{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T18:25:33Z","timestamp":1793125533534,"version":"4.5.0"},"reference-count":50,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T00:00:00Z","timestamp":1759017600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Transcult Nurs"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Over 30,000 North Koreans have fled to South Korea, facing challenges in adapting to a new society. This study aimed to examine how cultural orientation, PTSD, and resilience influence their social adaptation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted with 171 North Korean defectors using validated tools to assess cultural orientation, PTSD symptoms, resilience, and social adaptation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      PTSD was prevalent in 24% of participants and strongly negatively correlated with social adaptation (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = \u2212.61,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .001). Resilience showed a positive association with adaptation (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = .46,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .001) and served as a protective factor against PTSD. Horizontal cultural orientation correlated with adaptation but was not a significant predictor. PTSD severity was the strongest predictor of poor adaptation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>These findings underscore the need for long-term, culturally appropriate mental health interventions and resilience-building programs to enhance the social integration of North Korean defectors and inform refugee support policy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10436596251371528","type":"journal-article","created":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T12:49:30Z","timestamp":1759063770000},"page":"159-168","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Impacts of North Korean Defectors\u2019 Cultural Orientation, PTSD, and Resilience on Their Social Adaptation in South Korea"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6493-1950","authenticated-orcid":false,"given":"So Hyeon","family":"Bang","sequence":"first","affiliation":[{"name":"School of Nursing, Columbia University, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra A.","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"School of Nursing, The University of Texas at Austin, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1699-9747","authenticated-orcid":false,"given":"Kon Hee","family":"Kim","sequence":"additional","affiliation":[{"name":"College of Nursing, Ewha Womans University, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,28]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Ahmadi Forooshani S. 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