Health complaints, stress, and distress: exploring the central role of negative affectivity.

@article{Watson1989HealthCS,
  title={Health complaints, stress, and distress: exploring the central role of negative affectivity.},
  author={David Watson and James W. Pennebaker},
  journal={Psychological review},
  year={1989},
  volume={96 2},
  pages={
          234-54
        }
}
Most current models in health psychology assume that stress adversely affects physical health. We re-examined this assumption by reviewing extensive data from the literature and from six samples of our own, in which we collected measures of personality, health and fitness, stress, and current emotional functioning. Results indicate that self-report health measures reflect a pervasive mood disposition of negative affectivity (NA); self-report stress scales also contain a substantial NA component… 
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References

SHOWING 1-10 OF 200 REFERENCES
Beyond negative affectivity: Measuring stress and satisfaction in the workplace.
Stress researchers frequently use self-report measures to assess stress, health, psychological adjustment, and subjective dissatisfaction. We present evidence demonstrating that all of these…
Influence of life event stress on physical illness: substantive effects or methodological flaws?
TLDR
The hypothesis that the reported relationship between life event stress and physical illness is primarily a function of criterion and other content contamination in the stress measure is supported and alternative approaches to the conceptualization and measurement of stress may need to be developed.
Positive and negative affectivity and their relation to anxiety and depressive disorders.
TLDR
Findings in normal samples suggest that assessment of two broad mood factors—Negative Aflect (NA) and Positive Affect (PA) may improve their differentiation, and the results suggest that strengthening the PA component in depression measures may enhance their discriminative power.
Intraindividual and interindividual analyses of positive and negative affect: their relation to health complaints, perceived stress, and daily activities.
  • D. Watson
  • Psychology, Medicine
    Journal of personality and social psychology
  • 1988
TLDR
The most significant finding was that, contrary to prediction, health complaints were as strongly related to intraindividual fluctuations in PA as in NA.
A global measure of perceived stress.
TLDR
The Perceived Stress Scale showed adequate reliability and, as predicted, was correlated with life-event scores, depressive and physical symptomatology, utilization of health services, social anxiety, and smoking-reduction maintenance and was a better predictor of the outcome in question than were life- event scores.
Effects of response styles on the report of psychological and somatic distress.
TLDR
The study confirmed that response styles were more predictive of psychological than somatic symptoms and less frequent and less severe health problems are reported by those scoring as repressers on Byrne's Repression-Sensitization (S) scale.
Neuroticism, somatic complaints, and disease: is the bark worse than the bite?
TLDR
Analysis of mortality in the literature and in the present article show no influence of neuroticism, suggesting that symptom reporting may be biased by Neuroticism-related styles of perceiving and reporting physiological experiences.
Neuroticism, coronary artery disease, and chest pain complaints: Cross-sectional and longitudinal studies
Abstract Cardiovascular disease increases with age, but some of the factors thought to be related to CAD, including the personality disposition of neuroticism, show a pattern of lifelong stability.…
Mood and the mundane: relations between daily life events and self-reported mood.
  • L. Clark, D. Watson
  • Psychology, Medicine
    Journal of personality and social psychology
  • 1988
TLDR
Daily mood ratings and corresponding diary entries were studied to determine relations between common events and two independent mood factors--Positive Affect (PA) and Negative Affect (NA)--in a sample of 18 young adults over a 3-month period and reaffirm the importance of assessing NA and PA independently.
The stress process.
TLDR
This study takes involuntary job disruptions as illustrating life events and shows how they adversely affect enduring role strains, economic strains in particular, which erode positive concepts of self, such as self-esteem and mastery.
...
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