본문 바로가기
KERD
논문KCI 등재

Social Network Effects on Post-Traumatic Stress Disorder(PTSD) in Female North Korean Immigrants

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

초록

Objectives: The goal of this paper is to examine the social network effects on post-traumatic sdress disorder (PTSD) in female North Korean immigrants who entered South Korea in 2007. Specifically, it attempts to verify if the density and composition of networks make a difference after controlling for the network size. Methods: A multivariate logistic regression is used to probe the effects of social networks using the North Korean Immigrant Panel data set. Because the data set had only completed its initial survey when this paper was written, the analysis was cross-sectional. Results: The size of the support networks was systematically related to PTSD. Female North Korean immigrants with more supporting ties were less likely to develop PTSD, even after controlling for other risk factors (odds-ratio for one more tie was 0.8). However, once we control for the size of the network, neither the density nor the composition of the networks remains statistically significant. Conclusions: The prevalence of the PTSD among female North Korean immigrants is alarmingly high, and regardless of the characteristics of supporting network members, the size of the supporting networks provides substantial protection. This implies that a simple strategy that focuses on increasing the number of supporting ties will be effective among North Korean immigrants who entered South Korea in recent years.

Abstract

Objectives: The goal of this paper is to examine the social network effects on post-traumatic sdress disorder (PTSD) in female North Korean immigrants who entered South Korea in 2007. Specifically, it attempts to verify if the density and composition of networks make a difference after controlling for the network size. Methods: A multivariate logistic regression is used to probe the effects of social networks using the North Korean Immigrant Panel data set. Because the data set had only completed its initial survey when this paper was written, the analysis was cross-sectional. Results: The size of the support networks was systematically related to PTSD. Female North Korean immigrants with more supporting ties were less likely to develop PTSD, even after controlling for other risk factors (odds-ratio for one more tie was 0.8). However, once we control for the size of the network, neither the density nor the composition of the networks remains statistically significant. Conclusions: The prevalence of the PTSD among female North Korean immigrants is alarmingly high, and regardless of the characteristics of supporting network members, the size of the supporting networks provides substantial protection. This implies that a simple strategy that focuses on increasing the number of supporting ties will be effective among North Korean immigrants who entered South Korea in recent years.

참고문헌 (39)

