Prince R, Frasure-Smith N, Rolicz-Woloszyk E
J Psychosom Res. 1982;26(1):23-31. doi: 10.1016/0022-3999(82)90059-9.
Goldberg's 20-item General Health Questionnaire was administered to 320 male ischemic heart disease patients prior to discharge from hospital. The relationship between GHQ scores and rehospitalization/death rates for the subsequent year was examined. Surprisingly, a curvilinear relationship emerged with both low and high scorers having better outcomes than patients scoring in the middle ranges. This relationship held regardless of physical risk factors reflecting severity of disease, and demographic factors failed to explain the curve. It was suggested that denial and compliance accounted for the good outcomes of the low and high scorers respectively, whereas the medium scoring patients were neither adequate deniers nor sufficiently enthusiastic about entering the sick role.
在320名男性缺血性心脏病患者出院前，对其进行了包含20个项目的戈德堡一般健康问卷测试。研究了该问卷得分与随后一年再住院率/死亡率之间的关系。令人惊讶的是，呈现出一种曲线关系，得分低和高的患者比得分处于中等范围的患者预后更好。无论反映疾病严重程度的身体风险因素如何，这种关系都成立，人口统计学因素也无法解释这种曲线。研究表明，否认和顺从分别解释了得分低和高的患者的良好预后，而得分中等的患者既不是足够的否认者，对进入患者角色也没有足够的热情。
