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      북한이탈주민 임상군의 정신건강지표 및 신체활동지표와의 연관성 연구: 예비연구 = A Study on the Relationship Between Mental Health Variables and Physical Activity Variables in the Clinical Group of North Korean Defectors: A Pilot Study

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      다국어 초록 (Multilingual Abstract)

      Objectives This study is designed to extract a representative variable that distinguishes psychiatric patients of North Korean Defectors and a control group by using machine learning based on measured mental health variables and physical activity variables. Methods The physical and mental activity variables of 17 North Korean defectors that previously were hospitalized or received psychiatric outpatient treatment and a control group were compared. The survey focused on mental health variables that included contents related to depression, suicidal risks, post-traumatic stress disorder, anxiety, insomnia, physical symptoms, quality of life, coping skills, social support, and drinking. Physical activity variables included the number of steps walked per day, sleep time, and sleep efficiency were measured by Fitbit. Results The 7th question of the Patient Health Questionnaire-9, “Trouble concentrating on things, such as reading the newspaper or watching television over the past two weeks,” showed the highest gain ratio by 84 percent. Based on the result of the decision tree, this single index may distinguish between the clinical and control groups. Conclusion A clinician may conduct a more effective interview with a North Korean defector by identifying in the early stages whether the patient has been having difficulty concentrating on daily tasks during the past two weeks.
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      Objectives This study is designed to extract a representative variable that distinguishes psychiatric patients of North Korean Defectors and a control group by using machine learning based on measured mental health variables and physical activity vari...

      Objectives This study is designed to extract a representative variable that distinguishes psychiatric patients of North Korean Defectors and a control group by using machine learning based on measured mental health variables and physical activity variables. Methods The physical and mental activity variables of 17 North Korean defectors that previously were hospitalized or received psychiatric outpatient treatment and a control group were compared. The survey focused on mental health variables that included contents related to depression, suicidal risks, post-traumatic stress disorder, anxiety, insomnia, physical symptoms, quality of life, coping skills, social support, and drinking. Physical activity variables included the number of steps walked per day, sleep time, and sleep efficiency were measured by Fitbit. Results The 7th question of the Patient Health Questionnaire-9, “Trouble concentrating on things, such as reading the newspaper or watching television over the past two weeks,” showed the highest gain ratio by 84 percent. Based on the result of the decision tree, this single index may distinguish between the clinical and control groups. Conclusion A clinician may conduct a more effective interview with a North Korean defector by identifying in the early stages whether the patient has been having difficulty concentrating on daily tasks during the past two weeks.

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      목차 (Table of Contents)

      • 서 론 방 법 결 과 고 찰 결 론
      • 서 론 방 법 결 과 고 찰 결 론
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      참고문헌 (Reference)

      1 박승진, "한글판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 신뢰도와 타당도" 대한불안의학회 6 (6): 119-124, 2010

      2 오송인, "한국판 외상후 스트레스 장애 체크리스트-민간인용(PTSD Checklist Civilian Version)의 신뢰도 및타당도 연구 : 북한이탈주민을 대상으로" 대한신경정신의학회 53 (53): 410-417, 2014

      3 윤진상, "지역사회거주 노인에서 한국어판 세계보건기구 장애평가조사표의 개발" 대한신경정신의학회 43 (43): 86-92, 2004

      4 김희경, "지역사회 정착 전후 북한이탈주민의 성 및 연령별 심리 증상" 한국심리학회 29 (29): 707-724, 2010

      5 신행우, "이(異)문화권내 적응과 스트레스 대처양식: 북한이탈주민 남한문화 적응의 관점에서" 한국문화및사회문제심리학회 10 (10): 147-163, 2004

      6 한나영, "북한이탈주민진료센터 정신건강의학과를 내원한 북한이탈주민에서 외상 후 스트레스장애와 사회 적응 및 삶의 질 관계" 대한신경정신의학회 54 (54): 105-111, 2015