  1. Annual report, "Ministry of Unification", Ministry of Unification, ~ (2010)
  2. A panel study on the changes of social networks and adaptation of North Korean immigrants, "Youm Y", North Korean Refugees Foundation, ~ (2010)
  3. Jeon WT, "Review of adaptation and mental health of refugees and perspectives and counterplots in Korean reunification process", J Korean Neuropsychiatr Assoc, 36(1), pp.3~18 (1997)
  4. Tyhurst L, "Coping with refugees. A Canadian experience: 1948-1981", Int J Soc Psychiatry, 28(2), pp.105~109 (1982)
  5. Lin KM, "Adaptational problems of Vietnamese refugees. Part III. Case studies in clinic and field: adaptive and maladaptive", Psychiatr J Univ Ott, 7(3), pp.173~183 (1982)
  6. 윤인진, "국내탈북자의 건강 및 의료", 보건과 사회과학, 17, pp.147~172 (2005), 한국보건사회학회
  7. 엄태완, "남북주민 통합을 위한 정신건강전략 - 남한 내 북한이탈주민, 저소득주민, 일반주민의 비교를 통하여 -", 통일정책연구, 14(1), pp.297~324 (2005), 통일연구원
  8. Woo-Teak Jeon, "Traumatic Experiences and Mental Health of North Korean Refugees in South Korea", PSYCHIATRY INVESTIGATION, 5(4), pp.213~220 (2008), 대한신경정신의학회
  9. Lee Y, "Trauma experience of North Korean refugees in China", Am J Prev Med, 20(3), pp.225~229 (2001)
  10. 홍 창 형, "북한이탈주민들의 외상경험과 외상 후 스트레스 장애와의 관계", 신경정신의학, 44(6), pp.714~720 (2005), 대한신경정신의학회
  11. Kang SR, "Development of trauma scale for North Korean refugee", 석사, pp.2001
  12. 이인숙, "북한 이탈 어머니들의 자녀양육행동과 양육효능감, 적응스트레스 및 외상 후 스트레스 증상", Child Health Nursing Research, 16(4), pp.360~368 (2010), 아동간호학회
  13. Roh DK, "The influences of individual differences on adjustment and mental health in North Korean refugees" (2001), Chung-Ang University
  14. Cho YA, "Mental welfare and physical health of North Korean Migrants, In Their first year in this land: the lives and thoughts of 500 North Korean migrants", pp.59~74 (2009), Korea Peace Institute
  15. 홍창형, "북한 이탈주민의 외상후 스트레스장애에 대한 3년 추적연구", 신경정신의학, 45(1), pp.49~56 (2006), 대한신경정신의학회
  16. Blair RG, "Risk factors associated with PTSD and major depression among Cambodian refugees in Utah", Health Soc Work, 25(1), pp.23~30 (2000)
  17. Chung RC, "Predictors of psychological distress among southeast Asian refugees", Soc Sci Med, 36(5), pp.631~639 (1993)
  18. Gong-Guy E, "California Southeast Asian mental health needs assessment" (1987), Asian Community Mental Health Services
  19. 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(3), pp.360~367 (1995)
  20. Mollica RF, "The dose-effect relationships between torture and psychiatric symptoms in Vietnamese expolitical detainees and a comparison group", J Nerv Ment Dis, 186(9), pp.543~553 (1998)
  21. Steel Z, "Long-term effect of psychological trauma on the mental health of Vietnamese refugees resettled in Australia: a population-based study", Lancet, 360(9339), pp.1056~1062 (2002)
  22. Rumbaut RG, "Portraits. Patterns and predictors of the refugee adaptation process: a comparative study of Southeast Asian refugees, In Vietnamese in America", pp.138~190 (1989), Rowman & Littlefield
  23. Westermeyer J, "Psychosocial adjustment of Hmong refugees during their first decade in the United States. A longitudinal study", J Nerv Ment Dis, 177(3), pp.132~139 (1989)
  24. Keane TM, "Post-traumatic stress disorder: definition, prevalence, and risk factors, In Post-traumatic stress disorder: basic science and clinical practice", pp.1~19 (2009), Humanana Press
  25. Guay S, "Exploring the links between posttraumatic stress disorder and social support: processes and potential research avenues", J Trauma Stress, 19(3), pp.327~338 (2006)
  26. Andrews B, "Gender, social support, and PTSD in victims of violent crime", J Trauma Stress, 16(4), pp.421~427 (2003)
  27. Kimerling R, "Somatic symptoms, social support, and treatment seeking among sexual assault victims", J Consult Clin Psychol, 62(2), pp.333~340 (1994)
  28. Schnurr PP, "Risk factors for the development versus maintenance of posttraumatic stress disorder", J Trauma Stress, 17(2), pp.85~95 (2004)
  29. Dozier M, "Social network density and rehospitalization among young adult patients", Hosp Community Psychiatry, 38(1), pp.61~65 (1987)
  30. Kuo WH, "Social networking, hardiness and immigrant’s mental health", J Health Soc Behav, 27(2), pp.133~149 (1986)
  31. Stokes JP, "Predicting satisfaction with social support from social network structure", Am J Community Psychol, 11(2), pp.141~152 (1983)
  32. Vaux A, "Support network characteristics associated with support satisfaction and perceived support", Am J Community Psychol, 13(3), pp.245~265 (1985)
  33. Youm Y, "Social networking and adaptation by North Korean migrants, In Their first year in this land: the lives and thoughts of 500 North Korean migrants", pp.75~92 (2009), Korea Peace Institute
  34. Hahn OS, "Development of Korean version of structured clinical interview schedule for DSM-IV axis I disorder: interrater reliability", J Korean Neuropsychiatr Assoc, 39(2), pp.362~372 (2000)
  35. First MB, "Structured clinical interview for DSM-IV axis I disorders : patient edition" (1996), Biometrics Research Dept., New York State Psychiatric Institute
  36. 조영아, "초기 거주 북한이탈여성의 정신건강 고위험군 예측요인", 한국심리학회지:여성, 15(3), pp.509~527 (2010), 한국여성심리학회
  37. Lee YH, "The relations between attributional style, life events, event attribution, hopelessness and depression", 석사, pp.1993
  38. Kim YH, "Study on North Korean defectors’ mental health an application of a stress process model", 석사, pp.2006
  39. Park K, "Social inclusion and length of stay as determinants of health among North Korean refugees in South Korea", INTERNATIONAL JOURNAL OF PUBLIC HEALTH, 54(3), pp.175~182 (2009), BIRKHAUSER VERLAG AG

관련 논문AI추천

이 간행물의 다른 논문 (4건)