1.The Effects of Discrimination Experience on Life Satisfaction of North Korean Refugees: Mediating Effect of Stress
Jin Won NOH ; Hyunchun PARK ; Minji KIM ; Young Dae KWON ; Jin Seok KIM ; Shieun YU
Psychiatry Investigation 2018;15(1):49-53
OBJECTIVE: This study investigated the mediation effect of stress between the experience of discrimination and life satisfaction among North Korean refugees who resettled in South Korea. The findings of the current study provide empirical evidence for the need of social interventions to mitigate adverse effects of stress on North Korean refugees who are subject to social discrimination on a daily basis. METHODS: In this study, we included 500 subjects among 2,138 North Korean refugees who took refuge in South Korea in 2007. The interview started from April 6th 2009 and finished on May 25th 2009. We conducted moderator effect analysis with Path analysis was conducted because we confirm the experience of discrimination was affected by life satisfaction and stress can affected life satisfaction as a moderator. RESULTS: The experience of discrimination significantly affects stress and stress significantly affects life satisfaction. However, the experience of discrimination was not directly related to life satisfaction. The more stress the study respondents experienced, the lower the life satisfaction they reported. CONCLUSION: The present finding suggests that the effects of discriminating experiences on the life satisfaction of North Korean refugees in South Korea were mediated by their own perceived stress.
Discrimination (Psychology)
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Humans
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Korea
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Negotiating
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Refugees
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Social Discrimination
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Surveys and Questionnaires
2.Improvement of Socio-Occupational Function in Schizophrenia.
Jeong Ho SEOK ; Chan Hyung KIM
Korean Journal of Psychopharmacology 2006;17(2):117-121
The goal of treatment for schizophrenia has been changed since the atypical antipsychotics have been introduced. In the past, control of psychiatric symptoms of schizophrenia was the main issue in the treatment of schizophrenia. Recently, however, reintegration into society is the final goal of treatment for patients with schizophrenia and the definitions of remission and recovery are discussed among experts group and newly introduced. For this goal, the factors which affect social dysfunctions of schizophrenia have been explored and the intervention which have been known to be helpful for improvement of social dysfunction of the patients with schizophrenia have been suggested. In this article, recent findings about social dysfunction and treatment programs for social dysfunction of schizophrenia are reviewed and introduced. Cognitive dysfunction, partial or noncompliance to treatment, social stigma and discrimination are major factors contributing social dysfunction of the patients with schizophrenia. In this regard, cognitive enhancement therapy, long-acting injectable atypical antipsychotic drugs, and psychosocial interventions which enhance treatment adherence and empower the patients in the society have been known to be helpful for social dysfunction of the patients with schizophrenia. Further biological and psychoscial studies and efforts should be made for achieving the final goal of treatment for schizophrenia-'reintegration into society'.
Antipsychotic Agents
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Discrimination (Psychology)
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Humans
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Schizophrenia*
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Social Stigma
3.The Factors Affecting the Development of National Identity as South Korean in North Korean Refugees Living in South Korea.
Shi Eun YU ; Jin Sup EOM ; Woo Taek JEON
Psychiatry Investigation 2012;9(3):209-216
OBJECTIVE: This study aims to observe the factors that influence the development of national identity of North Korean refugees who have resettled in South Korea. METHODS: The study population was comprised of 500 North Korean refugees who immigrated to South Korea in 2007. The variables measured national identity as South Korean, a scale for discrimination perceived during daily life, a social for supporting social network, a for childhood trauma experience, traumatic experiences in North Korea, and traumatic experiences during the escape process. Factor analysis was conducted on the result from the scale for national identity as South Korean which produced 4 factors including national consciousness, positive emotions, positive values, and negative values. Multiple regression was done to identify how variables such as demographic data, discrimination, social network, and past trauma had influenced each of 4 factors. RESULTS: National identity was negatively related by traumatic experience during childhood, perceived discrimination, and positively influenced by social networks. Positive emotion was related negatively to education level in North Korea and perceived discrimination, but positively related to traumatic experiences in North Korea. Negative value was related positively age and perceived discrimination but negatively related to supporting social network. CONCLUSION: The results of this study suggests that promoting social networks, decreasing discrimination and healing past traumas were important factors for North Korean refugees in South Korea to facilitate a new national identity as a South Korean.
