DOI QR코드

DOI QR Code

Influence of Trauma Experiences and Social Adjustment on Health-related Quality of Life in North Korean Defectors

북한이탈주민의 외상경험과 사회적응이 건강 관련 삶의 질에 미치는 영향

  • Received : 2018.05.17
  • Accepted : 2018.10.07
  • Published : 2018.12.31

Abstract

Purpose: This study was conducted to identify the influence of trauma experiences and social adjustment on health-related quality of life in North Korean defectors. Methods: The subjects were 117 North Korean defectors living in B and Y city. The data were collected from September 1 to September 20, 2014, and analyzed by the SPSS/WIN 18.0 program. Results: Significant differences were found in the health-related quality of life with respect to the subjects' education, marriage status, types of dwelling, family types, duration of residence in South Korea, jobs in South Korea and in North Korea, families left in North Korea or other surrounding countries, and subjective health status. Health-related quality of life is negatively related to trauma experiences during escape from North Korea and during their life in South Korea. Health-related quality of life positively is related to social adjustment. The meaningful variables which influenced the subjects'health-related quality include social adjustment, job in South Korea, job in North Korea, current family structure, and trauma experiences in South Korea. Total explanatory power of these factors for health-related quality in North Korean Defectors is 43.0% and social adjustment is the most influential factor. Conclusion: Therefore, in order to enhance health-related quality of life in North Korean defectors, it is necessary for them to increase social adjustment and decrease trauma experiences. In addition, methods are needed to provide job opportunities, better education and family services for North Korean defectors.

