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A Study of Mental Health Literacy Among North Korean Refugees in South Korea

  • Noh, Jin-Won (Department of Healthcare Management, Eulji University) ;
  • Kwon, Young Dae (Department of Humanities and Social Medicine, College of Medicine and Catholic Institute for Healthcare Management, The Catholic University of Korea) ;
  • Yu, Shieun (Department of North Korean Studies, Korea University) ;
  • Park, Hyunchun (Department of Healthcare Management, Eulji University) ;
  • Woo, Jong-Min (Department of Psychiatry & Stress Research Institute, Inje University School of Medicine)
  • Received : 2014.08.08
  • Accepted : 2014.12.26
  • Published : 2015.01.31

Abstract

Objectives: This study aimed to investigate North Korean refugees' knowledge of mental illnesses and treatments and analyze the factors affecting this knowledge. Methods: Subjects were selected via a snowball sampling method, and the survey outcomes of 152 North Korean refugee participants were analyzed. The factors affecting knowledge of mental illnesses were analyzed via a regression analysis by constructing a multivariate model with mental illness knowledge score as the dependent variable. Results: The North Korean refugees' mental illness scores ranged from 3 to 24 points, with an average score of 13.0. Regarding the factors that influence mental illness knowledge, the subjects with South Korean spouses and those who had spent more time in South Korea had higher knowledge scores. Furthermore, the subjects who considered the mental health of North Korean refugees to be a serious issue revealed lower knowledge scores than those who did not believe it was a serious issue. The subjects who visit psychiatric clinics showed higher knowledge scores than those who do not. The South Korean subjects who had at least a college education exhibited higher scores than did those without advanced education. The subjects who are satisfied with life in South Korea manifested a higher mental illness knowledge score than those who are not. Conclusions: This study is significant as being the first study to ever measure and evaluate the level of North Korean refugees' knowledge of mental illnesses. In addition, the evaluations of North Korean refugees' mental illness knowledge and influencing factors while residing in South Korea created basic data that formed the foundation of an effort to enhance mental health literacy and provide proper mental health services. The results of this study can be utilized to solve mental health problems that might frequently occur during the unification process of North and South Korea in the future.

