북한이탈주민진료센터 정신건강의학과를 내원한 북한이탈주민에서 외상 후 스트레스장애와 사회 적응 및 삶의 질 관계
Predictors of PTSD among North Korean Defectors Visited Psychiatric Department of North Korean Defectors Treatment Center
2
조회
0
다운로드
14
인용
0
참고문헌
키워드
초록
Objectives ZZThis study was conducted to evaluate post-traumatic stress disorder (PTSD), thequality of life and social adjustment of North Korean refugees who consulted psychiatric clinics. MethodsZZA total of 66 North Korean refugees who consulted a psychiatric clinic were includedin the analysis. A psychiatrist conducted interviews with the subjects, and PTSD was diagnosedusing the clinician-administered PTSD Scale. The quality of life of the subjects was evaluated usingthe World Health Organization Quality of Life Scale. ResultsZZThirty five (53%) were diagnosed with PTSD. Quality of life was found to show associationwith understanding the language in South Korea, difficulty interacting with South Koreans,and experience or feeling of neglect. Quality of life of the PTSD grou p was lower than in the Non-PTSD group. Difficulty adapting to South Korean society was also higher in the PTSD group. Experienceor feeling of neglect was negatively correlated with the quality of life in the PTSD group. ConclusionZZThe results of this study may be helpful in providing a specific direction for psychiatricintervention strategies to improve overall quality of life and adaptation to life in South Korea.
Abstract
Objectives ZZThis study was conducted to evaluate post-traumatic stress disorder (PTSD), thequality of life and social adjustment of North Korean refugees who consulted psychiatric clinics. MethodsZZA total of 66 North Korean refugees who consulted a psychiatric clinic were includedin the analysis. A psychiatrist conducted interviews with the subjects, and PTSD was diagnosedusing the clinician-administered PTSD Scale. The quality of life of the subjects was evaluated usingthe World Health Organization Quality of Life Scale. ResultsZZThirty five (53%) were diagnosed with PTSD. Quality of life was found to show associationwith understanding the language in South Korea, difficulty interacting with South Koreans,and experience or feeling of neglect. Quality of life of the PTSD grou p was lower than in the Non-PTSD group. Difficulty adapting to South Korean society was also higher in the PTSD group. Experienceor feeling of neglect was negatively correlated with the quality of life in the PTSD group. ConclusionZZThe results of this study may be helpful in providing a specific direction for psychiatricintervention strategies to improve overall quality of life and adaptation to life in South Korea.
참고문헌 (22)
- "Unikorea.go.kr"[URL]
- 김연희, "북한이탈주민 정신건강 문제 유병율과 영향요인: 2007년 입국자 중심으로", 통일정책연구, 19(2), pp.141~174 (2010), 통일연구원
- Fazel M, "Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review", Lancet, 365, pp.1309~1314 (2005)
- Bauer M, "Psychopathology and long-term adjustment after crises in refugees from East Germany", Int J Soc Psychiatry, 40, pp.165~176 (1994)
- Lee Y, "Trauma experience of North Korean refugees in China", Am J Prev Med, 20, pp.225~229 (2001)
- Kang SR, "Development of trauma scale for North Korean refugee", pp.2006
- 김효현, "Prevalence and Correlates of Psychiatric Symptoms in North Korean Defectors", PSYCHIATRY INVESTIGATION, 8(3), pp.179~185 (2011), 대한신경정신의학회
- 조영아, "남한 내 7년 이상 거주한 북한이탈주민의 정신건강 예측요인", 한국심리학회지: 상담 및 심리치료, 21(1), pp.329~348 (2009), 한국상담심리학회
- Weathers FW, "Clinician-administered PTSD scale: a review of the first ten years of research", DepressA nxiety, 13, pp.132~156 (2001)
- Blanchard EB, "Effects of varying scoring rules of the Clinician-Administered PTSD Scale (CAPS) for the diagnosis of post-traumatic stress disorder in motor vehicle accident victims", Behav Res Ther, 33, pp.471~475 (1995)
- Min SK, "Development of Korean Version of WHO Quality of Life Scale Abbreviated Version (WHOQOL-BREF).", J Korean Neuropsychiatr Assoc, 39, pp.571~579 (2000)
- Jeon W, "Correlation between traumatic events and posttraumatic stress disorder among North Korean defectors in South Korea", J Trauma Stress, 18, pp.147~154 (2005)
- Kang HY, "A study of psychiatric problems of North Korean refugees who visited a psychiatric clinic", Sleep Med Psychophysiol, 19, pp.35~41 (2012)
- 조영아, "북한이탈주민의 우울 예측 요인: 3년 추적 연구", 한국심리학회지: 상담 및 심리치료, 17(2), pp.467~484 (2005), 한국상담심리학회
- Blair RG., "Risk factors associated with PTSD and major depression among Cambodian refugees in Utah", Health Soc Work, 25, pp.23~30 (2000)
- Fenta H, "Determinants of depression among Ethiopian immigrants and refugees in Toronto", J Nerv Ment Dis, 192, pp.363~372 (2004)
- Shalev AY, "Prospective study of posttraumatic stress disorder and depression following trauma", Am J Psychiatry, 155, pp.630~637 (1998)
- 김재엽, "PTSD가 북한이탈주민의 남한사회적응에 미치는 영향 -자아탄력성, 사회적 교류의 조절효과를 중심으로-", 사회복지연구, 43(4), pp.343~367 (2012), 한국사회복지연구회
- Park SS, "A study on the life stress, self-esteem and depression status of saeteomins in Gwangju city and Jeonnam province", pp.2006
- Lee SY, "Correlations between traumatic experience and marital sattisfaction scale of an escapee from north Korea: centered on dwelling in North Korea, escaping from North Korea, adapting to South Korea", pp.2006
- Keyes EF, "Mental health status in refugees: an integrative review of current research", Issues Ment Health Nurs, 21, pp.397~410 (2000)
- 이재민, "북한이탈주민의 남한사회 적응에 영향을 미치는 요인", 사회복지정책, (33), pp.61~84 (2008), 한국사회복지정책학회