Simmons R J, Corey M, Cowen L, Keenan N, Robertson J, Levison H
Psychosom Med. 1985 Mar-Apr;47(2):111-22. doi: 10.1097/00006842-198503000-00002.
Eighty-five 12- to 15-year-old adolescents regularly attending the cystic fibrosis (CF) clinic of The Hospital for Sick Children were asked to complete the Children's Health Locus of Control and the Tennessee Self Concept Scale. Their parents were requested to complete the Child Behavior Checklist. Thirty-four males (72%) and 28 females (74%) participated in the study. This study found that adolescents with CF are able to maintain a good self concept, be socially competent, and perceive that they are in control of their health while showing an increase in behavior problems. Females rely heavily on denial and are more behaviorally compliant, whereas boys use less denial but show more behavior problems. Males appear to integrate having a physical disorder into their self concept, whereas females do not. The findings demonstrate a difference in mechanisms of coping with cystic fibrosis between male and female adolescents with CF, which may contribute to the decline in physical status in females and better survival of males.
八十五名年龄在12至15岁、定期前往病童医院囊性纤维化（CF）诊所就诊的青少年被要求填写儿童健康控制点量表和田纳西自我概念量表。他们的父母被要求填写儿童行为检查表。34名男性（72%）和28名女性（74%）参与了该研究。这项研究发现，患有CF的青少年能够保持良好的自我概念，具备社交能力，并认为自己能够掌控自身健康，同时行为问题有所增加。女性严重依赖否认机制且行为更顺从，而男孩较少使用否认机制但行为问题更多。男性似乎将身体疾病融入了自我概念，而女性则没有。研究结果表明，患有CF的男性和女性青少年在应对囊性纤维化的机制上存在差异，这可能导致女性身体状况下降而男性存活率更高。
