depression among unmarried mothers living in residential facilities.

Keywords: Depression, Anxiety, Illegitimacy, Residential facilities, Review

Figures and Tables

Fig. 1

PRISMA flow diagram of the screening process.

Table 1

Results of the Quality Assessment of the Studies

N=No; NA=Not applicable; U=Unclear; Y=Yes.

1.1 Certainty of the cause and the effect; 1.2 Similarity between the participants; 1.3 Control of the history effect; 1.4 Existence of the control group; 1.5 Multiple measurements of the outcome (pre/post); 1.6 Completion of the follow-up, explanation of the attrition; 1.7 The sameness of the measurement method; 1.8 Reliability of measurement; 1.9 Statistical appropriacy; 2.1 Description of the demographic characteristics; 2.2 Description of the patient's history in time order; 2.3 Description of the patient's clinical condition; 2.4 Description of the diagnostic tests or assessment method and the results; 2.5 Description of the intervention procedure; 2.6 Description of the post-intervention clinical condition; 2.7 Identification and description of the unanticipated events; 2.8 Summary of the key lessons and practice guidance.

Table 2

General Characteristics and Methodology of Studies (N=10)

Table 3

Analysis of Interventions Targeting Unmarried Mothers Living in Facilities

Cog=cognition; Cont=control; Emo=emotion; Exp=experimental; Kno=knowledge; Rel=relationship.

^*Significant independent variables.

Appendix

1. Doh HJ. The case study about the group art therapy of the depression and anxiety of unmarried mothers in facility [master's thesis]. Seoul: Dongkuk University; 2009. 73 p.

2. Kim YH. The effects of music therapy on self-esteem and depression in unmarried mother [master's thesis]. Gunpo: Hansae University; 2008a. 70 p.

3. Kim OJ. The effects of group art therapy on anxiety and self-efficacy in unmarried mother [master's thesis]. Wanju: Woosuk University; 2008b. 64 p.

4. Kim YH. The effects of art therapy using color on anxiety for single mothers in group home [master's thesis]. Kyeongsan: Daegu University; 2008c. 86 p.

5. Kim YJ. The effect of dance-movement therapy on mental health of unmarried mother [master's thesis]. Gongju: Kongju University; 2012. 53 p.

6. Kwon BH, Kim GS. The effects of group art therapy using at doll making on affection and depression in unmarried mother in facilities. Korean Art Ther Assoc. 2015 Jun;22(3):985-1007.

7.Moon JA. A case study on art therapy for parenting anxiety change of unmarried mother in nursery facilities. Korean J Art Ther. 2012 May;12(1):25-52.

8. Seol YJ. The effect of art therapy focusing on Winnicott's facilitating environment on the emotional unstability and motherinfant attachment of unmarried mother [master's thesis]. Seoul: Konkuk University; 2018. 114 p.

9. Song JH. Effect of forest therapy on improvement of self-esteem and alleviation of depression and anxiety disorder of unwed mother [master's thesis]. Chungju: Chungbuk University; 2009. 78 p.

10. Yoo SN. Effects of filial therapy programs using developmental play therapy on parenting stress, depression, and self-efficacy of unmarried mother [master's thesis]. Cheonan: Namseoul University; 2015. 135 p.

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