Jeon WooTaek, Hong ChangHyung, Lee ChangHo, Kim Dong Kee, Han Mooyoung, Min SungKil
Department of Psychiatry, College of Medicine, Yonsei University, CPO Box 8044, Seoul, Republic of Korea.
J Trauma Stress. 2005 Apr;18(2):147-54. doi: 10.1002/jts.20017.
The number of North Korean defectors entering South Korea has been increasing rapidly since 1994. Two hundred North Korean defectors in South Korea were studied to identify their experiences of traumatic events in North Korea and during defection, and the correlation with Posttraumatic Stress Disorder (PTSD). Researchers conducted face-to-face interviews and assisted defectors in performing a self-report assessment of this survey. The study questionnaire consisted of demographic characteristics, the Traumatic Experiences Scale for North Korean Defectors, and the PTSD part of the Structured Clinical Interview for DSM-III-R Korean version. Prevalence rate of PTSD in defectors was 29.5%, with a higher rate for women. In factor analysis, the 25 items of traumatic events experienced in North Korea were divided into three factors: Physical Trauma, Political-Ideological Trauma, and Family-Related Trauma. In addition, the 19 items of traumatic events during defection were grouped into four factors: Physical Trauma, Detection and Capture-Related Trauma, Family-Related Trauma, and Betrayal-Related Trauma. In multifactorial logistic regression analysis, Family-Related Trauma in North Korea had a significant odds ratio.
自1994年以来,进入韩国的朝鲜脱北者数量一直在迅速增加。对韩国境内的200名朝鲜脱北者进行了研究,以确定他们在朝鲜以及脱北过程中经历的创伤性事件,以及与创伤后应激障碍(PTSD)的相关性。研究人员进行了面对面访谈,并协助脱北者对该调查进行自我报告评估。研究问卷包括人口统计学特征、朝鲜脱北者创伤经历量表以及《精神疾病诊断与统计手册》第三版修订本(DSM-III-R)韩国版结构化临床访谈中的创伤后应激障碍部分。脱北者中创伤后应激障碍的患病率为29.5%,女性患病率更高。在因素分析中,在朝鲜经历的25项创伤性事件分为三个因素:身体创伤、政治-意识形态创伤和家庭相关创伤。此外,脱北过程中的19项创伤性事件分为四个因素:身体创伤、与被发现和捕获相关的创伤、家庭相关创伤以及与背叛相关的创伤。在多因素逻辑回归分析中,朝鲜的家庭相关创伤具有显著的优势比。