Greenwald D F, Harder D W, Ritzler B A, Strauss J S, Kokes R F
Northeastern University Medford, MA.
Percept Mot Skills. 1988 Aug;67(1):199-207. doi: 10.2466/pms.1988.67.1.199.
This study tested the hypothesis that the Last and Weiss (1976) Rorschach Ego-Strength Scale (sigma E) would predict outcome among a representative sample of never-hospitalized psychiatric outpatients. 78 patients were assessed with structured symptom, psychiatric history, and social data interviews at the time of initial clinic contact and at 2-yr. follow-up. Outcome measures included the Menninger Health-Sickness Scale, a multidimensional variable involving social and work functioning and recent symptom level, symptom measures, and an index of diagnostic severity. sigma E, controlled for number of responses, correlated significantly with Health-Sickness, neurotic symptoms, diagnostic severity, and psychotic symptomatology. Among the components of sigma E, M+, and FC+ had significant relationships or contributed to significant relations with outcome variables. Considered with an earlier study of inpatients, in which S+ sigma E component correlated inversely with outcome, this study suggested that sigma E components have differing prognostic significance, depending on adaptational level of the patient.
Last和Weiss（1976年）的罗夏克自我力量量表（西格玛E）能够预测从未住院的精神科门诊患者代表性样本的预后。78名患者在初次门诊接触时以及随访2年时接受了结构化症状、精神病史和社会数据访谈评估。预后指标包括门宁格健康-疾病量表，这是一个涉及社会和工作功能以及近期症状水平的多维变量、症状指标以及诊断严重程度指数。控制反应数量后，西格玛E与健康-疾病、神经症症状、诊断严重程度和精神病症状学显著相关。在西格玛E的组成部分中，M+和FC+与预后变量有显著关系或促成了显著关系。结合早期一项针对住院患者的研究（其中S+西格玛E组成部分与预后呈负相关）来看，本研究表明西格玛E各组成部分具有不同的预后意义，这取决于患者的适应水平。
