Psychiatry Investig.  2016 Sep;13(5):480-487. 10.4306/pi.2016.13.5.480.

Effects of Psychiatric Symptoms on Attention in North Korean Refugees

Affiliations
  • 1Department of Psychiatry, Seoul National University Hospital, Seoul, Republic of Korea. psychical@hanmail.net
  • 2Department of Psychiatry, Seoul National Hospital, Seoul, Republic of Korea.
  • 3Department of Psychiatry, National Medical Center, Seoul, Republic of Korea.
  • 4Department of Psychiatry, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Republic of Korea.

Abstract


OBJECTIVE
We investigated the performance of North Korean refugees on attention tasks, and the relationship between that performance and psychiatric symptoms.
METHODS
Sustained and divided attention was assessed using the computerized Comprehensive Attention Test in North Korean refugees and in South Koreans. All participants also completed the Beck Depression Inventory, the Beck Anxiety Inventory, the Impact of Event Scale-Revised and the Dissociative Experiences Scale-II (DES-II).
RESULTS
The North Korean refugees showed slower reaction times (RTs) on the visual sustained attention task compared to the South Koreans after controlling for age and sex. North Korean refugees had a greater number of omission errors (OEs) on the divided attention task and a higher standard deviation (SD) of RT. Total DES-II scores of the North Korean refugees were associated with the number of OEs and the SD of RT on the sustained attention task, and with the number of OEs on the divided attention task.
CONCLUSION
North Korean refugees showed poorer performance on computerized attention tasks. In addition, attention deficit among North Korean refugees was associated with their dissociative experiences. Our results suggest that refugees may have attention deficits, which may be related to their psychiatric symptoms, particularly dissociation.

Keyword

North Korean refugees; Attention; Depression; Anxiety; Dissociation

MeSH Terms

Anxiety
Depression
Humans
Reaction Time
Refugees*
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