Brief report: Contemplate your symptoms and re-evaluate your health. A study on working adults

J Health Psychol. 2019 Sep;24(11):1562-1567. doi: 10.1177/1359105317715090. Epub 2017 Jun 22.


We investigated whether self-ratings of health are affected by a symptom rating. A diary including a one-item self-rating of health ("pre-self-rated health"; 1 = excellent, 7 = very poor), a subsequent 26-item rating of symptoms, and thereafter a second (identical) health rating ("post-self-rated health") was completed by 820 persons 21 times. Self-rated health worsened significantly (p < .0001) after the symptom rating, from 2.72 pre-self-rated health (95% confidence interval: 2.70-2.74) to 2.77 post-self-rated health (95% confidence interval: 2.75-2.79) and more so in persons who reported more symptoms (b = .058, p < .05). The results support the notion that subjective health perception is influenced by attending to symptoms, especially so in persons with a high symptom burden.

Keywords: Sweden; interoception; psychoneuroimmunology; questionnaire methodology; self-rated health; subjective health perception.

MeSH terms

  • Adult
  • Diagnostic Self Evaluation*
  • Female
  • Health Status*
  • Humans
  • Male
  • Middle Aged