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朝鲜难民在韩国的创伤经历与心理健康

Traumatic experiences and mental health of north korean refugees in South Korea.

机构信息

Department of Psychiatry, Department of Medical Education, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Psychiatry Investig. 2008 Dec;5(4):213-20. doi: 10.4306/pi.2008.5.4.213. Epub 2008 Dec 31.

Abstract

OBJECTIVE

This study was conducted at Hanawon-a government sponsored educational facility for the settlement of North Korean refugees during their initial phase in South Korea-in 2004 to explore their mental health status and traumatic experiences in North Korea and during their escape period.

METHODS

A survey was conducted in November 2004 with 62 North Korean refugees at Hanawon, and the Trauma Checklist was used to measure their traumatic experiences. To measure their psychological-mental health status, the Personality Assessment Inventory was administered.

RESULTS

In comparison with the traumatic experiences of the North Korean refugees found in the study conducted in 2001 at Hanawon using the same methods, the current study showed a relatively lower frequency of traumatic experiences among the participants. The Personality Assessment Inventory results revealed that the study participants scored higher than average South Koreans in all clinical scales. Particularly, their mania (62.51) and schizophrenia (61.75) scores were above 60, a clinically meaningful score. In the gender comparison, the males exhibited meaningfully higher levels of alcohol problem, non-support, and warmth scale scores.

CONCLUSION

Compared to the 2001 study, the overall traumatic experiences among North Korean refugees participated in this study. But continous support is necessary for their successful adaptation to South Korean Society have declined. The North Korean refugees at Hanawon experienced difficulties maintaining their mental health and the men in particular requested more intensive care and support for this purpose.

摘要

目的

本研究于 2004 年在翰窝(韩国政府为安置朝鲜难民而设立的教育设施)进行,旨在探讨朝鲜难民在韩国的初始阶段和逃亡期间的心理健康状况和创伤经历。

方法

2004 年 11 月对翰窝的 62 名朝鲜难民进行了调查,并使用创伤检查表来衡量他们的创伤经历。为了衡量他们的心理-心理健康状况,使用人格评估量表进行了评估。

结果

与 2001 年在翰窝使用相同方法进行的研究中朝鲜难民的创伤经历相比,本研究显示参与者的创伤经历频率相对较低。人格评估量表的结果显示,研究参与者在所有临床量表上的得分均高于平均韩国人。特别是,他们的躁狂(62.51)和精神分裂症(61.75)得分均高于 60,这是一个具有临床意义的得分。在性别比较中,男性在酒精问题、不支持和温暖量表得分上表现出明显更高的水平。

结论

与 2001 年的研究相比,参与本研究的朝鲜难民的整体创伤经历有所下降。但他们成功适应韩国社会仍需要持续的支持。翰窝的朝鲜难民在维持心理健康方面遇到困难,特别是男性对此提出了更密集的护理和支持的需求。

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