The role of the affect heuristic and cancer anxiety in responding to negative information about medical tests

Objective: Little is known about the affective implications of communicating negative information about medical tests. This research explored how affective processes – particularly the Affect Heuristic and cancer anxiety – influence the way in which people respond to such information.

Design: Participants received different types of information about PSA screening for prostate cancer and magnetic resonance imaging (MRI) scans for migraine headaches. This was a 2 (Test harm information: present vs. absent) × 2 (Test benefit information: present vs. absent) × 2 (Test recommendation: present vs. absent) between-participants design.

Outcome Measures: Perceived risk, perceived benefit and general attitudes towards PSA and MRI testing, cancer anxiety, preferences to receive the tests vs. not.

Results: As predicted by the Affect Heuristic, test harm information reduced perceived test benefits. However, information about uncertain test benefit did not increase perceived test risks. Information about the test reduced cancer anxiety, indicating defensive coping. These variables – affect, anxiety, perceived risks and benefits – all uniquely predicted test preferences.

Conclusion: Affective processes play an important role in how people respond to and interpret negative information about medical tests. Information about harms and information about the lack of benefit can both make a test seem less beneficial, and will reduce cancer anxiety as a result.     

Book notes

Mana: Revue de Sociologie et d'Anthropologie Caen: Department of Sociology, University of Caen, Esplanade de la Paix, 1400 Caen, France. 242 pp, 81 FF (in France, inch postage)

Desh Pardesh: The South Asian Presence in Britain Roger Ballard, ed., 1994 London: Hurst & Co. 296 pp., £9.95 (pb) ISBN 1–85065–092–6

Religions et sécurité international Jean‐François Mayer, 1995 Bern: Office Central de la Défense Series: Études relatives à la politique de sécurité, No. 2/1995 143 pp.

Essential Teachings His Holiness the Dalai Lama London: Souvenir Press, 1995 152 pp., £9.99 (hb) ISBN 0–285–63273–6

Voices of Islam John Bowker, 1995 Oxford: Oneworld Publications 188 pp., £8.95 ISBN 1–85168–095–0

A Short History of the Bahá'i Faith Peter Smith, 1996 Oxford: Oneworld Publications 168 pp., £5.95 (pb) ISBN 1–85168–070–5

A Short History of Islam William Montgomery Watt, 1996 Oxford: Oneworld Publications 156 pp., £5.95 (pb) ISBN 1–85168–109–4

Dictionary of the Middle East Dilip Hiro, 1996 Basingstoke: Macmillan 367 pp., £14.99 (pb) ISBN 0–333–65926–0

The Hebrew Bible Dan Cohn‐Sherbok, 1996 London: Cassell 257 pp., £55.00 (hb), £13.99 (pb) ISBN 0–304–33702–1 (hb), 0–304–33703‐X (pb)

The Puzzle of God Peter Vardy, 1995 London: Fount/Harper Collins 240 pp., £7.99 ISBN 0–00–627965–1     

Book notes

Apocalyptic Bodies: The Biblical End of the World in Text and Image Tina Pippin, 1999 London, New York: Routledge 160 pp., £14.99 ISBN 0–415–18248–4

The Picture in Question: Mark Tansey and the Ends of Representation Marc C. Taylor, 1999 Chicago, London: University of Chicago Press 144 pp., US$30.00, £23.95 (hb), US$12.00, £9.50 (pb) ISBN 0–226–79128–9 (hb), ISBN 0–226–79129–7

Religion in the Twenty‐first Century Mary Pat Fisher, 1999 London: Routledge 128 pp., £6.99 (pb) ISBN 0–415–21166–2

Religion im Wandel der Kosmologien Religionswissenschaft Vol. 10 Dieter Zeixer, ed., 1999 Frankfurt a.M., Berlin, Berne, New York, Paris, Vienna: Peter Lang 305 pp., £33.00 (pb) ISBN 3–631–33138‐X

Pluralism and the Religions: The Theological and Political Dimensions John D'Arcy May, ed., 1998 London: Cassell 99 pp., £30 (hb), £9.99 (pb) ISBN 0–304–70258–7 (hb), ISBN 0–304–70259–5 (pb)

