Department of Psychiatry, Inha University Hospital, Incheon, Republic of Korea.
Department of Psychiatry, Gyeonggi Provincial Medical Center Suwon Hospital, Suwon, Republic of Korea.
Psychiatry Investig. 2015 Jan;12(1):9-15. doi: 10.4306/pi.2015.12.1.9. Epub 2014 Oct 1.
This study aims to provide the information of the stigmas of mental illness such as psychosis, alcoholism, attempt suicide, and depression among North Korean defectors.
We examined stigma for the mental illnesses of 639 North Korean defectors aged 19 to 65 years who live in the Settlement Support Center for North Korean Refugees. The stigmas of mental illnesses were assessed using the Perceived Devaluation-Discrimination Scale We directly compared the stigma level between North Korean defectors and the general population of South Korea.
North Korean defectors had higher perceived stigmas of psychosis and alcoholism and lower perceived stigmas of depression than South Koreans. Perceived stigma associated with attempted suicide was similar for North Korean defectors and South Koreans. Only marital status in sociodemographic variables had associations with higher perceived stigma of psychosis, alcoholism, and depression in the North Korean defectors. North Korean defectors, who spent more than one year in transit country, had associations with lower perceived stigma of psychosis and alcoholism. North Korean defectors, who had the experience of compulsory repatriation to North Korea or North Korean family in South Korea, had an association with higher perceived stigma of depression.
North Korean defectors had higher perceived stigmas of psychosis and alcoholism and lower perceived stigmas of depression than South Koreans. Further studies are needed to document serial changes in stigmas for mental illnesses associated with the receipt of education at the Settlement Support Center for North Korean defectors.
本研究旨在提供朝鲜脱北者精神疾病(如精神病、酗酒、自杀未遂和抑郁症)污名的相关信息。
我们对居住在朝鲜难民支援中心的 639 名 19 至 65 岁的朝鲜脱北者的精神疾病污名进行了检查。使用感知贬损歧视量表评估精神疾病污名,我们直接比较了朝鲜脱北者和韩国一般人群的污名水平。
与韩国人相比,朝鲜脱北者对精神病和酗酒的感知污名更高,对抑郁症的感知污名更低。与自杀未遂相关的感知污名在朝鲜脱北者和韩国人之间相似。只有社会人口变量中的婚姻状况与朝鲜脱北者对精神病、酗酒和抑郁症的感知污名较高有关。在过境国停留时间超过一年的朝鲜脱北者与精神病和酗酒的感知污名较低有关。有被强制遣返朝鲜或在韩国有朝鲜家庭经历的朝鲜脱北者与抑郁症的感知污名较高有关。
与韩国人相比,朝鲜脱北者对精神病和酗酒的感知污名更高,对抑郁症的感知污名更低。需要进一步研究,以记录与朝鲜脱北者支援中心的教育相关的精神疾病污名的连续变化。