Consciousness
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Democratic People's Republic of Korea
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Discrimination (Psychology)
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Humans
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Refugees
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Republic of Korea
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Social Discrimination
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United Nations
4.A Comparison of Public's Stigma against the Mental Patients and Mental Patients' Perceived Stigma.
Journal of Korean Neuropsychiatric Association 2005;44(3):371-375
OBJECTIVES: The purpose of this study is to compare public stigma against mental patients and mental patients' perceived stigma. METHODS: 549 members of general populations participated in the survey which included questions regarding prejudice and discrimination against mental mental patients, while 377 mental patients participated in the survey which included questions regarding perceived prejudice, experienced discrimination and a coping orientation to social stigma. RESULTS: The mental patients perceived prejudice more compared to public prejudice toward the mental patients. And they experienced discrimination less compared to public's practice of discrimination against mental patients. Also mental patients used passive-avoidance coping orientation against social stigma. CONCLUSION: This study concluded that consumer empowerment program for mental patients is just important as anti-stigma campaign.
Discrimination (Psychology)
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Humans
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Mentally Ill Persons*
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Power (Psychology)
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Prejudice
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Social Stigma
5.The Relationships among Social Discrimination, Subjective Health, and Personal Satisfaction of Immigrants.
Journal of Korean Academy of Community Health Nursing 2017;28(4):375-385
PURPOSE: This study aims to examine the relationships among social discrimination, subjective health, and personal satisfaction based on the country of origin. METHODS: The analysis was based on 16,958 immigrants who participated in the National Survey of Multicultural Family 2015 in Korea. This study conducted stratified cross-analysis of social discrimination for the differences in subjective health and personal satisfaction. Multivariate-adjusted odds ratios and 95% confidence intervals for the relationships among social discrimination, subjective health, and personal satisfaction were examined with multivariable logistic regression. RESULTS: There were differences in experience of social discrimination, subjective health status, and personal satisfaction according to the country of origin. Groups without the experience of social discrimination had better subjective health and personal satisfaction than the other groups. CONCLUSION: This study demonstrates that a discrimination prevention program needs to be developed based on a cultural approach.
Diagnostic Self Evaluation*
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Discrimination (Psychology)
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Emigrants and Immigrants*
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Humans
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Korea
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Logistic Models
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Odds Ratio
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Personal Satisfaction*
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Social Discrimination*
6.The association between perceived discrimination and depression/anxiety disorders among Korean workers: analysis of the third Korean Working Conditions Survey.
Sang Hyun LEE ; Hee Sung LEE ; Guang Hwi KIM ; June Hee LEE ; Kyung Jae LEE ; Joo Ja KIM
Annals of Occupational and Environmental Medicine 2016;28(1):32-
BACKGROUND: Discrimination is a long-standing social problem, and interest in the health effects of discrimination has been increasing. Unfortunately, Korean workers experience various types and combinations of discrimination. This study aimed to examine the association between perceived discrimination and depression/anxiety disorders among Korean workers. METHODS: Data from 33,530 paid workers were extracted from the third Korean Working Conditions Survey. The data included general characteristics, occupational characteristics, perceived discrimination, and depression/anxiety disorders. To examine the relationship between perceived discrimination and depression/anxiety disorders, multiple logistic regression analysis was used to evaluate depression/anxiety disorders as the dependent variable and perceived discrimination as the independent variable, after adjusting for relevant general and occupational characteristics. RESULTS: After adjusting for the relevant general and occupational characteristics, we observed that male and female workers who had experienced perceived discrimination exhibited a significantly higher likelihood of having depression/anxiety disorders. The odds ratios among male and female workers were 3.25 (95 % confidence interval: 2.45–4.32) and 4.56 (95 % confidence interval: 3.45–6.03), respectively. CONCLUSIONS: Perceived discrimination was significantly related to depression or anxiety disorders among Korean workers. The risk of depression or anxiety was higher among female workers, compared to male workers.
Anxiety
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Anxiety Disorders
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Depression
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Discrimination (Psychology)*
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Female
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Humans
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Logistic Models
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Male
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Odds Ratio
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Social Problems
7.Comparison of Stigma according to the Term Used for Schizophrenia : Split-Mind Disorder vs. Attunement Disorder.
