The stressors of being young and Black: Cardiovascular health and Black young adults

Objective: To examine the impact of stressors relevant to the lives of Black young adults including racial, financial, occupational, and general stress and psychological distress on cardiovascular disease (CVD) risk. Specifically, this study examined the relationship between multiple psychosocial stressors and two CVD risk indicators (i.e. obesity and blood pressure).

Design: This study used a quantitative design which included surveys, the collection of anthropometric and blood pressure (BP) measures. Participants were 124 Black college students aged 18 to 27 years old. Main Outcome Measures: Participants completed measures to assess psychological distress, general, occupational, financial and racial stress. Measures of body mass index (BMI), waist-to-hip ratio (WHR) and BP were collected to assess CVD risk.

Results: Findings indicated a significant effect of internalised racism on BMI and a significant effect of individual racial stress on diastolic BP. Also, depression was significantly associated with systolic BP. There were no significant results for WHR.

Conclusion: Findings suggested that the relationship among racial stress, psychological distress and CVD be further explored.     

Hostility and the clinical course of outpatients with congestive heart failure

Objective: The role of depression and quality of life on clinical outcomes of congestive heart failure (CHF) is well recognised. However, there are fewer studies investigating the prognostic role of subclinical psychological distress and well-being impairments. The aims of this study were to evaluate clinical/subclinical psychological distress and well-being in CHF outpatients, and the influence of these psychological factors on adverse cardiac events (re-hospitalisation, cardiac death), at 4-year follow-up.

Design: Sixty-eight CHF outpatients underwent psychological assessment at baseline and, after 4 years, information about cardiac events was collected in 60 patients by means of clinical records.

Main outcome measures: Psychological assessment included structured clinical interview for DSM (major/minor depression), Interview for diagnostic criteria for psychosomatic research (demoralisation), symptom questionnaire, psychological well-being scales.

Results: At follow-up, 39.7% of the baseline sample reported cardiovascular events (14 CHF-related re-hospitalisations and 13 cardiac deaths) and 5.9% other causes for death. Among the variables examined as potential risk factors for adverse cardiovascular outcomes, only hostility was significant, even after controlling for disease severity (hazard ratio = 2.38, 95%confidence interval: 1.04–5.45, p = .040).

Conclusion: In outpatients with CHF, psychological assessment should include both clinical and subclinical distress such as hostility, in order to better address psychological risk factors for cardiac outcomes.     

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.     

Differential disgust responding in people with cancer and implications for psychological wellbeing

Objectives: Evidence suggests that disgust responses, known to negatively affect psychological wellbeing, may differ in people with cancer. We performed the first quantitative investigation of three discrete types of disgust trait – disgust propensity, sensitivity and self-directed disgust – in people diagnosed with a broad range of cancers (versus cancer-free controls), and explored their associations with psychological wellbeing.

Design: In a cross-sectional survey design, 107 participants with heterogeneous cancer diagnoses, recruited from cancer charities and support groups, were matched with cancer-free controls by age and gender.

Outcome measures: Measures of the three disgust traits were taken alongside measures of anxiety and depression.

Results: Disgust sensitivity and physical self-disgust were significantly higher in the cancer than control sample, while disgust propensity and behavioural self-disgust were lower. The disgust traits had a different pattern of associations to psychological wellbeing across the two groups, with disgust sensitivity predicting depressive symptoms to a significantly greater extent in the cancer than control group.

Conclusions: People with cancer differ from matched controls in their disgust responses and these responses have significant predictive relationships with aspects of their psychological wellbeing. The results suggest that emotion-based interventions may be useful for improving psychological wellbeing in people with cancer.     

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.     

Impulse control disorders in Parkinson’s disease: Predominant role of psychological determinants

Objectives: Impulse Control Disorders (ICDs) in Parkinson’s disease (PD) have previously almost exclusively been considered to result from anti-parkinsonian medication. However, this biomedical perspective has failed to achieve a full understanding of the phenomenon and it is argued that a failure to consider psychological factors is a critical omission.

Design: The present study examined the predictive relationship between ICDs in PD and a range of psychological measures, whilst controlling for a number of biomedical determinants.

