Factors associated with posttraumatic growth among North Korean defectors in South Korea

Abstract Refugees experience various kinds of trauma during the migration process, which can cause psychiatric problems such as posttraumatic stress disorder. However, in the process of overcoming traumatic experiences, they may also experience posttraumatic growth (PTG). This study examined the lev...

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Main Authors: Mi Kyung Lee, Ocksim Kim, Kyoung-A. Kim, Sang Hui Chu
Format: Article
Language:English
Published: Nature Portfolio 2022-03-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-07945-3
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author Mi Kyung Lee
Ocksim Kim
Kyoung-A. Kim
Sang Hui Chu
author_facet Mi Kyung Lee
Ocksim Kim
Kyoung-A. Kim
Sang Hui Chu
author_sort Mi Kyung Lee
collection DOAJ
description Abstract Refugees experience various kinds of trauma during the migration process, which can cause psychiatric problems such as posttraumatic stress disorder. However, in the process of overcoming traumatic experiences, they may also experience posttraumatic growth (PTG). This study examined the level of PTG and its associated factors among North Korean defectors, including posttraumatic stress symptoms (PTSS). In total, 212 North Korean defectors completed self-report questionnaires measuring PTG (PTG inventory), PTSS (Posttraumatic Stress Disorder Checklist, PCL-5), quality of life (WHOQOL-BREF), and various sociodemographic variables. Participants completed the survey online, from July 27 to August 4, 2020. Participants reported a moderate level of PTG scores (51.7 ± 15.4, range 0–80). To determine the impact of PTSS on PTG among North Korean defectors, we conducted a hierarchical multiple regression analysis. In the final model, several sociodemographic factors (years in South Korea, education in North Korea, religion, and employment status), overall quality of life (β = 0.321, p < 0.001), and PTSS (β = 0.162, p = 0.035) were positively associated with PTG, whereas living with family (β = − 0.1261, p = 0.040) and loneliness (β = − 0.401, p < 0.001) were negatively associated with PTG, accounting for 36.6% of the variance in PTG scores (p < 0.001). This is the first large-scale study describing the level of PTG and its associated factors among North Korean defectors residing in South Korea. Further, our study provides suggestions for future research in this area, and interventions for improving PTG among this group.
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spelling doaj.art-9b7e1497eb214437822505ba5aa4e54b2022-12-21T17:15:29ZengNature PortfolioScientific Reports2045-23222022-03-011211910.1038/s41598-022-07945-3Factors associated with posttraumatic growth among North Korean defectors in South KoreaMi Kyung Lee0Ocksim Kim1Kyoung-A. Kim2Sang Hui Chu3Mo-Im Kim Nursing Research Institute, Yonsei University College of NursingDepartment of Nursing, Yonsei University College of Nursing and Brain Korea 21 FOUR ProjectMo-Im Kim Nursing Research Institute, Yonsei University College of NursingMo-Im Kim Nursing Research Institute, Yonsei University College of NursingAbstract Refugees experience various kinds of trauma during the migration process, which can cause psychiatric problems such as posttraumatic stress disorder. However, in the process of overcoming traumatic experiences, they may also experience posttraumatic growth (PTG). This study examined the level of PTG and its associated factors among North Korean defectors, including posttraumatic stress symptoms (PTSS). In total, 212 North Korean defectors completed self-report questionnaires measuring PTG (PTG inventory), PTSS (Posttraumatic Stress Disorder Checklist, PCL-5), quality of life (WHOQOL-BREF), and various sociodemographic variables. Participants completed the survey online, from July 27 to August 4, 2020. Participants reported a moderate level of PTG scores (51.7 ± 15.4, range 0–80). To determine the impact of PTSS on PTG among North Korean defectors, we conducted a hierarchical multiple regression analysis. In the final model, several sociodemographic factors (years in South Korea, education in North Korea, religion, and employment status), overall quality of life (β = 0.321, p < 0.001), and PTSS (β = 0.162, p = 0.035) were positively associated with PTG, whereas living with family (β = − 0.1261, p = 0.040) and loneliness (β = − 0.401, p < 0.001) were negatively associated with PTG, accounting for 36.6% of the variance in PTG scores (p < 0.001). This is the first large-scale study describing the level of PTG and its associated factors among North Korean defectors residing in South Korea. Further, our study provides suggestions for future research in this area, and interventions for improving PTG among this group.https://doi.org/10.1038/s41598-022-07945-3
spellingShingle Mi Kyung Lee
Ocksim Kim
Kyoung-A. Kim
Sang Hui Chu
Factors associated with posttraumatic growth among North Korean defectors in South Korea
Scientific Reports
title Factors associated with posttraumatic growth among North Korean defectors in South Korea
title_full Factors associated with posttraumatic growth among North Korean defectors in South Korea
title_fullStr Factors associated with posttraumatic growth among North Korean defectors in South Korea
title_full_unstemmed Factors associated with posttraumatic growth among North Korean defectors in South Korea
title_short Factors associated with posttraumatic growth among North Korean defectors in South Korea
title_sort factors associated with posttraumatic growth among north korean defectors in south korea
url https://doi.org/10.1038/s41598-022-07945-3
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