Sung Wan KIM ; Ji Eun JANG ; Jae Min KIM ; Il Seon SHIN ; Da Hye BAN ; Bongsil CHOI ; Soon Ah CHUNG ; Jin Sang YOON
Journal of Korean Neuropsychiatric Association 2012;51(4):210-217
OBJECTIVES: In Korea, the term for schizophrenia has been changed from 'split-mind disorder' to 'attunement disorder'. This study compared the stigma of, and prejudice against, people with schizophrenia, according to use of the term 'split-mind disorder' or 'attunement disorder'. METHODS: We conducted a survey of 360 college students majoring in nursing science in order to assess their prejudice regarding the danger posed by schizophrenia and discrimination regarding relationships and privileges for patients with schizophrenia using the social stigma scale and the discrimination scale for patients with mental illness, respectively. Study subjects were randomly divided into two groups, and the same scales were assigned to each group using different instructions, beginning with either 'split-mind disorder' or 'attunement disorder'. RESULTS: In multivariate analysis, scores for prejudice with regard to the danger posed by, and discrimination against, patients with schizophrenia were significantly higher in the group assigned the term split-mind disorder, compared with the term attunement disorder. Scores for discrimination with regard to relationships and privileges were significantly lower for subjects with experience to contact the mentally ill, compared to those without such experience. CONCLUSION: Our findings suggest that renaming split-mind disorder as attunement disorder can result in reduced prejudice and discrimination against people with schizophrenia. In addition to renaming schizophrenia, implementation of anti-stigma campaigns, including contact with schizophrenia patients, may help to reduce discrimination against them.
Discrimination (Psychology)
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Humans
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Korea
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Mentally Ill Persons
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Multivariate Analysis
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Prejudice
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Schizophrenia
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Social Stigma
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Weights and Measures
8.Korean Facial Emotion Recognition Tasks for Schizophrenia Research.
Yong Chun BAHK ; Seon Keong JANG ; Jee Ye LEE ; Kee Hong CHOI
Psychiatry Investigation 2015;12(2):235-241
OBJECTIVE: Despite the fact that facial emotion recognition (FER) tasks using Western faces should be applied with caution to non-Western participants or patients, there are few psychometrically sound and validated FER tasks featuring Easterners' facial expressions for emotions. Thus, we aimed to develop and establish the psychometric properties of the Korean Facial Emotion Identification Task (K-FEIT) and the Korean Facial Emotion Discrimination Task (K-FEDT) for individuals with schizophrenia. METHODS: The K-FEIT and K-FEDT were administered to 42 Korean individuals with schizophrenia to evaluate their psychometric properties. To test the convergent and divergent validities, the Social Behavior Sequencing Task (SBST) and hinting task were administered as social-cognitive measures, and the Trail Making Test (TMT)-A and -B were administered as neurocognitive measures. RESULTS: Average accuracy on the K-FEIT and K-FEDT were 63% and 74%, respectively, and internal consistencies of the K-FEIT and K-FEDT were 0.82 and 0.95, respectively. The K-FEIT and K-FEDT were significantly correlated with SBST and Hinting Task, but not with TMT-A and B. CONCLUSION: Following replication studies in a larger sample, the K-FEIT and K-FEDT are expected to facilitate future studies targeting facial emotion recognition in schizophrenia in Korea. Limitations and directions for future research are discussed.
Discrimination (Psychology)
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Facial Expression
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Humans
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Korea
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Psychometrics
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Schizophrenia*
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Social Behavior
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Trail Making Test
9.The Change of the Status of Joseon Medical Bureaucrats in the 15th and 16th Centuries.