Main outcome measures: One hundred participants with idiopathic PD completed questionnaires that assessed demographic and clinical characteristics, psychological measures and the presence of ICDs (QUIP-RS).

Results: Increased use of a ‘negative’ coping strategy, stronger illness identity, more emotional illness representations and stress were found to be significant predictors of ICDs, and different psychological predictors were associated with different ICDs. Medication was not found to predict ICDs in the presence of psychological factors, either when total treatment levels were considered or when agonist dose was considered alone.

Conclusions: This study provides the first quantitative evidence of a predominant predictive relationship between psychological factors and ICDs in PD. The results suggest that psychological interventions may have useful therapeutic role to play for ICDs in PD.     

Book reviews and books received

Practical help for family therapists John Carpenter and Andy Treacher: Marital and Family Therapy. Oxford: Blackwell, 1989. €29.50 (hardback); €9.95 (paperback).

Survival for the guidance teacher W.P. Gothard and E. Goodhew: Guidance and the Changing Curriculum. London: Croom Helm, 1987. €22.50.

Second-class male Michael S. Kimmel (ed.): Changing Men: New Directions in Research on Men and Masculinity. London: Sage, 1987. €35 (hardback); €14.50 (paperback).

Analysing the analyst Rosemary Dinnage: One to One: Experiences of Psychotherapy. London: Viking, 1988. €12.95.

Practical counselling skills revisited Richard Nelson-Jones: Practical Counselling and Helping Skills. London: Cassell, 1988. €7.95.

Snakes and pyramids Jocelyn Chaplin: Feminist Counselling in Action. London: Sage, 1988. €7.95.

The person-centred approach: a key text Dave Mearns and Brian Thome: Person-Centred Counselling in Action. London: Sage, 1988. €7.95.     

Book reviews and books received

Thinking about doing some research? Dorothy Stock Whitaker and J. Lesley Archer: Research by Social Workers: Capitalizing on Experience. London: Central Council for Education and Training in Social Work. 1989. €8.

Changing careers Stewart Ranson and Peter Ribbins: Servicing Careers in the Post-Employment Society. Lewes: Falmer, 1988. €18.95 (hardback); €9.95 (paperback).

Assessing the Careers Service Michael Carley: Performance Monitoring in a Professional Public Service: the Case of the Careers Service. London: Policy Studies Institute, 1988. €7.95.

The school's role in guiding adolescents Judith Ryder and Lesley Campbell: Balancing Acts in Personal, Social and Health Education: a Practical Guide for Teachers. London: Routledge, 1988. €11.95.

Abused women Derek Jehu, Marjorie Gazan and Carole KJassen: Beyond Sexual Abuse: Therapy with Women Who Were Childhood Victims. Chichester: Wiley, 1988. €34.95.

A psychological view of General Practice Eric Button: Psychological Problems in Primary Health Care. London: Croom Helm, 1988. €12.95.     

Psychological adjustment to cleft lip and/or palate: A narrative review of the literature

Objective: Adjustment to cleft lip and/or palate (CL/P) is multifaceted, involving several domains of psychological and social functioning. A substantial increase in research in this area has been evident in recent years, along with a preliminary shift in how adjustment to CL/P is conceptualised and measured. An updated and comprehensive review of the literature is needed in light of the rapidly expanding and changing field.

Design: A narrative review of 148 quantitative and qualitative studies published between January 2004 and July 2015.

Main outcome measures: Findings are presented according to five key domains of adjustment: Developmental Trajectory, Behaviour, Emotional Well-being, Social Experiences and Satisfaction with Appearance and Treatment. Data pertaining to General Psychological Well-being were also examined.

Results: The overall impact of CL/P on psychological adjustment appears to be low. Nonetheless, the review demonstrates the complexity of findings both within and across domains, and highlights recurring methodological challenges.

Conclusions: Research findings from the last decade are considered to be largely inconclusive, although some areas of emerging consensus and improvements in the approaches used were identified. Efforts to collect data from large, representative and longitudinal samples, which are comparable across studies and encompassing of the patient perspective, should be doubled.     

Book reviews and book received

The most practised, the least taught David S. Werman: The Practice of Supportive Psychotherapy. New York: Brunner/Mazel, 1984. $34.00.