Sharing Shalom: A Process for Local Interfaith Dialogue between Christians and Jews Philip A. Cunningham & Arthur F. Starr, eds., 1998 New York; Mahwah, NJ: Paulist Press/Stimulus Books 120 pp., US$7.95 (pb) ISBN 0–8091–3835–2

What Price Prejudice? Christian Antisemitism in America Frank E. Eakin, Jr., 1998 New York; Mahwah, NJ: Paulist Press/Stimulus Books 208 pp., US$9.95 (pb) ISBN 0–8091–3822–0

Christian Theology: A Brief Introduction Gareth Jones, 1999 Oxford: Polity Press 178 pp., £45.00 (hb), £14.99 (pb) ISBN 0–7456–1062–5 (hb), ISBN 0–7456–1063–3 (pb)

Holy Smoke. Religion and Roots: A Personal Memoir LiBBY PURVES, 1998 London: Hodder & Stoughton 199 pp., £14.99 (pb) ISBN 0–340–72151–0

Animal Gospel: Christian Faith as though Animals Mattered Andrew Linzey, 1998 London: Hodder & Stoughton 212 pp., £6.99 (pb) ISBN 0–340–62150–8

Vocations in Kerala: A Study on the Changes in the Social Determinants of Vocations to Priesthood and Religious Life in the Catholic Community in Kerala Jose Kuriedath, 1998 Thevara, Kochi, India: Sacred Heart College 144 pp., Rs 50/‐ no ISBN indicated

Jim Bakker: Miscarriage of Justice? James A. Albert, 1997 Chicago; La Salle, Illinois: Open Court Publishing 532 pp., £31.95 (hb), £14.50 (pb) ISBN 0–8126–9369–8 (hb), ISBN 0–8126–9370–1 (pb)

Buddhism and the Mythology of Evil: A Study in Theravada Buddhism Trevor Ling, 1997 Oxford: Oneworld Publications 179 pp., £11.99 (pb) ISBN 1–85168–132–9

Jung on Mythology Robert A. Segal, ed., 1998 London: Routledge 275 pp., £15.99 (pb) ISBN 0–415–19944–1

Islam: A Concise Introduction Neal Robinson, 1999 Richmond, Surrey: Curzon 197 pp., £40.00 (hb), £14.99 (pb) ISBN 0–7007–1103–1 (hb), ISBN 0–7007–1100–7 (pb)

Der Koran: Zugänge und Lesarten Hans Zirker, 1999 Darmstadt: Primus Verlag 230 pp., DM 39.80, SFR 37.00, 6S 291.00 (pb) ISBN 3–89678–121–9

On Faith Nathan Rotenstreich/Paul Mendes‐Flohr, 1998 Chicago, London: University of Chicago Press xii +169 pp., £27.95, US$35.00 (hb), £11.95, US$15.00 (pb) ISBN 0–226–72875–7 (hb), ISBN 0–226–72876–5 (pb)

Hegel's Idea of a Phenomenology of Spirit Michael N. Forster, 1998 Chicago: University of Chicago Press 661 pp., £59.95, US$75 (hb), £23.95, US$30.00 (pb) ISBN 0–226–25740–1 (hb), ISBN 0–226–25742–8 (pb)

Cartesian Questions: Method and Metaphysics Jean‐Luc Marion, 1999 Chicago, London: University of Chicago Press 215 pp., US$25.00, £19.95 (pb) ISBN 0–226–50544–8     

Book reviews

Modern American Religion, Vol. 3. Under God, Indivisible, 1941–1960 Martin E. Marty, 1996 Chicago: University of Chicago Press 548 pp. + xii. £27.96, US$34.95 ISBN 0–22–50898–6

Perspectives on New Religious Movements John A. Sauba, 1995 London: Geoffrey Chapman 240 pp., £12.99 (pb), £35.00 (hb) ISBN 0–225–66787–8 (pb),’ ISBN 0–225–66786‐X (hb)

New Religions and the New Europe Robert Towler, ed., 1995 Aarhus: Aarhus University Press 246 pp., £19.95 ISBN 87 7288 433 9

A New Dictionary of Religions John R. Hinnells, ed., 1995 Oxford: Blackwell 760 pp., US$74.95 (hb) ISBN 0–631–18139–3

Den Fremden verstehen: Eine Praktische Hermeneutik Theo Sundermeier, 1996 Göttingen: Vandenhoek & Ruprecht 260 pp. ISBN 3–525–01619–0

