Lee Y, Lee M K, Chun K H, Lee Y K, Yoon S J
Department of Preventive Medicine, Ajou University School of Medicine, Pardar Gu, Suwon, South Korea.
Am J Prev Med. 2001 Apr;20(3):225-9. doi: 10.1016/s0749-3797(00)00282-8.
We examined trauma experience and mental health conditions among North Korean migrants in China.
Personal interviews of 170 North Korean "food refugees" in China were conducted in 1999. Structured questionnaires were used to identify specific trauma experience and symptoms of post-traumatic stress, anxiety, and depression.
All participants surveyed reported trauma exposure, with food and water shortage (93%) and illness without access to medical care (89%) being the most frequently cited events. Post-traumatic stress disorder was suspected in 56% of the respondents. Above-threshold scores on anxiety and depression were found in 90% and 81% of the cases, respectively.
The burden on the part of North Korean migrants in China who experience trauma appears to be very high. An international call for action is warranted to monitor and safeguard the mental health status of this vulnerable segment of people and respond to their urgent psychiatric and medical care needs.
我们调查了在中国的朝鲜移民的创伤经历和心理健康状况。
1999年对170名在中国的朝鲜“粮食难民”进行了个人访谈。使用结构化问卷来确定具体的创伤经历以及创伤后应激、焦虑和抑郁症状。
所有接受调查的参与者都报告有过创伤经历，其中粮食和水短缺（93%）以及生病却无法获得医疗救治（89%）是最常被提及的事件。56%的受访者被怀疑患有创伤后应激障碍。分别有90%和81%的案例焦虑和抑郁得分高于阈值。
在中国经历创伤的朝鲜移民所承受的负担似乎非常高。有必要发出国际行动呼吁，以监测和保障这一弱势群体的心理健康状况，并满足他们紧急的精神科和医疗护理需求。
