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북한이탈주민의 심리적 도움에 대한 낙인감과 우울감과의 연관성

Relationship between Perceived Stigma for Psychological Helps and Depression in North Korean Defectors

김석주|이소희|전진용|신상수|송대기
대한신경정신의학회 (Korean Neuropsychiatric Association)|2016.08|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제55권 제3호|pp. 194-201|DOI http://dx.doi.org/10.4306/jknpa.2016.55.3.194

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참고문헌

키워드

DepressionNorth Korean defectorsStigmaPsychological help
주제분류정신과학

초록

ObjectivesZZThis study was implemented for North Korean defectors to understand the relationship between perceived stigma for psychological helps and depression. MethodsZZTwo hundred defectors from North Korea were subjects in this study, including 28 males and 172 females. Both self-questionnaires and interviews were conducted. Patient Health Questionnaires-9 (PHQ-9) was used to measure depression scores. Stigma Scale for Receiving Psychological Help (SSRPH) for stigma and Multidimensional Scale of Perceived Social Support (MSPSS) were used to determine social supportive levels that they recognize. ResultsZZIn the initial analysis, SSRPH was associated with PHQ-9. Multiple regression analysis to identify the relationship of stigma for subjects’ psychological helps on depression showed that staying longer than five years in the third country, working, high MSPSS score, and low SSRPH were negatively associated with the PHQ-9. ConclusionZZThe stigma among North Korean defectors for psychological help is positively associated with depression. Perceived stigma may act as a barrier to the initiation and maintenance of psychiatric treatment who subjects in need of psychological help. Understanding the relationship between perceived stigma for psychological help and depression is important.

Abstract

ObjectivesZZThis study was implemented for North Korean defectors to understand the relationship between perceived stigma for psychological helps and depression. MethodsZZTwo hundred defectors from North Korea were subjects in this study, including 28 males and 172 females. Both self-questionnaires and interviews were conducted. Patient Health Questionnaires-9 (PHQ-9) was used to measure depression scores. Stigma Scale for Receiving Psychological Help (SSRPH) for stigma and Multidimensional Scale of Perceived Social Support (MSPSS) were used to determine social supportive levels that they recognize. ResultsZZIn the initial analysis, SSRPH was associated with PHQ-9. Multiple regression analysis to identify the relationship of stigma for subjects’ psychological helps on depression showed that staying longer than five years in the third country, working, high MSPSS score, and low SSRPH were negatively associated with the PHQ-9. ConclusionZZThe stigma among North Korean defectors for psychological help is positively associated with depression. Perceived stigma may act as a barrier to the initiation and maintenance of psychiatric treatment who subjects in need of psychological help. Understanding the relationship between perceived stigma for psychological help and depression is important.

참고문헌 (38)