Religion and Mass Media: Audiences and Adaptations Daniel A. Stout & Judith M. Buddenbaum, eds, 1996 Thousand Oaks, California: Sage Publications 294 pp., £37.00 (hb), £18.50 (pb) ISBN 0–8039–7173–7 (hb), 0–8039–7174–5 (pb)

Contemporary Mainstream Religion: Studies from Humberside and Lincolnshire Peter G. Forster, ed., 1995 Aldershot: Avebury xxxvii +135 pp., £30.00 ISBN 1–8562–919–2

One Earth Many Religions: Multifaith Dialogue and Global Responsibility Paul F. Kntiter, 1995 Maryknoll, New York: Orbis xiv + 218 pp., US$17.00 ISBN 1–57075–037–8

A Wider Vision: A History of the World Congress of Faiths 1936–1996 Marcus Braybrooke, 1996 Oxford: Oneworld Publications 192 pp., £10.99, US$16.95 ISBN 1–85168–119–1

The Phenomenon of Teilhard: Prophet for a New Age David H. Lane, 1996 Macon, Georgia: Mercer University Press xvi +192 pp., US$21.95 ISBN 0–86554–498–0

The Wisdom of the Wyrd: Teachings for Today from our Ancient Past Brian Bates, 1996 London: Rider xiii +306 pp., £12.99 ISBN 0‐712E‐7277‐X

Desinformation als Methode. Die Bahā'ísmus‐Monographie des F. Ficicchia Udo Schaefer, Nicola Towfigh, Ulrich Gollmer, 1995 Hildesheim Georg Olms Verlag xiii + 685 pp., DM 65.00 (hb) ISBN 3–487–10041‐X

The New Latin American Mission History (Latin American Studies Series) Erick Langer & Robert H. Jackson, eds, 1995 Lincoln & London: University of Nebraska Press 212 pp., £15.95 (pb), £32.95 (hb) ISBN 0–8032–7953–1 (pb), ISBN 0–8032–2911–9 (hb)

Gender Rituals: Female Initiation in Melanesia Nancy C. Lutkehaus & Paul B. Roscoe, eds, 1995 New York Routledge 265 pp., £13.99 (pb), £37.50 (hb) ISBN 0–415–91107–9 (pb), ISBN 0–415–91106–0 (hb)

Daughters of Anowa: African Women and Patriarchy Mercy Amba Oduyoye, 1995 Maryknoll, New York: Orbis Books 229 pp., US$18.00 (pb) ISBN 0–88344–999–4

Christianity in Africa: The Renewal of a Non‐Western Religion Kwame Bediako, 1995 Edinburgh: Edinburgh University Press; Maryknoll: Orbis Books 276 pp., £16.95 ISBN 0–7486–0625–4

The Christian Heritage in the Holy Land Anthony O'Mahony with Goran Gunner & Kevork Hintuan, eds, 1995 Epping, Essex: Scorpion Cavendish xi + 320 pp., £15.95 ISBN 1–900269–06–6 (pb)

Patterns of the Sacred: English Protestant and Russian Orthodox Pilgrims of the Nineteenth Century Ruth & Thomas Hummel, 1995 Epping, Essex: Scorpion Cavendish ix + 76 pp., £10.00 ISBN 1–900269–08–2 (pb)

Pilgrimage Past and Present: Sacred Travel and Sacred Space in the World Religions Simon Coleman & John Elsner, 1995 London: British Museum Press 240 pp., Illus., £20.00 ISBN 0–7141–1738–2     

Workplace ostracism And workplace behaviors: A moderated mediation model of perceived stress and psychological empowerment

Background and objectives: Workplace ostracism research has examined numerous underlying mechanisms to understand the link between workplace ostracism and behavioral outcomes. Ostracism has been suggested to be an interpersonal stressor; however, research has not investigated workplace ostracism from a stress perspective. Therefore, the study investigated the mediating effect of perceived stress for the relationships between workplace ostracism and helping behavior, voicing behavior, and task performance. The study also investigated the moderating effect of psychological empowerment for the relationships between perceived stress and behavioral outcomes.

Design: The study design was a three-wave self-reported questionnaire.

Method: The study sampled 225 full-time employees in South Korea and regression analyses with bootstrapping were conducted to test the moderated mediation models.

