새터민을 위한 PTSD 극복 프로그램 개발 및 효과 검증 예비 연구

• 영문명: Development of Group Therapy Program for North Korean Refugees with Posttraumatic Stress Disorder and Pre-Study on Its Effect
• 발행기관: 대한신경정신의학회
• 저자명: 최영미 오수성 이창인
• 간행물 정보: 『신경정신의학』제49권 제2호, 248~255쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2010.03.30

영문 초록

ObjectivesZZWe evaluated the design, application, and preliminary effect of a new group therapy program for assisting the psychological adaptation of North Korean refugees with posttraumatic stress disorder (PTSD). Methods We recruited 16 female participants from the student body of Hanawon (North Korean refugees) or K city refugee residents, both governed by the Ministry of Unification. Of the participants, 11 scored more than 28 points, the cut-off score, on the MMPI-II PTSD Keane (PK) scale. Another 5 females, who had been diagnosed with PTSD and received treatment, were included in the study. We divided the participants into 2 groups, each of whom participated in group therapy 10 times. Group (A) consisted of 8 Hanawon refugees, while the other group (B) consisted of 8 refugee residents of K City. To examine the therapy’ s effects, we utilized the Beck Depression Inventory, Beck Anxiety Inventory, Self-esteem Scale, and Impact of Event Scale-Revised, both before and after treatment. We analyzed the results using paired t-tests and repeated measures. Results Anxiety scores decreased significantly in group A after the group therapy (t=5.04, p<.01 ; t=5.44, p<.01). In Group B, there were no statistically significant changes on any scales after the treatment. Furthermore, there were no significant differences between the two groups on any measures, but group A showed lower mean SES scores and higher mean BDI and BAI scores than did group B. Conclusion This was a preliminary application of this newly designed group therapy program for aiding the psychological adaptation of North Korean refugees, utilizing a small group of refugees with PTSD. In spite of many shortcomings and poor results, we expect further refinement and research of into treatment modalities despite this challenging developments.

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키워드

Psychological adaptation North Korean refugees·Posttraumatic stress disorder Group therapy