# 朝鲜寻求庇护者的累积性应激与ICD-11适应障碍：难民心理健康视角

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- Page title: 朝鲜寻求庇护者的累积性应激与ICD-11适应障碍：难民心理健康视角 | WCP 2026 摘要

> 在朝鲜寻求庇护者中，当前应激源的数量越多，出现疑似适应障碍的可能性就越高，且这种关联独立于创伤史。

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本页是借助人工智能编写的土耳其语摘要，介绍在第26届世界精神病学大会上报告的研究。研究归报告作者所有；引用时请查阅原始来源。

SO501

简短口头壁报报告创伤与应激横断面研究

# 朝鲜寻求庇护者的累积性应激与ICD-11适应障碍：难民心理健康视角

CUMULATIVE STRESS AND ICD-11 ADJUSTMENT DISORDER IN NORTH KOREAN DEFECTORS: A REFUGEE MENTAL HEALTH PERSPECTIVE

报告人: Hokon Kim

国家: Korea, Republic of

分会场会议: 4590 - PARALLEL SHORT ORAL POSTER SESSIONS: TRANSCULTURAL & MIGRATION - Part VI

日期: Sat, 26.09.2026

在朝鲜寻求庇护者中，当前应激源的数量越多，出现疑似适应障碍的可能性就越高，且这种关联独立于创伤史。

本研究旨在确定定居韩国的朝鲜寻求庇护者（North Korean defectors，NKD）中疑似ICD-11适应障碍（adjustment disorder，AjD）的患病率，并探讨当前应激源累积的作用。横断面调查纳入了1,079名寻求庇护者（年龄52.71 ± 12.37岁；女性占80.4%；分居或离婚者占46.4%；独居者占43.2%）；采用符合ICD-11标准的国际适应障碍问卷（International Adjustment Disorder Questionnaire，IADQ）评估疑似AjD，以IADQ规定的八类应激源测量当前应激源（累积数量范围为0至8），并进行多变量逻辑回归分析，校正社会人口学特征以及童年、青少年期和成年期的终生创伤经历。疑似AjD的患病率为20.9%（n = 225）；最常报告的当前应激源为自身健康问题（51.4%）、经济困难（38.6%）、人际关系问题（37.2%）及亲近者的健康问题（35.1%）。与报告一种应激源者相比，报告两种、三种以及四种或更多应激源者的校正比值比分别为4.77（95%置信区间2.417–9.416）、5.96（95%置信区间3.080–11.524）和12.13（95%置信区间6.773–21.728）（均为p < 0.001）。纳入医疗救助保险保障范围（校正OR = 1.536；95%置信区间1.064–2.218；p = 0.022）和成年期更多的创伤经历（校正OR = 1.063；95%置信区间1.020–1.109；p = 0.004）也分别与AjD独立相关。当前应激源的累积与AjD存在强关联，且独立于创伤史；作者强调，为促进顺利适应，应系统评估创伤史及当前应激源。

[查看原始壁报](https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1581)

如何引用本研究？

APA 7： Kim, H., et al. (2026, September 26). Cumulative stress and icd-11 adjustment disorder in north korean defectors: a refugee mental health perspective [Poster presentation]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1581

Vancouver： Kim H, et al. Cumulative stress and icd-11 adjustment disorder in north korean defectors: a refugee mental health perspective [poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Available from: https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1581

作者姓名和标题格式由大会系统自动生成；使用前请与原始海报核对。

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