Results: The bootstrapped 95% CI around the indirect effects did not contain zero; therefore, perceived stress mediated the relationship between workplace ostracism and helping behavior (–.06), voicing behavior (–.07), and task performance (–.07). Further, the moderated mediation analyses found perceived stress mediated the relationships between workplace ostracism and behavioral outcomes only when individuals perceived low levels of psychological empowerment.

Conclusion: The findings suggest that workplace ostracism is a stressor and psychological empowerment can mitigate the negative effects of ostracism on behavioral outcomes.     

Book reviews

Living While Dying. R. Glynn Owens & Freda Naylor Northamptonshire, Thorsons, 1989 112 pp., £4.99 Robert Jones

Attitudes, Personality and Behaviour. Icek Ajzen Milton Keynes, Open University Press, 1988 xii+175 pp., £7.95 (paperback), £25.00 (hardback)

Planning Together the Art of Effective Team Work. George Gwalinski & Lois Graessle London, Bedford Square Press 88 pp., £9.95 Judy Hutchings

Relating to Others. Steve Duck Milton Keynes, Open University Press, 1988 xviii + 174 pp., £7.95 (paperback), £25.00 (hardback) Alun Waddon

Say When! Everything a woman needs to know about alcohol and drinking problems. Rosemary Kent London, Sheldon Press iv+118pp.,£3-05 Fran McVeigh

Psychotherapy and the Spiritual Quest. David Benner London, Hodder & Stoughton, 1989 173 pp., £6.95 John Connell     

Book reviews and books received

Helping interventions John Heron: Helping the Client: a Creative Practical Guide. London: Sage, 1990. £9.95.

A person-centred perspective on school counselling John McGuiness: A Whole School Approach to Pastoral Care. London: Kogan Page, 1989. £8.95.

How to relate effectively Richard Nelson-Jones: Human Relationship Skills (2nd edition). London: Cassell, 1990. £11.95.

Ripe for research? Dave Mearns and Windy Dryden: Experiences of Counselling in Action. London: Sage, 1989. £9.95.

Issues in action Windy Dryden (ed.): Key Issues for Counselling in Action. London: Sage, 1989. £7.95.

The meaning of death Rosemary Dinnage: The Ruffian on the Stair: Reflections on Death. London: Viking, 1990. £14.99.

The empty cradle Irving G. Leon: When a Baby Dies: Psychotherapy for Pregnancy and Newborn Loss. London: Yale University Press, 1990. £20.

Children against themselves Israel Orbach: Children Who Don't Want to Live: Understanding and Treating the Suicidal Child. San Francisco: Jossey-Bass, 1988. £17.95.     

Book reviews

The Culture of Religious Pluralism Richard E. Wentz, 1998 Boulder, Colorado & Oxford, UK: Westview Press 130 pp., £50.00 (hb), £10.50 (hb) ISBN 0–8133–2644–3 (hb), ISBN 0–8133–2644–3 (pb)

Religious Diversity and Human Rights Irene Bloom, J. Paul Martin & Wayne L. Proudfoot, eds., 1997 New York: Columbia University Press 355 pp., US$57.00, £40.00 (hb), US$21.00, £15.00 (pb) ISBN 0–231–10416–2 (hb), ISBN 0–231–10417–0 (pb)

New Religions as Global Cultures: Making the Human Sacred Irving Hexham & Karla Poewe, 1997 Boulder, CO: Westview Press xiv + 194 pp., £45.50 (hb), £13.00 (pb) ISBN: 0–8133–2507–2 (hb), ISBN 0–8133–2508–0 (pb)

Contemporary American Religion: An Ethnographic Reader Penny Edgell Becker & Nancy L. Eiesland, eds., 1997 Walnut Creek, CA: Alta Mira ress 272 pp., £19.99 ISBN 0–7619–9196–4

Sacred Tensions: Modernity and Religious Transformation in Malaysia Raymond L. M. Lee & Susan E. Ackerman, 1998 Columbia, South Carolina: University of South Carolina Press ix + 172 pp., US$29.95 (hb) ISBN 1–57003–167–3

Does Christianity Cause War? David Martin, 1997 Oxford: Clarendon Press x + 226 pp., £30.00 (hb) ISBN 0–19–829267–8