Another load of research L.S. Greenberg and W.M. Pinsof (eds.): The Psychotherapeutic Process: a Research Handbook. New York: Guilford, 1986. £39.95.

Crisis of identity K. Yardley &; T. Honess (eds.): Self and Identity: Psychosocial Perspectives. Chichester: Wiley, 1987. £28.

A dig from the 'Rib' Sue O'Sullivan (ed.): Women's Health: a Spare Rib Reader. London: Pandora, 1987. £5.95.

'Weak on vision, hot on workshops' Zandy B. Leibowitz, Caela Farren and Beverley L. Kaye: Designing Career Development Systems. San Francisco: Jossey-Bass, 1986. £30.75.

Holland not neglected in Australia Jan J. Lokan and Keith F. Taylor (eds.): Holland in Australia: a Vocational Choice Theory in Research and Practice. Melbourne: Australian Council for Educational Research, 1986. $A24.95.

Need help getting a job? Elizabeth B. Yost and M. Anne Corbishley: Career Counseling: a Psychological Approach. San Francisco: Jossey-Bass, 1987. £24.

Children's health B. Mayall: Keeping Children Healthy. London: Allen &; Unwin, 1986. £6.95.

Educating about divorce Kathleen M. Cox and Martin Desforges: Divorce and the School. London: Methuen, 1987. £7.95.     

Book reviews and books received

Counselling and spirituality Lyall, D. 1995 Counselling in the Pastoral and Spiritual Context Buckingham, Open University Press ISBN 0-335-19162-2 £10.99

Career counselling Seligman, L. 1994 Developmental Career Counseling and Assessment (2nd ed.) London, Sage ISBN 0-8039-5804-8 £19.95

Women's careers Walsh, W.B. &; Osipow, S.H. (Eds), 1994 Career Counseling for Women Hove, Erlbaum ISBN 0-8058-1035-8 £53.50

Crisis? what crisis? Dattilio, F.M. &; Freeman, A. (Eds), 1994 Cognitive-Behavioral Strategies in Crisis Intervention New York, Guilford ISBN 0-89862-221-2 £25.00

Guidance on research methods McLeod, J. 1994 Doing Counselling Research London, Sage ISBN 0 8039 7804 9 £10.95

Barker, C. Pistrang, N. &; Elliott, R. 1994 Research Methods in Clinical and Counselling Psychology Chichester, Wiley ISBN 0-471-93612-X £29.95

Research into creative therapies Gilroy, T. &; Lee, C. (Eds), 1995 Art and Music Therapy and Research London, Routledge ISBN 0-415-10045-3 £37.50 (hardback); £15.99 (paperback)

Treating stress Palmer, S. &; Dryden, W. 1995 Counselling for Stress Problems London, Sage ISBN 0-8039-8863-X £12.95

Breast cancer Batt, S. 1994 Patient No More: the Politics of Breast Cancer London, Scarlet Press ISBN 1-85727-167-3 £10.99

Supervision Feltham, C. &; Dryden, W. 1994 Developing Counsellor Supervision London, Sage ISBN 0-8039-8939-3 £9.95     

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.     

The influence of different dialysis modalities on the quality of life of patients with end-stage renal disease: A systematic literature review

Objectives: This study aims to generate evidence regarding the relationships of different dialysis modalities with HR-QOL.

Design: A systematic review was conducted to investigate the HR-QOL of patients treated with different dialysis modalities.

Methods: A literature search was conducted for English language articles in the CINAHL, Medline and PubMed databases published from January 1990 through May 2016. Specifically, we sought articles that would compare the HR-QOL of hemodialysis (HD) and peritoneal dialysis (PD) patients in terms of physiological, psychological and social functioning, as well as disease symptoms. Thirty-four articles met the study inclusion criteria and were included into the analysis.

Results: The research results indicated no significant differences in HR-QOL between HD and PD treatment. However, a higher percentage of patients who received PD had a better HR-QOL in terms of physiological, psychological, social and disease symptoms.

Conclusions: Despite the fact that the results of this study showed no difference in HR-QOL between HD and PD treatment, its review of relevant references can serve as a reference for health professionals. However, patients’ conditions must still be taken into account when making suggestions about which dialysis modality a patient should use.     