      7 이경은, "북한이탈주민의 외상후 스트레스장애의 임상적 특성" 대한불안의학회 14 (14): 80-87, 2018

      8 김영일, "북한이탈주민의 사회보장 경험에 관한 질적 사례연구" 한국사회복지행정학회 16 (16): 127-161, 2014

      9 장문선, "북한이탈주민의 복합 외상 후 스트레스 증상과 심리적 문제" 한국건강심리학회 19 (19): 973-996, 2014

      10 엄태완, "북한이탈주민의 남한이주 과정의 외상적 체험에 대한 현상학적 연구" 한국사회복지학회 61 (61): 189-213, 2009

      1 박승진, "한글판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 신뢰도와 타당도" 대한불안의학회 6 (6): 119-124, 2010

      2 오송인, "한국판 외상후 스트레스 장애 체크리스트-민간인용(PTSD Checklist Civilian Version)의 신뢰도 및타당도 연구 : 북한이탈주민을 대상으로" 대한신경정신의학회 53 (53): 410-417, 2014

      3 윤진상, "지역사회거주 노인에서 한국어판 세계보건기구 장애평가조사표의 개발" 대한신경정신의학회 43 (43): 86-92, 2004

      4 김희경, "지역사회 정착 전후 북한이탈주민의 성 및 연령별 심리 증상" 한국심리학회 29 (29): 707-724, 2010

      5 신행우, "이(異)문화권내 적응과 스트레스 대처양식: 북한이탈주민 남한문화 적응의 관점에서" 한국문화및사회문제심리학회 10 (10): 147-163, 2004

      6 한나영, "북한이탈주민진료센터 정신건강의학과를 내원한 북한이탈주민에서 외상 후 스트레스장애와 사회 적응 및 삶의 질 관계" 대한신경정신의학회 54 (54): 105-111, 2015

      7 이경은, "북한이탈주민의 외상후 스트레스장애의 임상적 특성" 대한불안의학회 14 (14): 80-87, 2018

      8 김영일, "북한이탈주민의 사회보장 경험에 관한 질적 사례연구" 한국사회복지행정학회 16 (16): 127-161, 2014

      9 장문선, "북한이탈주민의 복합 외상 후 스트레스 증상과 심리적 문제" 한국건강심리학회 19 (19): 973-996, 2014

      10 엄태완, "북한이탈주민의 남한이주 과정의 외상적 체험에 대한 현상학적 연구" 한국사회복지학회 61 (61): 189-213, 2009

      11 김연희, "북한이탈주민 정신건강 문제 유병율과 영향요인: 2007년 입국자 중심으로" 통일연구원 19 (19): 141-174, 2010

      12 이태엽, "북한어 정신건강 평가도구 개발 및 그 신뢰도" 대한신경정신의학회 54 (54): 228-235, 2015

      13 Carver CS, "You want to measure coping but your protocol’s too long : consider the brief COPE" 4 : 92-100, 1997

      14 Yoo SW, "Validity of Korean version of MINI-International Neuropsychiatric Interview" 2 : 50-55, 2006

      15 Bastien CH, "Validation of the Insomnia Severity Index as an outcome measure for insomnia research" 2 : 297-307, 2001

      16 Seo JG, "Validation of the Generalized Anxiety Disorder-7(GAD-7)and GAD-2 in patients with migraine" 16 : 97-, 2015

      17 조용원, "Validation of a Korean Version of the Insomnia Severity Index" 대한신경과학회 10 (10): 210-215, 2014

      18 Woo-Teak Jeon, "Traumatic Experiences and Mental Health of North Korean Refugees in South Korea" 대한신경정신의학회 5 (5): 213-220, 2008

      19 Noh JW, "Trauma history and mental health of North Korean defectors" 7 : 250-257, 2020

      20 Taber KS, "The use of Cronbach’s alpha when developing and reporting research instruments in science education" 48 : 1273-1296, 2018

