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Factors Related to Change in Depression among North Korean Refugee Youths in South Korea

Author

Listed:
  • Subin Park

    (Department of Research Planning, Mental Health Research Institute, National Center for Mental Health, Seoul 04933, Korea)

  • Soo Yeon Kim

    (Department of Research Planning, Mental Health Research Institute, National Center for Mental Health, Seoul 04933, Korea)

  • Eun-Sun Lee

    (Department of Research Planning, Mental Health Research Institute, National Center for Mental Health, Seoul 04933, Korea)

  • Jin Yong Jun

    (Department of Psychiatry, National Center for Mental Health, Seoul 04933, Korea)

Abstract

This study investigated change in depression and revealed factors related to change using one-year follow-up data. A sample of 108 North Korean Refugee Youths (NKRYs) aged 13 to 26 years (66 females) was recruited from two alternative schools for NKRYs in South Korea. Based on the Center for Epidemiologic Studies Depression Scale cut-off score of 16, respondents were grouped based on change in depression score after one year as stable low, alleviated, deteriorated, or prolonged. Multinomial logistic regression assessed the influence of baseline psychological scores (resilience, emotional regulation strategy, and self-esteem), and reported social support (psychological/practical) on the odds of group classification. With the stable low group as the reference category, those with alleviated depression at Time 2 had significantly higher odds of expressive suppression and tended to have lower self-esteem at Time 1. The deteriorated depression group was more likely than the stable low group to have lower resilience and cognitive appraisal scores. Those with prolonged high depression were more likely than the stable low group to have lower resilience, less practical social support, and lower self-esteem. Psychological interventions, particularly those focused on increasing self-esteem and resilience, could be helpful for NKRYs with potential risk of depression. In addition, practical support should be provided on an as-needed basis to prevent chronic depression among NKRYs.

Suggested Citation

  • Subin Park & Soo Yeon Kim & Eun-Sun Lee & Jin Yong Jun, 2019. "Factors Related to Change in Depression among North Korean Refugee Youths in South Korea," IJERPH, MDPI, vol. 16(23), pages 1-8, November.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:23:p:4624-:d:289323
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    References listed on IDEAS

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    1. Chung, Rita Chi-Ying & Kagawa-Singer, Marjorie, 1993. "Predictors of psychological distress among southeast Asian refugees," Social Science & Medicine, Elsevier, vol. 36(5), pages 631-639, March.
    2. Norris, Fran H. & Tracy, Melissa & Galea, Sandro, 2009. "Looking for resilience: Understanding the longitudinal trajectories of responses to stress," Social Science & Medicine, Elsevier, vol. 68(12), pages 2190-2198, June.
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    Cited by:

    1. Yoanna Seong & Subin Park, 2021. "Factors Affecting Changes in the Mental Health of North Korean Refugee Youths: A Three-Year Follow-Up Study," IJERPH, MDPI, vol. 18(4), pages 1-10, February.
    2. Wonjung Ryu, 2020. "The Effect of Traumatic Experiences of North Korean Adolescent Refugees upon Their Negative Health Perception: Focusing on Multiple Moderating Effect of Problem-Focused versus Social Support-Focused C," IJERPH, MDPI, vol. 17(24), pages 1-11, December.

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