남한사회에 사는 탈북자의 정신장애 : 4 증례 보고

• 영문명: Psychiatric Disorders of North Korean Defectors in South Korea : Four Case Report
• 발행기관: 대한신경정신의학회
• 저자명: 이화영 최지연 정용호 민성길
• 간행물 정보: 『신경정신의학』제51권 제6호, 445~457쪽, 전체 13쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2012.11.30

영문 초록

ObjectivesZZCases of psychiatric disorders are reported with a review of literature on mental health problems in North Korean defectors in South Korea. MethodsZZ Four patients who were admitted to a psychiatric hospital with major depression, schizophrenia, bipolar affective disorder, or mixed disorder of conduct and emotions of adolescent were studied. ResultsZZThe most common precipitating factor was the separation from close persons they had been dependent on. Defector-specific stress included unfamiliar culture of South Korea, lack of ability to adapt to South Korean society, uselessness of past education and professional skills, stress with regard to being identified or discriminated as a North Korean defector, and guilt feeling for leaving their family behind in North Korea. North Korean defector-specific clinical findings were noted; these included reluctance to expose themselves as North Koreans, negative emotional reaction to discrimination of South Korean neighbors, submissive and passive attitude, loneliness, anxiety for the future related to refugee status, and strong stigma related to psychiatry. ConclusionZZThis case report suggests that an individualized or tailored treatment that considers their unique psychosocial situation, which especially focuses on discrimination and social support, is needed for North Korean defectors with mental disorders.

목차

서 론

증 례

고 찰

결 론

REFERENCES

키워드

North Korean defectors Mental disorder Schizophrenia Major depression Bipolar disorder Conduct disorder