Faith and Doubt: Religion and Secularisation in Literature from Wordsworth to Larkin R. L. Brett, 1997 Macon, GA: Mercer University Press 261 pp., £25.00, US$40.00 ISBN: 0 86554 544 8

The Search for Common Ground: What Unites and Divides American Catholics James D. Davidson, Andrea S. Williams, Richard A. Lamanna, Jan Stenftenagel, Kathleen Maas Wiegert, William J. Whalen, Patricia Wittberg, S.C., 1997 Huntington Indiana: Our Sunday Visitor Press 287 pp., US$24.95 (plus shipping)

The Psychology of Religious Behaviour, Belief and Experience Benjamin Beit‐Hallahmi & Michael Argyle, 1997 London: Routledge xii + 318 pp., £40.00 (hb), £14.99 (pb) ISBN 0–415–12330–5 (hb), ISBN 0 415 12331 3 (pb)

God's Daughters: Evangelical Women and the Power of Submission R. Marie Griffith, 1997 Berkeley, CA: University of California Press xi + 275 pp., US$24.95 (hb) ISBN 0–520–20764–5

Restoring the Kingdom: The Radical Christianity of the House Church Movement Andrew Walker, 1998 Guildford: Eagle 416 pp., £9.99 (pb) ISBN 0–86347–160–9

The Faith of the Managers: When Management Becomes Religion Stephen Pattison, 1997 London & Washington: Cassell 188 pp., £14.99 (pb) ISBN: 0–304–70144–0

Jerusalem: What Makes for Peace! A Palestinian Christian Contribution to Peacemaking Naim Ateek, Cedar Duaybis & Marla Schrader, eds., 1997 London: Melisende xxix + 241 pp., £12.50 (pb) ISBN 1–901764–00–1

Western Scholarship and the History of Palestine Michael Prior, CM, ed., 1998 London: Melisende xvi +111 pp., £8.50 (pb) ISBN 1–901764–02–8

Rites of Passage in Contemporary Africa: Interaction between Christian and African Traditional Religions James L. Cox, ed. Series: Religion in Contemporary Africa Cardiff: Cardiff Academic Press, 1998 259 pp., £15.95 (pb) ISBN 1–899025–06–5

Between Cultures: Continuity and Change in the Lives of Young Asians Muhammad Anwar, 1998 London: Routledge 212 pp., £47.50 (hb), £14.99 (pb) ISBN 0–415–04647–5 (hb), ISBN 0–415–04648–3 (pb)

Historical Dictionary of Hinduism Bruce M. Sullivan, 1997 Lanham, Maryland & London: The Scarecrow Press xvii + 345 pp., US$49.00 ISBN 0–8108–3327–1

Religious Education: An Interpretive Approach Robert Jackson, 1997 London: Hodder & Stoughton 156 pp., £12.99 ISBN 0–340–68870‐X

The Division of Consciousness: The Secret Afterlife of the Human Psyche Peter Novak, 1997 Charlottesville, VA: Hampton Roads Publishing Company 258 pp., US$14.95 ISBN 1–57174–053–8

Religion Without Beliefs: Essays in Pantheist Theology, Comparative Religion and Ethics Frederic Lamond, 1997 London: Janus Publishing 184 pp., £7.95 (pb) ISBN 1–85756–341–7

Hiding Mark C. Taylor, 1997 Chicago: The University of Chicago Press 354 pp., US$29.95 ISBN 0–226–79159–9     

Health psychology reviews

Handbook of Life Stress, Cognition and Health. Shirley Fisher & James Reason (Eds) Chichester, John Wiley, 1988 xxxiii + 750 pp., £65.00

Topics In Health Psychology S. Maes, C. D. Spielberger, P. B. Defares & I. G. Sarason (Eds) Chichester, John Wiley, 1988 xvi + 314 pp., £39.50

Health Psychology: a psychobiological perspective M. Feurstein, E.E. Labbe & A.R. Kuczmierczyk Plenum, New York, 1986 xv + 511 pp., $35.00

Behavioral Medicine and Developmental Disabilities James K. Luiselli (Ed.) [A volume in the series Disorders of Human Learning, Behavior and Communication. Series Editors R.L. Taylor & L. Sternberg] New York, Springer-Verlag, 1989 x + 242 pp., DM112

