수면정신생리

수면정신생리 (19권1호 35-41)

A Study of Psychiatric Problems of North Korean Refugees Who Visited a Psychiatric Clinic

한 정신건강의학과에 내원한 북한이탈주민의 정신의학적 문제 고찰

Kang, Hee-Young;Byeon, Seong-Hye;Shin, Sang-Ho;Kim, Hyun-Chung;Lee, So-Hee;Yoo, So-Young;

Department of Neuropsychiatry, National Medical Center;Department of Neuropsychiatry, National Medical Center;Department of Neuropsychiatry, National Medical Center;Department of Neuropsychiatry, National Medical Center;Department of Neuropsychiatry, National Medical Center;Department of Neuropsychiatry, National Medical Center;

DOI : http://dx.doi.org/10.14401/KASMED.2012.19.1.035

Abstract

Purpose: According to the statistics announced by the Ministry of Unification, the number of North Korean refugees living in South Korea has increased by 200 on average monthly in 2010. The number of refugees increased only by 300 annually until 2000. The total number of refugees as of February 2012 was 20,956. This study aims to investigate the psychobiology of the North Korean refugees who consulted psychiatric clinics among those living daily life in South Korea. Methods: The subjects of this study were 85 North Korean refugees that consulted psychiatric clinics from January 1, 2005 to July 2011. This study obtained demographic and psychiatric information in a retrospective approach. Results: Among the 85 North Korean refugees, 75 (88.2%) were females and their average age was 48 years of age. A total of 16 (18.8%) were admitted to a clinic and among the inpatients, 4 were admitted twice and two were admitted three times. As for the claimed symptoms of outpatients, insomnia was shown in 47 (55.3%) patients, headaches in 37 (43.5%), anxiety in 20 (23.5%), depression in 19 (22.4%), etc. The major symptoms represented by inpatients were insomnia in 14 (87.5%) patients, depression in 12 (75%), and headaches in 8 (50%), etc. Conclusion: The most frequent psychiatric symptoms of North Korean refugees living in South Korea were insomnia and headaches. It suggests that when performing psychiatric diagnosis and treatment of North Korean refugees, we have to take into consideration the fact that they claimed the physical symptoms more than the emotional ones. Also, from the aspect that most symptoms of North Korean refugees were insomnia, more profound research on sleep is required in the future.

Keywords

North Korean refugees;Sleep;Depression;Physical illness;