在韩国居住一年以上的脱北者中抑郁症状的流行率及相关因素。
Prevalence and Correlates of Depressive Symptoms among North Korean Defectors Living in South Korea for More than One Year.
机构信息
Department of Psychiatry and Institute of Medical Science, Jeju National University School of Medicine, Jeju, Korea.
出版信息
Psychiatry Investig. 2009 Sep;6(3):122-30. doi: 10.4306/pi.2009.6.3.122. Epub 2009 Aug 3.
OBJECTIVE
This study examined the prevalence and correlates of depressive symptoms in North Korean defectors who have been living in South Korea for more than one year.
METHODS
We used questionnaires developed by the authors to collect sociodemographic data in addition to the Center for Epidemiologic Studies Depression Scale (CES-D), the Psychosocial Well-being Index to measure stress, and a social support scale. A total of 367 subjects were included in this study.
RESULTS
The results showed that 30.5% of the men and 34.7% of the women reported depressive symptoms, and 33.1% of the men and 36.1% of the women exhibited signs of severe distress. Correlates of depressive symptoms were lack of occupation [odds ratio (OR)=2.198, 95% confidence interval (CI), 1.247-3.873], having escaped without family (OR=1.725, 95% CI, 1.006-2.959), and a poor subjective sense of health status (OR=3.111, 95% CI, 1.591-6.085).
CONCLUSION
Continuing vocational training and career management, psychological support programs, and intensive physical health services are needed to improve the mental health of this population.
目的
本研究调查了在韩国生活一年以上的脱北者中抑郁症状的流行情况及其相关因素。
方法
我们使用作者开发的问卷收集社会人口统计学数据，以及流行病学研究抑郁量表（CES-D）、心理社会健康指数来衡量压力和社会支持量表。共有 367 名受试者纳入本研究。
结果
结果显示，30.5%的男性和 34.7%的女性报告有抑郁症状，33.1%的男性和 36.1%的女性表现出严重困扰的迹象。抑郁症状的相关因素包括无职业（比值比[OR]=2.198，95%置信区间[CI]，1.247-3.873）、无家人陪同逃离（OR=1.725，95% CI，1.006-2.959）和主观健康状况不佳（OR=3.111，95% CI，1.591-6.085）。
结论
需要继续提供职业培训和职业管理、心理支持计划以及强化身体健康服务，以改善这一人群的心理健康。
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