      21 Park J, "The contribution of posttraumatic stress disorder and depression to insomnia in North Korean refugee youth" 10 : 211-, 2019

      22 Weathers FW, "The PTSD Checklist (PCL): reliability, validity, and diagnostic utility" 1993

      23 Kroenke K, "The PHQ-9 : validity of a brief depression severity measure" 16 : 606-613, 2001

      24 Kroenke K, "The PHQ-15 : validity of a new measure for evaluating the severity of somatic symptoms" 64 : 258-266, 2002

      25 Sheehan DV, "The Mini-International Neuropsychiatric Interview (M.I.N.I.):the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10" 59 (59): 22-33, 1998

      26 Broadhead WE, "The Duke-UNC functional social support questionnaire. Measurement of social support in family medicine patients" 26 : 709-723, 1988

      27 Bush K, "The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking" 158 : 1789-1795, 1998

      28 Kim JS, "Screening criteria of alcoholism by alcohol use disorders identification test (AUDIT)in Korea" 20 : 1152-1159, 1999

      29 Han C, "Psychometric properties of the Patient Health Questionnaire-15(PHQ-15)for measuring the somatic symptoms of psychiatric outpatients" 50 : 580-585, 2009

      30 Ministry of Unification, "North Korean refugee policy: recent status" Ministry of Unification

      31 Weinstein CS, "Neuropsychological issues in the assessment of refugees and victims of mass violence" 11 : 131-141, 2001

      32 Üstün TB, "Measuring health and disability: manual for WHO Disability Assessment Schedule (WHODAS 2.0)" World Health Organization 2010

      33 Cho MJ, "Lifetime and 12-month prevalence of DSM-IV psychiatric disorders among Korean adults" 195 : 203-210, 2007

      34 이유진, "Insomnia in North Korean Refugees: Association with Depression and Post-Traumatic Stress Symptoms" 대한신경정신의학회 13 (13): 67-73, 2016

      35 Quinlan JR, "Induction of decision trees" 1 : 81-106, 1986

      36 Park S, "Factors affecting depressive symptoms among North Korean adolescent refugees residing in South Korea" 14 : 912-, 2017

      37 이유진, "Effects of Psychiatric Symptoms on Attention in North Korean Refugees" 대한신경정신의학회 13 (13): 480-487, 2016

      38 Üstün TB, "Developing the World Health Organization Disability Assessment Schedule 2.0" 88 : 815-823, 2010

      39 Kaplan I, "Cognitive assessment of refugee children : effects of trauma and new language acquisition" 53 : 81-109, 2016

      40 Arif M, "Classification of anxiety disorders using machine learning methods : a literature review" 4 : 95-110, 2020

      41 Salzberg SL, "Book review: C4.5: programs for machine learning by J. Ross Quinlan. Morgan Kaufmann Publishers, Inc., 1993" 16 : 235-240, 1994

      42 Seul Ki Choi, "Anxiety and Depression among North Korean Young Defectors in South Korea and Their Association with Health-Related Quality of Life" 연세대학교의과대학 52 (52): 502-509, 2011

      43 Haghayegh S, "Accuracy of wristband Fitbit models in assessing sleep : systematic review and meta-analysis" 21 : e16273-, 2019

      44 Kang HY, "A study of psychiatric problems of North Korean refugees who visited a psychiatric clinic" 19 : 35-41, 2012

      45 Joo SA, "A study of PTSD of the subway operators with the experience of “person under train” incidents" Ewha Womans University 2009

      46 Suh SY, "A study for the development of Korean version of the Duke-UNC functional social support questionnaire" 18 : 250-260, 1997

      47 Spitzer RL, "A brief measure for assessing generalized anxiety disorder : the GAD-7" 166 : 1092-1097, 2006

      48 우종민, "A Study of Mental Health Literacy Among North Korean Refugees in South Korea" 대한예방의학회 48 (48): 62-71, 2015

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