Reversal Theory: motivation, emotion and personality. Micheal J. After London, Routledge, 1989 £12.95

HYPNOSIS: current clinical, experimental and forensic practices. Michael Heap (Ed.) London, Croom Helm, 1988 448 pp., £30.00

Progress In Behavior Modification Vol. 22 (1988) M. Hersen, R.M. Eisler & P.M. Miller (Eds) London & Beverly Hills, Sage 286 pp., £45.00

Progress In Behavior Modification Vol. 23 (1988) M. Hersen, R.M. Eisler & P.M. Miller (Eds) London & Beverly Hills, Sage 210 pp., £45.00 W.J. Alladin     

Book reviews

So you thought you had sorted out a Code of Ethics? Gavin Fairbairn and Susan Fairbaim: Ethical Issues in Caring. Aldershot: Avebury, 1988. £22.50.

The myth of positivism Celia Kitzinger: The Social Construction of Lesbianism. London: Sage, 1987. £8.95.

A family approach to art psychotherapy H. B. Landgarten: Family Art Psychotherapy: a Clinical Guide and Casebook. New York: Brunner/Mazel, 1987. $27.50.

Simple psychodynamics Michael Jacobs: Psychodynamic Counselling in Action. London: Sage, 1988.

Optimistic assumptions T. Haberle: Counselling and Curing. London: SPCK, 1987. £3.50.     

Book reviews

Fears, Phobia and Panic. Maureen Sheehan London, David Fulton Publishers, 1988 139 pp., £7.95 Caroline B. Eayrs

Innovative Therapy in Britain. John Rowan & Windy Dryden (Ed.) Milton Keynes, Open University Press, 1988 xii+307 pp., £12.50 (£30.00 cased) Timothy P. Dunne

Step Parents and Their Children. Stephen Collins London, Human Horizons, 1988 208 pp., £6.95 (paperback) £10.95 (hardback) Jacki Burke

Children's Phobias: a Behavioural Perspective. Neville J. King, David I. Hamilton & Thomas H. Ollendick Chichester, John Wiley, 1988 viii+ 260 pp., £27.50 Jean Lyon

Beyond Sexual Abuse: Therapy With Women Who Were Childhood Victims. Derek Jehu in association With Marjori Gazan & Carole Klassen Chichester John Wiley, 1988 352 pp., £34.95 Judy Hutchings

Sex Therapy in Britain. Edited by Martin Cole & Windy Dryden (Eds) (Milton Keynes, Open University Press) 255 pp., £12 (paperback), £30 (cased) Patricia Gillan

Nervous Breakdown. A Positive Guide to Coping, Healing and Rebuilding. Elizabeth Wilde McCormick London, Unwin Hyman, 1988 285 pp., £7.95 Susan Lees

Domestic Violence and Control. Jan E. Stets New York, Springer Verlag, 1988 xii+165 pp., £26.00 Yvonne Hughes     

‘It was all intertwined’: Illness representations and self-management in patients with cancer and anxiety/depression

Objective: Cancer and anxiety/depression frequently co-occur, leading to poorer outcomes for these illnesses. However, the majority of existing research investigates how participants view single illnesses alone. This study aimed to explore the content of individuals’ multimorbid representations and how these relate to their coping behaviours and self-management strategies for cancer and anxiety/depression.

Design: A semi-structured qualitative research design with theoretical thematic analysis.

Main Outcome Measures: Multimorbid illness representations, coping behaviours, and self-management strategies.

Results: In interviews with 21 participants multimorbid representations varied, three participants viewed cancer and anxiety/depression as unrelated, five participants were uncertain about the relationship between cancer and anxiety/depression, and the majority of participants perceived cancer and anxiety/depression as related. This third group of participants often described relationships as causal, with representations having both positive and negative influences on coping behaviours and self-management strategies. Representations were shown to change over the course of the cancer experience, with fear of cancer recurrence and the influence of participants’ most challenging illness also discussed.

Conclusions: People hold multimorbid illness representations that can influence self-management. An awareness of these representations by researchers, health professionals, and patients is important for the creation of future interventions that aim to improve and maintain patient wellbeing.     

Self-reported stress and psychophysiological reactivity in paramedics

Background: As an important group of health care professionals, paramedics accomplish sophisticated and frequently stressful tasks.

