Ca. Smith et al., ON BABIES AND BATHWATER - DISEASE IMPACT AND NEGATIVE AFFECTIVITY IN THE SELF-REPORTS OF PERSONS WITH RHEUMATOID-ARTHRITIS, Health psychology, 14(1), 1995, pp. 64-73
The degree to which self-reports of health and functioning reflect neg
ative affectivity (NA), a dispositional tendency to emphasize the nega
tive, was examined with data from a 7-year longitudinal study of adapt
ation to rheumatoid arthritis. Principal component analyses performed
on each of 8 waves of data consistently indicated that the dominant fa
ctor in these data was defined by measures of pain and functional impa
irment. In the final wave, Disease Impact, a scale derived from this c
omponent, was directly compared to NA. The 2 scales demonstrated consi
derable discriminant validity, and most of the significant intercorrel
ations among Disease Impact and the other variables examined remained
statistically significant after the influence of NA was partialed out.
These results suggest that reports of pain, impairment, and associate
d variables reflected disease-related outcomes and processes and not s
imply NA.