OBJECTIVE: The status of patients and research subjects is usually
considered in terms of self-reported symptoms. Measures seldom include
disturbances in a conscious sense of the self. An additional brief measure
of the sense of current self-regard is desirable, since a conscious lapse
in an integrated self-concept may occur under stressful circumstances. The
authors constructed and tested such a measure. METHOD: Clinical interviews
had indicated five common experiences that occurred more frequently as
complaints during stress-induced regressions in the sense of the self as a
functioning mind-body agency. An anchored five-item scale, the Self-Regard
Questionnaire, was constructed and tested with 79 subjects who were in the
midst of grief from the death of a spouse. Data analyses included checks on
the internal coherence of questionnaire scale scores and their association
with symptom, personality, and social desirability measures. RESULTS: The
five-item Self-Regard Questionnaire was completed quickly, in less than a
minute, and led to internally consistent and unique data. Low levels of
overall self-regard were correlated with higher levels of distress and
predicted prolonged distress. CONCLUSIONS: These results suggest that the
questionnaire is a useful, quick, and easy-to-score self-report tool for
assessing, and reassessing over time, current experiences of the self. The
five questions may also be useful to clinicians who evaluate patients in
contexts other than research.
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