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Journal of Health Psychology
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*Asthma
*Family Issues
*Joint Disorders
*Rheumatoid Arthritis
*Stress
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How Do You Feel?

Self-esteem Predicts Affect, Stress, Social Interaction, and Symptom Severity during Daily Life in Patients with Chronic Illness

Vanessa Juth

Syracuse University, USA

Joshua M. Smyth

Syracuse University, USA, jmsmyth{at}syr.edu

Alecia M. Santuzzi

Syracuse University, USA

Self-esteem has been demonstrated to predict health and well-being in a number of samples and domains using retrospective reports, but little is known about the effect of self-esteem in daily life. A community sample with asthma (n = 97) or rheumatoid arthritis (n = 31) completed a self-esteem measure and collected Ecological Momentary Assessment (EMA) data 5x/day for one week using a palmtop computer. Low self-esteem predicted more negative affect, less positive affect, greater stress severity, and greater symptom severity in daily life. Naturalistic exploration of mechanisms relating self-esteem to physiological and/or psychological components in illness may clarify causal relationships and inform theoretical models of self-care, well-being, and disease management.

Key Words: chronic illness • daily life • Ecological Momentary Assessment (EMA) • self-esteem

Journal of Health Psychology, Vol. 13, No. 7, 884-894 (2008)
DOI: 10.1177/1359105308095062
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[Abstract] [PDF]