A Scoping Review of Acculturative Stress and Psychosocial Adaptation among Married Immigrant Women

Purpose: This study aimed to examine research trends on acculturative stress and psychosocial adaptation among married immigrant women in Korea and to identify key factors and intervention characteristics through a scoping review. Methods: Following the five-stage framework proposed by Arksey and O’Malley, a scoping review was conducted. Domestic databases (RISS, KISS, and the National Assembly Library) were searched for studies published between January 2015 and December 2025. A total of 21 studies that met the inclusion criteria were analyzed in terms of research design, key variables, and intervention characteristics. Results: Acculturative stress emerged as a core factor influencing psychological well-being, social adaptation, and overall quality of life among married immigrant women. Major protective factors included self-esteem, empowerment, social support, family strength, and marital satisfaction, whereas perceived discrimination and social exclusion were identified as significant risk factors that intensified acculturative stress. Intervention studies and meta-analyses showed that small-group–based programs, such as art therapy and physical activity interventions, were effective in reducing acculturative stress and depression. However, most studies employed cross-sectional designs, indicating a lack of strong evidence regarding causal relationships and long-term intervention effects. Conclusion: The findings highlight the need for multidimensional nursing interventions that extend beyond individual-focused approaches to include family- and community-based strategies. Future research should adopt longitudinal and randomized controlled designs to strengthen the evidence base for culturally sensitive, psychosocial nursing interventions. These efforts will contribute to improving the mental health and social integration of married immigrant women and to promoting health equity in a multicultural society.