Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
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Mental Health Service Use by the North Korean Defectors

북한이탈주민의 정신건강서비스 이용 실태

  • 김다은 (삼성서울병원 정신건강의학과) ;
  • 안지현 (삼성서울병원 정신건강의학과) ;
  • 이경은 (삼성서울병원 정신건강의학과) ;
  • 문승연 (삼성서울병원 정신건강의학과) ;
  • 전진용 (국립정신건강센터) ;
  • 장혜인 (성균관대학교 심리학과) ;
  • 홍진표 (삼성서울병원 정신건강의학과)
  • Received : 2018.04.03
  • Accepted : 2018.04.25
  • Published : 2018.04.30
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Abstract

Objective : The purpose of this study was to assess the use of mental health services by North Korean defectors. The study sought to understand the determinants of use with socio-demographical characteristics and the barriers of using mental health service. Methods : Data were collected from a sample of the 300 North Korean defectors who have settled in South Korea within the last three years, aged 18 years and older. Face-to-face interviews and a survey using the North Korean version of the Composite International Diagnostic Interview were conducted. Results : 21.0% of respondents reported the use of mental health services. Among them, 16.0% reported the use of mental health specialty, 2.0% reported the use of general medical services, and 3.0% reported the use of others. Of the respondents who had one or more psychiatric disorders, 28.8% used mental health services. The highest rate of use of mental health services was by respondents who are aged over 50 years old, had less than 10 years of education, and were unemployed. Of those who suffered from a psychiatric disorder but did not seek for consultation, 74.4% said that they could handle the problem by themselves, and 74.6% asserted that they had no psychiatric disorder. Conclusion : North Korean defectors in South Korea used mental health services more than the general South Korean population. It would be crucial to provide appropriate mental health services based on the needs of North Korean.

Keywords

References

  1. Ilic B, Svab V, Sedic B, Kovacevic I, Friganovic A, Juric, E. Mental health in domesticated immigrant population: a systematic review. Psychiatria Danubina 2017;29:273-281. https://doi.org/10.24869/psyd.2017.273
  2. Tinghog P, Malm A, Arwidson C, Sigvardsdotter E, Lundin A, Saboonchi F. Prevalence of mental ill health, traumas and postmigration stress among refugees from Syria resettled in Sweden after 2011: a population-based survey. BMJ Open 2017;7:e018899. https://doi.org/10.1136/bmjopen-2017-018899
  3. Giacco D, Laxhman N, Priebe S. Prevalence of and risk factors for mental disorders in refugees. In Seminars in Cell & Developmental Biology 2017;77:144-152.
  4. Keller A, Lhewa D, Rosenfeld B, Sachs E, Aladjem A, Cohen I, et al. Traumatic experiences and psychological distress in an urban refugee population seeking treatment services. The Journal of Nervous and Mental Disease 2006;194:188-194. https://doi.org/10.1097/01.nmd.0000202494.75723.83
  5. Markkula N, Lehti V, Gissler M, Suvisaari J. Incidence and prevalence of mental disorders among immigrants and native Finns: a register-based study. Social Psychiatry and Psychiatric Epidemiology 2017;52:1523-1540. https://doi.org/10.1007/s00127-017-1432-7
  6. Lee Y, Lee M, Park S. Mental health status of North Korean refugees in South Korea and risk and protective factors: a 10-year review of the literature. European Journal of Psychotraumatology 2017;8:1369833. https://doi.org/10.1080/20008198.2017.1369833
  7. Shin HY, Lee H, Park SM. Mental health and its associated factors among North Korean defectors living in South Korea: a case-control study. Asia Pacifc Journal of Public Health 2016;28:592-600. https://doi.org/10.1177/1010539516660192
  8. Ministry of Unifcation. The number of entry status of North Korean defectors. Ministry of Unifcation;2018
  9. Kim HH, Lee YJ, Kim HK, Kim JE, Kim SJ, Bae SM, et al. Prevalence and correlates of psychiatric symptoms in North Korean defectors. Psychiatry investigation 2011;8:179-185. https://doi.org/10.4306/pi.2011.8.3.179
  10. Department of Health and Welfare. The survey of mental disorders in Korea. Department of Health and Welfare;2017.
  11. Wittchen, Hans-Ulrich, Christopher BN. The Composite International Diagnostic Interview: an Instrument for measuring mental health Outcome?. Mental Health Outcome Measures. Berlin: Springer;1996. p.179-187.
  12. Cho MJ, Hahm BJ, Suh DW, Hong JP, Bae JN, Kim JK, et al. Development of a Korean version of the composite international diagnostic interview (K-CIDI). J Korean Neuropsychiatr Assoc 2002;41:123-137.
  13. Lee T, Ahn MH, Jun JY, Han JM, Lee SH, Hahm BJ, et al. Development of North Korean version of the Composite International Diagnostic Interview. J Korean Neuropsychiatr Assoc 2015;54:228-235. https://doi.org/10.4306/jknpa.2015.54.2.228
  14. Wang PS, Aguilar-Gaxiola S, Alonso J, Angermeyer MC, Borges G, Bromet EJ, et al. Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. The Lancet 2007;370:841-850. https://doi.org/10.1016/S0140-6736(07)61414-7
  15. Cho SJ, Lee JY, Hong JP, Lee HB, Cho MJ, Hahm BJ. Mental health service use in a nationwide sample of Korean adults. Social Psychia- try and Psychiatric Epidemiology 2009;44:943-951. https://doi.org/10.1007/s00127-009-0015-7
  16. Kim BC. The mental health of North Korean. Mental Health Policy Forum 2010;4:19-37.
  17. 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. International Journal of Korean Unifcation Studies 2010;19:141-174.
  18. 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; 44:714-720.
  19. Kim HK. Difference on complex PTSD and PTSD symptoms according to types of traumatic events in North Korean refugees. The Korean Journal of Psychology: General 2012;31:1003-1022.
  20. Han NY, Lee SH, Yoo SY, Kim SJ, Jun JY, Won SD, et al. Predictors of PTSD among North Korean defectors visited psychiatric department of North Korean defectors treatment center. J Korean Neuropsychiatr Assoc 2015;54:105-111. https://doi.org/10.4306/jknpa.2015.54.1.105
  21. Lim JB. Regional support system and stakeholder analysis for the settlement of residents escaping from North Korea. The Journal Korean Policy Studies 2012;12:249-272.
  22. Derr AS. Mental health service use among immigrants in the United States: a systematic review. Psychiatric Services 2015;67:265-274.
  23. Manhica H, Almquist Y, Rostila M, Hjern A. The use of psychiatric services by young adults who came to Sweden as teenage refugees: a national cohort study. Epidemiology and Psychiatric Sciences 2017;26: 526-534. https://doi.org/10.1017/S2045796016000445
  24. Kim HA, Kim KS. North Korean defectors' perception of and attitude toward disabilities as an inner factor of service gap: focusing on comparison with South Korean residents. Korean Journal of Christian Counseling 2016;27:103-133.
  25. Noh JW, Kwon YD, Yu S, Park H, Woo JM. A study of mental health literacy among North Korean refugees in South Korea. J of Preventive Medicine and Public Health 2015;48:62-71.