Design: The study investigated self-reported stress burden, self-reported health status, coping strategies, personality traits and psychophysiological reactivity in paramedics.

Methods: 30 paramedics were compared with 30 professionals from other disciplines, in terms of self-reported stress, physical complaints, coping strategies, personality traits and psychophysiological reactivity during aversive visual and acoustic stimuli, and cognitive challenge. Regression analyses were performed for the prediction of stress burden and physical complaints in paramedics according to coping and personality factors.

Results: Paramedics reported lower stress and less somatic complaints, and exhibited reduced electrodermal activity and heart rate responses to experimental stimuli, as well as higher respiratory sinus arrhythmia. They indicated less negative coping strategies, reduced empathy, and higher conscientiousness and sensation seeking. Higher self-reported stress burden and more physical symptoms were associated inter alia with more negative coping strategies, less conscientiousness and lower empathy.

Conclusion: The findings support the notion of reduced self-reported stress burden, and improved general health and stress resistance in paramedics. In addition to health benefits, stress tolerance may contribute to the prevention of performance decline during situations in which health and life are at stake.     

The experience of receiving a kidney transplant from a deceased donor: Implications for renal services

Objective: The study aimed to explore the psychological experiences of receiving a kidney transplant from a deceased donor and to examine resulting implications for renal services.

Design: A qualitative design was utilised within an interpretative phenomenological analysis (IPA) framework.

Main outcome measures: Semi-structured interviews were conducted with six adults (male = 5, mean age = 45 yrs) on their experiences of receiving a kidney transplant from a deceased donor. All participants had their transplant within the preceding 21 months. Data were analysed using IPA.

Results: The four elicited themes incorporate recipients’ positive feelings about receiving a transplant, mainly arising from the newfound freedom that this entails, in addition to strong feelings of gratitude towards their donors. They also capture challenges, such as the uncertainty of living with a transplanted kidney, and highlight the increased dependence on others throughout the transplant process.

Conclusion: The findings indicate a range of psychological, social and occupational experiences for participants. It is concluded that optimal care in renal services would incorporate a holistic approach to pre and post-transplant care; identifying and supporting the needs of transplant recipients. A biopsychosocial model of care may enhance service user well-being. Potential areas of future research are explored.     

The effects of mindfulness interventions on prenatal well-being: A systematic review

Objective: Low well-being during pregnancy can have significant adverse outcomes for mother and child. The effects of mindfulness interventions on prenatal maternal well-being are increasingly examined but outcomes have yet to be systematically evaluated. The aims of the current paper are to systematically evaluate intervention effects and current research approaches with pregnant groups.

Design: A systematic review of eight studies examining mindfulness intervention effects on prenatal well-being.

Results: Findings indicate potential benefits of mindfulness interventions for reducing levels of depression, anxiety and negative affect during pregnancy. There is also evidence for improved self-compassion and perceived childbirth self-efficacy. Further, these effects may be more pronounced for vulnerable groups, such as women currently experiencing low prenatal well-being. Less consistent findings were observed for stress, and positive affect. Variations in research design, gestational characteristics, timing of assessments and outcome measurement may explain some inconsistencies in the extant literature.

Conclusion: Mindfulness interventions present a potentially useful means to improve prenatal well-being but improved methodological quality is essential to rigorously examine intervention effects.     

Relations between empathy and anxiety dimensions in inpatient adolescents

Background and objectives: A better understanding of the relationships between empathy and internalizing disorders is needed to plan therapeutic interventions for children and adolescents. Several studies have revealed positive relations of internalizing symptoms to personal distress and affective empathy. However, there is a lack of studies that take into account the multidimensional nature of anxiety in its relation to empathy.

Design: Structural equation modeling was used to test the moderated mediation model of the relations between empathy, depression and anxiety dimensions and the moderating role of gender on these associations in inpatient adolescents.

Method: A total of 403 inpatient adolescents aged 12–17 years completed the Basic Empathy Scale, the Multidimensional Anxiety Scale for Children, and the Beck Depression Inventory-II.

Results: Affective empathy was positively related to all the anxiety dimensions – most strongly to separation/panic and humiliation/rejection anxiety, whereas cognitive empathy was negatively related to social and separation/panic anxiety. Relations between affective and cognitive empathy and anxiety were partly mediated by depressive symptoms. No evidence of a moderating role of gender has been found.

