Child ego state and self-care behavior change in heart failure patients.

Abstract Background The psychological characteristics of ego functions interfere with self-care behavior in several diseases. However, the effect of ego functions on self-care behavior after education in heart failure (HF) remains unclear. Methods Seventy-one HF patients were enrolled. Patients’ scores on the Japanese version of the European Heart Failure Self-care Behaviour Scale (EHFScBS) were measured before and after the HF intervention, and the rate of change was used as an indicator of educational effectiveness. The Tokyo University Egogram New Ver. II was used to assess five types of ego state functions: Critical parent, Nurturing parent, Adult, Free Child, and Adapted Child (AC). Results A comparison of the five ego states showed that AC scores were significantly lower than those of the other ego states (p Conclusions Educational behavior change for self-care is less effective in HF patients with an ego state with low AC.