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Abstract
Objectives
This study was implemented for North Korean defectors to understand the relationship between perceived stigma for psychological helps and depression.
Methods
Two hundred defectors from North Korea were subjects in this study, including 28 males and 172 females. Both self-questionnaires and interviews were conducted. Patient Health Questionnaires-9 (PHQ-9) was used to measure depression scores. Stigma Scale for Receiving Psychological Help (SSRPH) for stigma and Multidimensional Scale of Perceived Social Support (MSPSS) were used to determine social supportive levels that they recognize.
Results
In the initial analysis, SSRPH was associated with PHQ-9. Multiple regression analysis to identify the relationship of stigma for subjects' psychological helps on depression showed that staying longer than five years in the third country, working, high MSPSS score, and low SSRPH were negatively associated with the PHQ-9.
Conclusion
The stigma among North Korean defectors for psychological help is positively associated with depression. Perceived stigma may act as a barrier to the initiation and maintenance of psychiatric treatment who subjects in need of psychological help. Understanding the relationship between perceived stigma for psychological help and depression is important.
Figures and Tables
Table 2
Correlation of variables with depressive mood (two methods used)
* : p<0.1, † : p<0.05, ‡ : p<0.01, § : p<0.00. SSRPH ⑪ : Self Stigma for Receiving Psychological Help Scale, PHQ ⑫ : continuous variables of Patient Health Questionnaires Scale, PHQ ⑬ : binary variable of Patient Health Questionnaires Scale. SSRPH : Stigma Scale for Receiving Psychological Help, PHQ : Patient Health Questionnaire
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