The stress of food allergy issues in daily life

Objective: Food allergies are a growing health concern, but their implications for daily psychological functioning are unknown. This micro-longitudinal study investigated the daily frequency of food allergy issues and how this related to experiences of stress, mood and physical energy.

Design: One hundred and eight adults with physician-diagnosed food allergies completed an initial Internet survey followed by a 2-week Internet daily diary survey.

Main outcome measures: The initial survey collected socio-demographic and food allergy information. The daily survey collected information about the participants’ experiences of stress, mood, physical energy and food allergy issues during that day.

Results: Commonly experienced allergy issues included negative physical symptoms, higher food prices, anxiety about safety of food, trouble maintaining a healthy diet and anxiety/stress at social occasions. Furthermore, multilevel modelling analyses showed that stress and negative mood were significantly higher on days with more allergy issues. Older adults experienced lower positive mood and physical energy on days with more issues.

Conclusion: This is the first study to incorporate near to real-time tracking to examine the frequency of food allergy issues and the implications for daily psychological functioning. Targeting the issues we identified could reduce stress in patients with food allergies and improve their overall quality of life.     

Effectiveness of a smartphone-based worry-reduction training for stress reduction: A randomized-controlled trial

Objective: Perseverative cognition (e.g. worry) and unconscious stress are suggested to be important mediators in the relation between stressors and physiological health. We examined whether a smartphone-based worry-reduction training improved a physiological marker of stress (i.e. increased heart rate variability [HRV]) and unconscious stress.

Design: Randomised-controlled trial was conducted with individuals reporting work stress (n = 136). Participants were randomised to the experimental, control or waitlist condition (resp. EC, CC, WL). The EC and CC registered emotions five times daily for four weeks. The EC additionally received a worry-reduction training with mindfulness exercises.

Main Outcome Measures: Primary outcome was 24-h assessments of HRV measured at pre-, mid- and post-intervention. Secondary outcomes were implicit affect and stress. Effects on heart rate and other psychological outcomes were explored.

Results: A total of 118 participants completed the study. No change from pre- to post-intervention was observed for the primary or secondary outcomes. The change over time was not different between conditions.

Conclusion: Findings suggest that the training was ineffective for improving HRV or psychological stress. Future studies may focus on alternative smartphone-based stress interventions, as stress levels are high in society. There is need for easy interventions and smartphones offer possibilities for this.     

Can self-affirmation exacerbate adverse reactions to stress under certain conditions?

Objective: Self-affirmation has repeatedly been shown to reduce adverse psychological and physiological responses to stress. However, it is plausible that self-affirmation could exacerbate negative reactions to stress under certain conditions. The current research explored whether self-affirmation would increase negative psychological responses to a stressor occurring in a central life domain characterised by low levels of control.

Design: Female participants (Study 1 N = 132; Study 2 N = 141) completed baseline measures of anxiety and mood. They were then randomly allocated to complete a self-affirmation or control task, before reading a narrative documenting a stressful birth and imagining themselves in the place of the woman giving birth. After completing this task, participants again reported their levels of anxiety and positive mood.

Main outcome measures: Anxiety and positive mood assessed at follow-up.

Results: Study 1 demonstrated that self-affirmed women experienced increased anxiety and less positive mood at follow-up, compared both to baseline and to women in the control condition. Study 2 revealed that the effect of self-affirmation on outcomes was moderated by fear of childbirth.

Conclusion: These results provide preliminary evidence that self-affirmation may worsen negative responses to stressors under certain conditions and for certain individuals.     

Psycho-ophthalmology: Contributions of Health psychology to the assessment and treatment of glaucoma

Background: Asymptomatic in its early stages, glaucoma is the second leading cause of blindness worldwide. While psychosocial factors are taken into consideration for a host of diseases such as cancer, heart disease and autoimmune conditions, to date, psychological issues have been ignored in the clinical management of glaucoma.

Objective: This work reviews the most relevant contributions from a health psychology perspective for the assessment and treatment of glaucoma, which is emerging in the field of psycho-ophthalmology.

