Won Sung-Doo, Lee So Hee, Kim SeogJu, Jun Jin Yong, Shin Sang-Soo
Department of Clinical Psychology, Keyo Hospital, Uiwang, Republic of Korea.
Department of Psychiatry, National Medical Center, Seoul, Republic of Korea.
Psychiatry Investig. 2017 Jul;14(4):407-412. doi: 10.4306/pi.2017.14.4.407. Epub 2017 Jul 11.
This study was conducted to examine the mediating effect of somatic symptoms between perceived social support and health-related quality of life among North Korean defectors living in South Korea.
A total of 200 North Korean defectors were assessed using the Multidimensional Scale of Perceived Social Support, the Short-Form 8-Item Health Survey, the Patient Health Questionnaire 15, the PTSD Checklist Civilian Version and the Patient Health Questionnaire 9.
Somatic symptoms accounted for physical health-related quality of life after controlling for PTSD and depressive symptoms, but did not for mental health-related quality of life. Moreover, somatic symptoms mediated the relationship between perceived social support and physical and mental health-related quality of life, indicating that perceived social support indirectly affects physical and mental health-related quality of life through somatic symptoms in North Korean defectors.
The results of this study suggest that not only intervention for PTSD or depressive symptoms but also for somatic symptoms might be effective to improve physical and mental health-related quality of life for North Korean defectors, especially those who have a lack of perceived social support.
本研究旨在探讨在韩国生活的朝鲜叛逃者中，躯体症状在感知社会支持与健康相关生活质量之间的中介作用。
使用多维感知社会支持量表、简明健康调查8项量表、患者健康问卷15项、创伤后应激障碍检查表平民版和患者健康问卷9项对200名朝鲜叛逃者进行评估。
在控制创伤后应激障碍和抑郁症状后，躯体症状解释了与身体健康相关的生活质量，但未解释与心理健康相关的生活质量。此外，躯体症状在感知社会支持与身心健康相关生活质量之间起中介作用，表明感知社会支持通过朝鲜叛逃者的躯体症状间接影响身心健康相关生活质量。
本研究结果表明，不仅针对创伤后应激障碍或抑郁症状的干预，而且针对躯体症状的干预，可能对改善朝鲜叛逃者的身心健康相关生活质量有效，尤其是那些感知社会支持不足的人。
