Worden J W, Sobel H J
Psychosom Med. 1978 Dec;40(8):585-92. doi: 10.1097/00006842-197812000-00001.
This study investigated a patient's ego strength (Es) at the time of an initial cancer diagnosis and its relationship, over time, to mood disturbance, vulnerability, self-reported physical symptom totals, current concerns, coping strategies, and effectiveness in the resolution of problems. The subjects were 163 newly diagnosed male and female cancer patients representing five primary tumor sites. All patients were seen for an initial evaluation, at which time they completed Barron's Es scale, the Profile of Mood States, the Inventory of Current Concerns, and a semistructured interview. Ratings on patient vulnerability, coping strategies, and problem resolutions were made at each of the five follow-ups. Results showed that psychosocial adaptation to cancer was related to a patient's ego strength. Es correlated positively with a patient's use of effective coping strategies. The concept of Es and problems with Es assessment were discussed within a cognitive-ego analytic frame of reference.
本研究调查了患者在初次癌症诊断时的自我强度（Es），以及随着时间推移，其与情绪困扰、易感性、自我报告的身体症状总数、当前担忧、应对策略和问题解决有效性之间的关系。研究对象为163名新诊断的男性和女性癌症患者，他们代表了五个原发性肿瘤部位。所有患者均接受了初次评估，在此期间他们完成了巴伦自我强度量表、情绪状态剖面图、当前担忧量表以及一次半结构化访谈。在五次随访中的每一次，都对患者的易感性、应对策略和问题解决情况进行了评分。结果显示，对癌症的心理社会适应与患者的自我强度有关。自我强度与患者有效应对策略的使用呈正相关。在认知自我分析的参照框架内，对自我强度的概念以及自我强度评估中存在的问题进行了讨论。