Keywords

References

  1. Ministry of Unification. 2017 For North Korean defectors policy [Internet]. Seoul: Ministry of Unification. 2017 [cited 2018 May 03]. Available from: http://www.unikorea.go.kr/unikorea/boardId=bbs_0000000000000012&mode=view&cntId=54170&category=&pageIdx=
  2. Seo BH, Jeoung SW, Kim YN. Considering the necessity of human rights education for North Korean defectors. Journal of Education & Culture. 2017;23(6):49-71. https://doi.org/10.24159/joec.2017.23.6.49
  3. Korea HANA Foundation. 2017 Investigation of defectors' settlement status [Internet]. Seoul:Korea HANA Foundation. 2017 [cited 2018 May 03]. Available from: https://www.koreahana.or.kr/data_room/pro_data.jsp
  4. Chae KH. The Adaptation status of North Korean defectors to South Korean society and its effect on their problem solving ability. Journal of the Korea Academia-Industrial Cooperation Society. 2017;18(10):524-530. https://doi.org/10.5762/KAIS.2017.18.10.524
  5. Calvert MJ, Freemantle N. Use of health-related quality of life in prescribing research. Part 1: why evaluate health-related quality of life? Journal of Clinical Pharmacy Therapeutics. 2003;28(6):513-21. https://doi.org/10.1046/j.0269-4727.2003.00521.x
  6. Han IY, Kang HS, Baek HE. Sexual trauma of North Korean female defectors. Social Science Research. 2013;29(3):187-207.
  7. Cho YA, Jeon WT. A qualitative study of North Korea women defectors' adaptation to South Korean life. The Korean Journal of Woman Psychology. 2005;10(1):17-35.
  8. Kim HA, Lee SY, Kim KS. The relationship between resilience and subjective well-being: Based on Korean immigrants and North Korean refugees. Korea Journal of Counseling. 2010;12(1):333-354. https://doi.org/10.15703/kjc.12.1.201103.333
  9. Kim YK. The effect of subjective health cognition and self-esteem on depression of Seteomin in a region. The Korean Journal of Emergency Medical Services. 2009;13(3):59-69.
  10. Min SK, Jeon WT, Kim DG. Quality of life of North Korean defectors in South Korea. Journal of the Korean Neuropsychiatric Association. 2006;45(3):269-275.
  11. Shin GS, Cho GC, Yang SH, Lee OC, Baek HJ, Lee GY, et al. Quality of life of North Korean defectors in Korea. Journal of Korean Public Health Nursing. 2011;25(2):221-232. https://doi.org/10.5932/JKPHN.2011.25.2.221
  12. Kim HK, Jeon WT. A study on the quality of life and posttraumatic growth among North Korean refugees. Korea Journal of Social Welfare Studies. 2009;40(2):363-396. https://doi.org/10.16999/kasws.2009.40.2.363
  13. Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korean version of WHO quality of life scale abbreviated version (WHOQOL-BREF). Journal of the Korean Neuropsychiatric Association. 2000;39(3):571-579.
  14. Lee SY, Oe JR. A qualitative case study on the adjustment and coping experiences among North Korean refugee adolescents in South Korea. Korean Journal of Counseling. 2010;11(4):1807-1826. https://doi.org/10.15703/kjc.11.4.201012.1807
  15. Jin EY, Kang MJ, Eom TW. A study on adaptation process in South Korea society of adolescents moved form North Korea: The rebirth toward hope form helplessness. Forum for Youth Culture. 2013;34(1):121-152.
  16. Kim HA, Kim SH. The development of resilience scale for Saeteomin in South Korea. Korea Journal of Counseling. 2007;8(1):63-83. https://doi.org/10.15703/kjc.8.1.200703.63
  17. Jang KY. Effect of social support and self-esteem of North Korea defectors on their social adjustment in South Korea. Journal of Social Welfare Development. 2009;15(2):165-195.
  18. Yang JH. A study on settlers' adjustment to new environment. The Association for the Historical Studies on Korean National Movement. 2006;48:431-466.
  19. Sohn YM, Kang SJ, Park CY. The North Korean female refugees' personality and psychological adaptation. Korean Psychological Journal of Culture and Social Issues. 2014;20(1):19-44.
  20. Park CO, Ahn HN. The relationship between interpersonal trauma exposure, experiential avoidance, forgiveness and posttraumatic stress disorder symptoms in North Korean refugee. Korea Journal of Counseling. 2009;10(4):1891-1905. https://doi.org/10.15703/kjc.10.4.200912.1891
  21. Kang SY. A literary therapeutic approach to posttraumatic stress disorder of North Korean Refugee. Unification Humanities. 2011;5(1):61-97.
  22. Kang SR. Development of trauma scale for North Korean refugee [master's thesis]. [Seoul]: Yonsei University; 2001. 72 p.
  23. Lee SY. Correlations between traumatic experience and marital sattisfaction scale of an escapee from North Korea: Centered on dwelling in North Korea, escaping from North Korea, adapting to South Korea. [master's thesis]. [Seoul]: Korea University; 2005.
  24. Jang HK, Kim YR. Family stability and social adaptation of North Korean defectors' families and role of women. Research Report. Seoul: Korean Women's Development Institute; 2000 December. Report No.: 240-13.
  25. Kim AL. Perceived health perception, social support, depression and social adaptation of the North Korean defectors. Journal of the Korean Data Analysis Society. 2011;13(5):2433-2448.
  26. Jeong YK, Kim HJ. The relationship between traumatic incidents and social adaptation among North Korean refugees: Focusing on the mediating effect of complex post traumatic stress disorder. Korean Journal of Social Welfare Studies. 2014;45(4):143-167. https://doi.org/10.16999/kasws.2014.45.4.143
  27. Kim HK, Jeon WT. A study on the quality of life and posttraumatic growth among North Korean refugees. Korean Journal of Social Welfare Studies. 2009;40(2):363-396. https://doi.org/10.16999/kasws.2009.40.2.363
  28. Han NY, Lee SH, Yu SY, Kim SJ, Jeon JY, Won SD, et al. Predictors of PTSD among North Korean defectors visited psychiatric department of North Korean defectors treatment center. Journal of The Korean Neuropsychiatric Association. 2015;54(1):105-111. https://doi.org/10.4306/jknpa.2015.54.1.105
  29. Kim HK. A study on the marital happiness among North Korean refugees. Journal of Social Science. 2012;38(1):1-31. https://doi.org/10.15820/khjss.2012.38.1.001

Cited by

  1. 북한이탈주민의 간호대학생활 경험 vol.30, pp.3, 2018, https://doi.org/10.12799/jkachn.2019.30.3.324