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Personality and Social Psychology Bulletin, Vol. 28, No. 8, 1015-1025 (2002)
DOI: 10.1177/01461672022811001

Examination of the Neuroticism-Symptom Reporting Relationship in Individuals with Type 2 Diabetes

Paula G. Williams

Washington State University, pwillms{at}wsu.edu

Craig R. Colder

State University of New York at Buffalo

James D. Lane

Duke University Medical Center

Cynthia C. McCaskill

Duke University Medical Center

Mark N. Feinglos

Duke University Medical Center

Richard S. Surwit

Duke University Medical Center

The current study utilized a within-subject, experience sampling methodology (ESM) to examine the relationship between neuroticism (N) and physical symptom reports. Individuals with type 2 diabetes monitored diabetes-related symptoms, rated negative and positive affect (NA and PA), estimated their blood glucose (BG) levels, and tested their actual BG levels with a glucometer four times per day for 7 days. Multilevel modeling analyses indicated that N, NA, and PA were related to reported symptom frequency. Neuroticism moderated the relation between PA and symptom reports: Lower PA was more strongly related to symptom reports among high-N individuals. In addition, there was evidence that symptoms mediated the relationship between N and state NA. Finally, N was related to overestimation of BG, beyond that accounted for by state NA. Results are discussed with respect to potential effects of N on the processing of negative self-relevant information and on self-regulatory behavior in health contexts.


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