Keywords

References

  1. Ministry of Unification. Number of North Korean refugees entered the south [cited 2014 Aug 13]. Available from: http://eng.unikorea.go.kr/content.do?cmsid=1822.
  2. Herman JL. Trauma and recovery. New York: BasicBooks; 1997, p. 74-95.
  3. Nicholl C, Thompson A. The psychological treatment of post traumatic stress disorder (PTSD) in adult refugees: a review of the current state of psychological therapies. J Ment Health 2004;13(4):351-362. https://doi.org/10.1080/09638230410001729807
  4. Kim YH, Jeon WT, Cho YA. A study on the prevalence and the influencing factors of the mental health problems among recent migrant North Koreans: a focus on 2007 entrants. Unification Policy Stud 2010;19(2):141-174 (Korean).
  5. Han SY, Yoon YS, Kim HA. Validation and development of a post-traumatic stress symptom scale for dislocated North Koreans in South Korea. Korean J Couns Psychother 2007;19(3):693-718 (Korean).
  6. Schweitzer R, Melville F, Steel Z, Lacherez P. Trauma, post-migration living difficulties, and social support as predictors of psychological adjustment in resettled Sudanese refugees. Aust N Z J Psychiatry 2006;40(2):179-187. https://doi.org/10.1080/j.1440-1614.2006.01766.x
  7. Watters C. Emerging paradigms in the mental health care of refugees. Soc Sci Med 2001;52(11):1709-1718. https://doi.org/10.1016/S0277-9536(00)00284-7
  8. Williams CL, Berry JW. Primary prevention of acculturative stress among refugees. Application of psychological theory and practice. Am Psychol 1991;46(6):632-641. https://doi.org/10.1037/0003-066X.46.6.632
  9. Kang CK. North Korean refugee supporting policy based on barrier factor analysis. Korean J Unification Aff 2010;22(1):261-290 (Korean).
  10. Sue S, Sue DW, Sue L, Takeuchi DT. Psychopathology among Asian Americans: a model minority? Cult Divers Ment Health 1995;1(1):39-51. https://doi.org/10.1037/1099-9809.1.1.39
  11. Jeon WT, Yu SE, Cho YA, Eom JS. Traumatic experiences and mental health of North Korean refugees in South Korea. Psychiatry Investig 2008;5(4):213-220. https://doi.org/10.4306/pi.2008.5.4.213
  12. Yu SE, Jeon WT. Mental health of north Korean refugees in protective facilities in china. Psychiatry Investig 2008;5(2):70-77. https://doi.org/10.4306/pi.2008.5.2.70
  13. Jeon WT, Yoon DR, Um JS. Survey results of adaptation and life of North Korean defectors in South Korea, 2001. Korean Unification Stud 2003;7(1):155-208 (Korean).
  14. Jeon BH, Kim MD, Hong SC, Kim NR, Lee CI, Kwak YS, et al. Prevalence and correlates of depressive symptoms among North Korean defectors living in South Korea for more than one year. Psychiatry Investig 2009;6(3):122-130. https://doi.org/10.4306/pi.2009.6.3.122
  15. Hong CH, Jeon WT, Lee CH, Kim DK, Han M, Min SK. Relationship between traumatic events and posttraumatic stress disorder among North Korean refugees. J Korean Neuropsychiatr Assoc 2005;44(6):714-720 (Korean).
  16. Kim SJ, Park YS, Lee HW, Park SM. Current situation of psychiatry in North Korea: from the viewpoint of North Korean medical doctors. Korean J Psychosom Med 2012;20(1):32-39 (Korean).
  17. Jorm AF, Korten AE, Jacomb PA, Rodgers B, Pollitt P, Christensen H, et al. Helpfulness of interventions for mental disorders: beliefs of health professionals compared with the general public. Br J Psychiatry 1997;171:233-237. https://doi.org/10.1192/bjp.171.3.233
  18. Cheung P. Adult psychiatric epidemiology in China in the 80s. Cult Med Psychiatry 1991;15(4):479-496. https://doi.org/10.1007/BF00051329
  19. McGill CW, Falloon IR, Boyd JL, Wood-Siverio C. Family educational intervention in the treatment of schizophrenia. Hosp Community Psychiatry 1983;34(10):934-938.
  20. Min SG. Modern psychiatry. Seoul: Ilchokak; 2006, p. 242-273 (Korean).
  21. Woo JM. Mental health awareness and attitude of North Korea refugees. Seoul: Seoul National Hospital; 2013, p. 72-75 (Korean).
  22. Lim YM, Ahn YH. Knowledge and coping of family caregivers with schizophrenic patients. J Korean Psychiatr Ment Health Nurs Acad Soc 2000;9(2):195-208 (Korean).
  23. Ministry of Unification. North Korean regional status [cited 2015 Jan 4]. Available from: http://www.unikorea.go.kr/content.do?cmsid=1518 (Korean).
  24. Kim MJ, Jung SL. The effect of family education program on the knowledge and the burden of schizophrenia patient’s family. J Korean Acad Psychiatr Ment Health Nurs 2002;11(3): 273-284 (Korean).
  25. Lopes Cardozo B, Vergara A, Agani F, Gotway CA. Mental health, social functioning, and attitudes of Kosovar Albanians following the war in Kosovo. JAMA 2000;284(5):569-577. https://doi.org/10.1001/jama.284.5.569
  26. Blair RG. Risk factors associated with PTSD and major depression among Cambodian refugees in Utah. Health Soc Work 2000; 25(1):23-30. https://doi.org/10.1093/hsw/25.1.23
  27. Cho YA. North Korean defectors' counseling needs and the predicting factors for their professional help seeking behaviors. Korean J Couns Psychother 2009;27(1):285-310 (Korean).

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