Korean Journal of Medical History 2018;27(3):295-322
In the 15th century, Joseon dynasty's goal for the stabilization of the ruling system, the ideological freedom of the era, and the necessity of medicine due to the introduction of Jin and Yuan dynasty's medicine led to the increased interest in medicine by the nobility along with tolerant practice. The practice of reading medical books is a good example of this institutional demonstration. However, by the end of the 15th century, a noticeable change had taken place. Within the nobility, there was an ideological rigidity regarding technology other than those of Confucianism, as the nobility became concentrated on the principles of Neo-Confucianism. In addition, as the publication of large-scale editions such as Ŭibangyuch'wi (the Classified Collection of Medical Prescriptions) came to an end, they have become less inclined to nurture talent at the level of the central government as in the previous period. In addition, as the discrimination against illegitimate children became stronger, technical bureaucrats such as medical officials, which were open to illegitimate children, came to be seen in increasingly disdainful and differentiated manners. From the late Sejong period to the early Seongjong period, the entrance of illegitimate sons into the medical bureaucracy solidified the negligence of medicine by the nobility. After then, the medical bureaucracy came to be monopolized by illegitimate sons. As for illegitimate sons, they were not allowed to enter society through Confucian practices, and as such, the only way for them to enter the government was by continuing to gain experience as technical bureaucrats. Technical posts that became dominated by illegitimate sons became an object of contempt by the nobility, and the cycle reproduced itself with the social perception that legitimate sons of the nobility could not become a medical official. Medical officials from the Yi clan of Yangseong had been legitimate sons and passers of the civil service examination in the 15th century. However, in the 16th century, only illegitimate sons became medical officials. The formation of Jungin (middleclass) in technical posts since the middle of the Joseon period is also related to this phenomenon. The Yi clan of Yangseong that produced medical officials for 130years over four generations since Yi Hyoji, a medical book reading official, is an exemplary case of the change in the social perception in the early Joseon period regarding medical bureaucrats.
Aptitude
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Child
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Confucianism
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Discrimination (Psychology)
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Family Characteristics
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Freedom
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Humans
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Malpractice
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Publications
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Social Perception
10.Relationship between Manufacturing Workers'Job Conditions and Stress.
Young A OH ; Myung Sun LEE ; Kyung Yong RHEE
Korean Journal of Occupational and Environmental Medicine 2002;14(3):301-314
OBJECTIVES: In this study we performed an analysis of the stress associated with the working conditions of 6,764 workers based on 'A survey of healthy condition of workers on 1999'by the Korean Occupational Safety and Health Agency. The Purpose of this study was to provide basic data for health education and management for industrial workers'health promotion. METHODS: Collected data were analyzed using the t-test, ANOVA and multiple regression analysis, using the SPSS 10.0 program. RESULTS: When the degrees of stress were analyzed according to demographic characteristics, females were found to have higher levels of stress than males (p<0.001). Furthermore, as age was lowered and as the work space became larger, the degrees of a stress were also found to be higher (p<0.001 and p<0.01, respectively). When the degrees of stress were analyzed according to working conditions, longer working hours (p<0.001) and reduced break times (p<0.05), gave rise to higher degrees of stress. Also, as the work space was reduced in size and as the work intensity was augmented, the degrees of a stress were made higher (p<0.01). In terms of physical working conditions, humidity and a lack of sense of security resulted in higher degrees of stress (p<0.01). When the workers sense that their environment is noisy or dusty has poor lighting or ventilation or that the rest room and cafeteria facilities are inadequate, the degrees of stress are found to be higher. As regards the social environment, when the workers sensed that the degree of job demand or job control was higher or that the degree of social support was lower, the degrees of stress were increased (p<0.001). Among those factors which influenced physical stress in the stepwise multiple regression analysis, the primary factor was found to be the safety of the working place (5.1 %). Other factors which influenced physical stress were degree of job demand, age, work intensity, humidity, sexual discrimination, length of working hours, size of work space and the existence or not of a regular break time in this order. Total R2 due to these factors was 12%. Among those factors which influenced mental stress in the stepwise multiple regression analysis, the primary factor was the degree of job demand (4.8 %). Other factors which influenced mental stress were humidity, age, sexual discrimination, the degree of a job control, safety of the working place, degree of social support, a working site, size of the work space, quality of lighting, the existence or not of a regular break time and length of working hours in this order. Total R2 due to these factors was 13.1 %. CONCLUSIONS: The above results shows that working conditions are strongly related to stress. Furthermore, when both physical and social working conditions are continuously managed and improved, workers may not only reduce their levels of stress but also maximize their working efficiency.
Analysis of Variance
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Discrimination (Psychology)
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Female
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Health Education
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Humans
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Humidity
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Male
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Occupational Health
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Social Environment
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Social Work
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Ventilation