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Ego strength and health: An empiric study in hemodialysis patients

Health 2012年第12期4卷 1328-1333页

作者： Salvatore Settineri Carmela Mento Domenico Santoro Agostino Mallamace Guido Bellinghieri Vincenzo Savica Biagio Ricciardi santina castellino Domenico Mallamace Department Department of Clinical and Experimental Medicine and Pharmacology University of Messina Messina Italy Department of Human and Social Sciences University of Messina Messina Italy Department of Nephrology University of Messina Messina Italy Department of Neurosciences Psychiatric and Anaesthesiological Sciences Division of Psychiatry University of Messina Messina Italy Nephrology and Dialysis Units Papardo Hospital Messina Italy Researcher in Nephrology Department of Internal Medicine University of Messina Messina Italy Unit of Nephrology ASP5 Milazzo Hospital Milazzo Italy Unit of Nephrology ASP5 Taormina Hospital Taormina Italy

Introduction: Ego strength represents an important variable that could be predictable about health and compliance in chronic diseases. In this study we propose a new questionnaire, E.F.E. “Ego Functioning Experience”, able to reveal the psychological functioning profile in Hemodialysis patients. The aim of this work, is to underline the existing relations between emotional profile and compliance, whit E.F.E., that may be predictive of a state of psychologycal health in hemodialysis patients. Methods: Study population included 90 hemodialysis patients. The study protocol was made by three psychological tests: the E.F.E. Questionnaire, the DMI, the Self-Liking and Self-Competence Scale. Results: Factor analysis extracts three factors: 1) “Need of Ego support”;2) “Ego activity oriented to treatment”;3) “Ego strength”. The correlation coefficients between the E.F.E. Questionnaire factors (three factors) and other measures, showed a direct correlation with the first factor and “turning against object” TAO of the DMI test (correlation is significant at the 0.001 level) and an inverse relation with set mechanisms of “Principalization”, PRN of the DMI (correlation is significant at the 0.005 level). The correlations of the second and the third factors with other measures, were not statistically significant. No relations were found about other variables. Conclusions: The E.F.E. questionnaire is a simple evaluation to detect hemo-dialysis patients who may need greater attention to the psychological health and therefore the need for treatment such as psychological support. In fact, lower presence of ego strength is indicative of poor compliance to clinical treatment in hemodialysis, but also of worsening of psychiatric symptoms such as demoralization and depressed mood. In conclusion, an increased social support is needed in hemodialysis patient in order to achieve better compliance and achieve a better state of psychological health in chronic hemodialysis patients.

关键词： Hemodialysis Compliance Ego Strenght Emotional States

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