Conclusions: Our results suggest that processes associated with empathy may play a role in the development or maintenance of anxiety symptoms.     

Book Reviews

The Living Skills Pack BOB WYCHERLEY (Ed.) South East Thames Regional Health Authority (1987) £45.00 per pack (inclusive of postage and packing)

Joining Together: group theory and group skills D. W. JOHNSON & F. P. JOHNSON Englewood Cliffs, NJ, Prentice-Hall International, 1987 493 pp., £15.95

Modern Applied Psychology ARNOLD P. GOLDSTEIN & LEONARD KRASNER New York, Pergamon, 1987 286 pp., £10.50 (paperback)

Teaching Without Stress HARRY GRAY & ANDERA FREEMAN London, Paul Chapman, 1988 vii+226 pp. £8.95

When Spring Comes: Awakenings in Clinical Psychoanalysis M. MASUD KHAN London, Chatto & Windus, 1988 212 pp., £16.95

Assessment in Action JENNIFER M. KIDD Leicester, NIACE, 1988 62 pp., £4.50     

Moderation of the effects of discrimination-induced affective responses on health outcomes

Objective: The goal of the study was to examine differential mediation of long-term effects of discrimination on health behaviour and health status by internalising (anxiety and depression) and externalising (hostility and anger), and to explore moderation of these effects, specifically, by the presence of support networks and coping tendencies.

Design: The current analyses employed structural equation modelling of five waves of data from Black female participants of the Family and Community Health Study over 11 years (M age 37–48).

Main Outcomes Measures: The main outcome variables were health status and alcohol use (frequency and problematic consumption).

Results: Perceived racial discrimination was associated with increases in internalising and externalising. In addition, internalising reactions to discrimination were associated with deterioration in health status and increases in problematic drinking; externalising reactions were associated with increases in frequency of drinking. These relations were attenuated by availability of support networks, and exacerbated by use of avoidance coping.

Conclusion: The current study (a) replicated previous research suggesting that two different types of affective reactions mediate the relations between perceived racial discrimination and physical health status vs. health-impairing behaviours: internalising and externalising, and (b) revealed moderation of these effects by coping mechanisms.     

Variation of meningioma in response to cyproterone acetate in a trans woman

Background: Meningiomas express estrogen and progesterone receptors, suggestive of hormonal responsiveness. So far, eight cases of trans women with a meningioma have been reported in the literature.

Methods: Detailed report of the symptoms, treatment, and follow-up of an individual transgender patient with a meningioma.

Results: A trans woman treated long-term with gender affirming hormone therapy, including cyproterone acetate, a synthetic progestin and anti-androgen, was diagnosed with a meningioma, significantly expanding in volume over 10 years. After stopping cyproterone acetate a substantial volume decrease of the meningioma was noticed within 3 months.

Conclusion: This addition to the literature demonstrates that a conservative approach with interruption of cyproterone acetate may be a sufficient intervention, obviating the need for additional neurosurgical treatment.     

Change in subjective social status following HIV diagnosis and associated effects on mental and physical health among HIV-positive gay men in Australia

Objective: This study investigates the impact of HIV diagnosis on subjective social status and if changes are linked to health outcomes.

Design: Two measures of subjective social status, socio-economic and standing in the community were examined in 342 Australian HIV-positive gay men in 2014. Participants recalled ratings at diagnosis were compared with current ratings.

Main outcome measures: Self-reported mental (psychological distress, self-esteem, positive mental health and satisfaction with life) and physical health (self-rated health, CD4 count, viral load).

Results: Half of the participants reported improvements in subjective socio-economic status (59%) or standing in the community (52%) since diagnosis, yet one quarter reported socio-economic status (25%) or standing in the community had decreased (23%). Increases in either measure of subjective social status were linked to higher self-esteem, positive mental health, satisfaction with life and better self-rated health. Decreases in subjective social status, however, were strongly linked to poorer outcomes on all mental health measures. Decreases in standing in the community were also associated with poorer physical self-rated health.

Conclusion: Most participants reported their subjective social status were the same or better since diagnosis. Changes in subjective social status following diagnosis were strongly linked to mental health outcomes. Those who reported a decrease in subjective social status were particularly vulnerable to mental health problems.