Kim Moon-Doo, Jung Young-Eun
Department of Psychiatry, College of Medicine, Jeju National University, Jeju, Republic of Korea.
4·3 Trauma Center, Jeju, Republic of Korea.
Psychiatry Investig. 2021 Sep;18(9):809-817. doi: 10.30773/pi.2021.0027. Epub 2021 Sep 10.
We explored factors associated with health-related quality of life (HRQOL), including socio-demographic and clinical characteristics, in among older people exposed to the Jeju 4·3 incident, and aimed to determine the effects of depression, posttraumatic stress disorder (PTSD) and perceived social support on HRQOL.
We obtained data from 110 survivors and 1,011 immediate family members of the victims of the Jeju April 3 incident (mean age, 75.1 years), and evaluated the relationships of HRQOL with sociodemographic and clinical characteristics including posttraumatic and depressive symptoms, and perceived social support.
Poorer physical health, psychological health, social relationships, and environment HRQOL domain scores were strongly associated with older age, being a woman, poor socioeconomic status, and symptoms of depression and PTSD. The regression analyses indicated that, when relevant factors were controlled for, perceived social support moderated the negative association between HRQOL and psychiatric symptoms.
Our results suggest the importance of sociodemographic characteristics, in addition to psychiatric symptoms, for understanding HRQOL in older people exposed to the Jeju 4·3 incident. These results have important implications for interventions aiming to improve the HRQOL of the victims of the Jeju 4·3 incident.
我们探讨了与健康相关生活质量（HRQOL）相关的因素，包括社会人口学和临床特征，这些因素存在于经历济州4·3事件的老年人中，并旨在确定抑郁、创伤后应激障碍（PTSD）和感知社会支持对HRQOL的影响。
我们从110名幸存者和1011名济州4月3日事件受害者的直系亲属（平均年龄75.1岁）那里获取数据，并评估了HRQOL与社会人口学和临床特征之间的关系，这些特征包括创伤后和抑郁症状以及感知社会支持。
较差的身体健康、心理健康、社会关系和环境HRQOL领域得分与年龄较大、女性、社会经济地位差以及抑郁和PTSD症状密切相关。回归分析表明，在控制了相关因素后，感知社会支持缓和了HRQOL与精神症状之间的负相关。
我们的结果表明，除了精神症状外，社会人口学特征对于理解经历济州4·3事件的老年人的HRQOL也很重要。这些结果对于旨在改善济州4·3事件受害者HRQOL的干预措施具有重要意义。
