Korean Unification Studies, Yonsei University, Seoul, Korea.
Psychiatry Investig. 2008 Jun;5(2):70-7. doi: 10.4306/pi.2008.5.2.70. Epub 2008 Jun 30.
This study aims to provide alternative care plans for mental health of North Korean refugees who are in protective facilities in China.
Personality Assessment Inventory (PAI) was utilized to measure the presence/absence of post traumatic stress disorder (PTSD) among 65 North Korean refugees.
The gender differences in PAI t-scores showed that women exhibited meaningfully higher scores largely in anxiety (m=61.85), depression (m=65.23), and schizophrenia (m=60.98). In different age groups, schizophrenia in the 30 age bracket (m=65.23) was meaningfully higher than the teens (m=48.11). Aggression among the treatment features was the highest in the 20 age group (m=59.19) showing higher t-scores than the teens (m=39.67). Duration in the facility affected mental health in that the 3-5 years group (m=63.91) reported the highest in paranoia. Groups of under 1 year and less than 1-3 years showed meaningfully higher scores in nonsupport. The PTSD (including partial PTSD) rate of the group recorded 9.2%. Correlation between the PTSD and PAI scores showed that the full-PTSD group demonstrated higher average scores in negative impression, somatic complaints, anxiety, anxiety-related disorder, depression, paranoia, schizophrenia, antisocial features, suicide ideation, and treatment rejection than the non-PTSD group.
Mental health of North Korean refugees in China was worse in women, the thirties, and less than 3-5 years in the facility, and it deteriorated as the duration prolonged. To promote better psychological health of North Korean refugees in China, the attention and aid from the protection facilities and domestic and international interests are required.
本研究旨在为在中国庇护所的朝鲜难民的心理健康提供替代护理计划。
使用人格评估量表（PAI）测量 65 名朝鲜难民是否存在创伤后应激障碍（PTSD）。
PAI t 分数的性别差异表明，女性的焦虑（m=61.85）、抑郁（m=65.23）和精神分裂症（m=60.98）得分显著较高。在不同年龄组中，30 岁组的精神分裂症（m=65.23）明显高于青少年（m=48.11）。治疗特征中的攻击性在 20 岁年龄组最高（m=59.19），t 分数高于青少年（m=39.67）。在庇护所的时间长短会影响心理健康，3-5 年组（m=63.91）报告偏执的比例最高。1 年以下和 1-3 年以下的群体表现出明显更高的非支持分数。该组的 PTSD（包括部分 PTSD）发生率为 9.2%。PTSD 与 PAI 评分之间的相关性表明，全 PTSD 组在负面印象、躯体抱怨、焦虑、焦虑相关障碍、抑郁、偏执、精神分裂症、反社会特征、自杀意念和治疗拒绝方面的平均得分高于非 PTSD 组。
在中国的朝鲜难民的心理健康状况在女性、三十多岁和在庇护所不到 3-5 年时更差，随着时间的延长而恶化。为了促进在中国的朝鲜难民更好的心理健康，需要庇护所和国内外利益相关者的关注和援助。
