Egogram developed by John M. Dusay on the basis of Transactional Analysis Theory has been used mainly among the adult population and said that it cannot be applied to children bacause of immaturity of their ego.Since we now know that the ego can develop at any age, we have made an egogram questionnaire for school children. The egogram questionnaire originally designed for adults by the Departments of Psychosomatic Medicine of University of Tokyo and University of Kyushu was transformed and reconstructed so as to be understood by elementary school children. Fifty questions were analyzed to measure the ego states, the Critical Parent (CP), the Nurturing Parent (NP), the Adult (A), the Free Child (FC), the Adapted Child (AC) and their Total.In order to standardize the egogram for children, 136 boys and 152 girls in the first to third grades and 122 boys and 172 girls in the fourth to six grades were selected from elementary school children, and 54 boys and 53 girls from junior high school children on the basis of health questionnaire.The standardized egogram profile was described as "high abnormal" (T score over 68,or 95 percentile), "high borderline" (T score 58-67,or 79-94 percentile), "normal" (T score 43-57,or 23-78 percentile), "low borderline" (T score 33-42,or 7-22 percentile) and "low abnormal" (T score less than 32,or 6 percentile). Twenty nine severe asthmatic children divided into two groups, 11 stable and 18 unstable progress at a residential hospital, and they performed the egogram 3 to 5 times to compare their clinical course.The unstable group showed lower T score for "Total" (P<0.1 at the second test), "NP" (P<0.01), "A" (P<0.01), "AC"(P<0.1) and "Total" (P<0.01) than stable asthmatics. These results suggest that severe and unstable asthmatic children might have some difficulty in developing healthy ego states.We concluded that the standardized egogram questionnaire for children should be reliable and valuable as a psychological test in pediatric practice.
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