Negative affective pictures can elicit physical symptoms in high habitual symptom reporters

The present study aimed to explore the role of a brief negative affective state on symptom reporting. Non-clinical high (n = 24) and low (n = 24) habitual symptom reporters viewed four picture series (160 s per series) varying in affective content: neutral, general positive, general negative and symptom-related. Participants rated each picture series on valence, dominance and arousal, and reported their affective state and somatic symptoms experienced during the series. Results showed that all participants reported higher levels of negative affect during the negative and symptom-related picture series compared with the positive and neutral picture series. Only high habitual symptom reporters also reported more bodily symptoms after viewing the negative and symptom-related pictures. The findings allude to a learned association between negative emotional states and symptom reporting in high habitual symptom reporters.