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Background: A relationship between symptom attitudes and negative affect has consistently been found in a range of different symptom domains. Little is known, however, about the role of different aspects of the self in this rela-tionship. We explored the mediating role of in-terferences of symptom with the self-concept in the association of menstrual symptom attitudes and depressive mood. Methods: Eighty-one women completed an online survey on men-strual symptom attitudes, perceived interfer-ences of symptoms with various self-aspects and negative mood states. We tested our hy-pothesis in a mediation analysis. Results: We found a complete mediation of the relationship of symptom attitudes and depressive mood by interferences of symptoms with self-aspects. However, interferences with self-aspects did not play a role in the association of anxious mood and symptom report. Conclusion: The self- concept should receive greater attention in re-search on symptom attitudes and psychological well-being. This would be particularly important in research on medically unexplained symptom report

The role of the self-concept in the relationship of menstrual symptom attitudes and negative mood