  1. "Homepage on the Internet"[URL]
  2. Lee Y, "Trauma experience of North Korean refugees in China", Am J Prev Med, 20, pp.225~229 (2001)
  3. 민성길, "탈북자의 남한에서의 삶의 질", 신경정신의학, 45(3), pp.269~275 (2006), 대한신경정신의학회
  4. Kang HY, "A study of psychiatric problems of North Korean refugees who visited a psychiatric clinic", Sleep Med Psychophysiol, 19, pp.35~41 (2012)
  5. 엄태완, "남북주민 통합을 위한 정신건강전략 - 남한 내 북한이탈주민, 저소득주민, 일반주민의 비교를 통하여 -", 통일정책연구, 14(1), pp.297~324 (2005), 통일연구원
  6. Han IY, "Depressive traits of North Korean defectors", Ment Health Soc Work, 11, pp.78~94 (2001)
  7. 김석주, "북한 의사들이 바라보는 북한의 정신의학 현황", 정신신체의학, 20(1), pp.32~39 (2012), 한국정신신체의학회[DOI]
  8. Kim BC, "Mental health of North Korean defectors", Ment Health Policy Forum, 4, pp.19~37 (2010)
  9. Sirey JA, "Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression", Am J Psychiatry, 158, pp.479~481 (2001)
  10. Golberstein E, "Perceived stigma and mental health care seeking", Psychiatr Serv, 59, pp.392~399 (2008)
  11. Kroenke K, "The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms", Psychosom Med, 64, pp.258~266 (2002)
  12. 박승진, "한글판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 신뢰도와 타당도", 대한불안의학회지, 6(2), pp.119~124 (2010), 대한불안의학회
  13. 안제용, "한국어판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 표준화 연구", 생물치료정신의학, 19(1), pp.47~56 (2013), 대한생물치료정신의학회
  14. Komiya N, "Emotional openness as a predictor of college students’ attitudes toward seeking psychological help", J Couns Psychol, 47, pp.138~143 (2000)
  15. Pinto MD, "Stigma Scale for Receiving Psychological Help (SSRPH): an examination among adolescent girls", West J Nurs Res, 37, pp.1644~1661 (2015)
  16. 김미령, "탈북자의 적응스트레스와 사회적 지지가 우울증에 미치는 영향", 한국사회복지학, 57(1), pp.193~217 (2005), 한국사회복지학회
  17. Zimet GD, "The multidimensional scale of perceived social support", J Pers Assess, 52, pp.30~41 (1988)
  18. Cheng ST, "The multidimensional scale of perceived social support: dimensionality and age and gender differences in adolescents", Pers Individ Differ, 37, pp.1359~1369 (2004)
  19. Goffman E, "Stigma: notes on the management of spoiled identity" (1963), Prentice-Hall
  20. Crocker J, "Social stigma and self-esteem: the self-protective properties of stigma", Psychol Rev, 96, pp.608~630 (1989)
  21. Corrigan PW, "Understanding the impact of stigma on people with mental illness", World Psychiatry, 1, pp.16~20 (2002)
  22. 신준섭, "장애인의 지각된 낙인과 우울 - 충북지역 거주 재가 장애인을 중심으로 -", 한국지역사회복지학, (37), pp.361~385 (2011), 한국지역사회복지학회
  23. Lee KH, "Study on the stigma about persons with mental disability", pp.2001
  24. 서미경, "지각된 낙인이 정신장애인의 삶의 만족과 자아존중감에 미치는 영향", 한국사회복지학, 56(4), pp.173~194 (2004), 한국사회복지학회
  25. 조수영, "정신건강 및 정신질환에 대한 지상파 TV 뉴스 분석", 한국언론학보, 54(5), pp.181~204 (2010), 한국언론학회
  26. Cooper-Patrick L, "Identification of patient attitudes and preferences regarding treatment of depression", J Gen Intern Med, 12, pp.431~438 (1997)
  27. Link BG, "Stigma as a barrier to recovery: the consequences of stigma for the self-esteem of people with mental illnesses", Psychiatr Serv, 52, pp.1621~1626 (2001)
  28. Pyne JM, "Relationship between perceived stigma and depression severity", J Nerv Ment Dis, 192, pp.278~283 (2004)
  29. Beck AT, "Depression: clinical, experimental, and theoretical aspects" (1967), University of Pennsylvania Press
  30. 엄태완, "새터민 여성의 사회적 자본 및 지역사회통합과 우울의 관계", 보건사회연구, 32(3), pp.92~121 (2012), 한국보건사회연구원
  31. George LK, "Social support and the outcome of major depression", Br J Psychiatry, 154, pp.478~485 (1989)
  32. 조영아, "북한이탈주민의 우울 예측 요인: 3년 추적 연구", 한국심리학회지: 상담 및 심리치료, 17(2), pp.467~484 (2005), 한국상담심리학회
  33. Buchwald D, "Prevalence of depressive symptoms among established Vietnamese refugees in the United States: detection in a primary care setting", J Gen Intern Med, 8, pp.76~81 (1993)
  34. Hauff E, "Organised violence and the stress of exile. Predictors of mental health in a community cohort of Vietnamese refugees three years after resettlement", Br J Psychiatry, 166, pp.360~367 (1995)
  35. Sodowsky GR, "Relationship between acculturation-related demographics and cultural attitudes of an Asian-Indian immigrant group", J Multicult Couns Dev, 16, pp.117~135 (1988)
  36. Williams CL, "Primary prevention of acculturative stress among refugees. Application of psychological theory and practice", Am Psychol, 46, pp.632~641 (1991)
  37. Beiser M, "Language acquisition, unemployment and depressive disorder among Southeast Asian refugees: a 10-year study", Soc Sci Med, 53, pp.1321~1334 (2001)
  38. 이영선, "학술논문분석을 통해 본 북한이탈주민 여성의 특수성", 통일문제연구, 23(2), pp.147~194 (2011), 평화문제연구소

관련 논문AI추천

Somatic Symptoms as Mediating Factors between the Perceived Social Support and the Health-Related Quality of Life in North Korean Defectors김석주, 신상수, 원성두, 이소희, 전진용대한신경정신의학회 · PSYCHIATRY INVESTIGATION2017 · 제14권 제4호북한이탈주민진료센터 정신건강의학과를 내원한 북한이탈주민에서 외상 후 스트레스장애와 사회 적응 및 삶의 질 관계김석주, 신미녀, 원성두, 유소영, 이소희, 전진용, 한나영대한신경정신의학회 · 신경정신의학2015 · 제54권 제1호북한이탈주민의 상호문화적응과 정신건강의 관계: 사회적 낙인의 조절효과김경미, 이동혁한국상담학회 · 상담학연구2019 · 제20권 제4호차별지각, 문화적응, 문화적응 스트레스가 북한이탈주민의 우울에 미치는 영향 : 매개된 조절효과를 중심으로이민지, 장혜인, 전진용한국여성심리학회 · 한국심리학회지:여성2016 · 제21권 제3호북한이탈주민의 외상후스트레스증상과 자살행동의 관계: 사회적 지지와 외로움의 순차매개효과김예진, 안지현, 장혜인, 정서현, 홍진표한국임상심리학회 · 한국심리학회지: 임상심리 연구와 실제2024 · 제10권 제1호남한 내 7년 이상 거주한 북한이탈주민의 정신건강 예측요인김연희, 유시은, 조영아한국상담심리학회 · 한국심리학회지: 상담 및 심리치료2009 · 제21권 제1호

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