Method: To provide scientific evidence regarding contributions of psychology to the comprehension of glaucoma, a bibliographic review of three databases (Psicodoc, PsycInfo and Medline) was conducted, spanning the period between 1940 and 2016.

Results: This review yielded a total of 66 studies published in the period analysed and identified three areas where health psychology has made substantive contributions to glaucoma screening, monitoring and treatment: the emotional impact on patients suffering from glaucoma, the adherence to treatment and the effects of stress on intraocular pressure.

Conclusions: A health psychology approach for research and therapy of glaucoma must focus on the management of the negative affect associated with the diagnosis, the optimisation of treatment adherence and the stress management of the intraocular pressure measurements.     

Book reviews

Laughing Gods, Weeping Virgins: Laughter in the History of Religion. Ingvild Sæud Gilhus, 1997 London, New York: Routledge 173 pp., £45.00 (hb) ISBN 0–415–16197–5

Questioning the Secular State: The Worldwide Resurgence of Religion in Politics. David Westerlund, ed., 1996 London: Hurst & Companyμ xii +428 pp., £14.95 ISBN 1–85065–241–4 (pb.)

Religion and Resistance Politics in South Africa. Lyn S. Graybill, 1996 Westport, Connecticut: Praeger/Greenwood Press 157 pp., £44.95 (hb) ISBN 0–275–95141–3

Engaged Buddhism: Buddhist Liberation Movements in Asia Christopher S. Queen & Sallie B. King, eds., 1996 Albany, NY: State University of New York Press 446 pp., US$24.95 ISBN 0–7914–2844–3

Religious Pluralism and Christian Truth. Joseph S. O'Leary, 1996 Edinburgh: Edinburgh University Press xiii + 269 pp., £45.00 ISBN 0–7486–0727–7

Church, State and Religious Minorities. Tariq Modood, ed., 1997 London: Policy Studies Institute 96 pp., £10.95 ISBN 0 85374 724 5

The Coming Deliverer: Millennial Themes in World Religions. Fiona Bowie, ed., 1997 Cardiff: University of Wales Press 264 pp., £9.95 (pb) ISBN 0–7083–1338–8

Zoroastrians in Britain. John R. Hinnells, 1996 Oxford, Clarendon Press xiv + 336 pp., £42.00 (hb) ISBN 0–19–826193–4

From the Holy Mountain: A Journey in the Shadow of Byzantium. William Dalrymple, 1997 London, Harper Collins 484 pp., illustrated, £18.00 ISBN 0–0025–5509–3

Jerusalem Today: What Future for the Peace Process?. Ghada Karmi, edv 1996 Reading: Ithaca Press xix +191 pp., £25.00 ISBN 0–86372–204–0

Judaism Since Gender. Miriam Peskowitz & Laura Levitt, eds., 1997 London: Routledge 229 pp., £14.99 (pb), £45.00 (hb) ISBN 0–415–91461–2 (pb), ISBN 0–415–91460–4 (hb)

Muslim Communities in the New Europe. Gerd Nonneman, Tim Niblock & Bogdan Szajkowski, eds., 1996 Reading: Ithaca Press 346 pp, £35.00 (hb) ISBN 0–86372–192–3

Congregation and Community. Nancy Tatom Ammerman, 1997 New Brunswick: Rutgers University Press xvi + 434 pp., US$55.00 (hb), US$24.00 (pb) ISBN 0–81352–334–6 (hb), ISBN 0–81352–335–4 (pb)

Against the Stream: The Adoption of Traditional Christian Faiths by Young Adults. Richard P. Cimino, 1997 Lanham, Maryland: University Press of America & Religion Watch 128 pp., US$46,00 (hb), US$26,00 (pb) ISBN 0–7618–0574–5 (hb), ISBN 0–7618–0575–3 (pb)

Polygamous Families in Contemporary Society. Irwin Altman & Joseph Ginat, 1996 Cambridge: Cambridge University Press xv + 512 pp., £55.00 (hb), £19.95 (pb) ISBN 0–521–56169–8 (hb), 0–521–56731–9 (pb)

Fertility, Class and Gender in Britain: 1860–1940. Simon Szreter, 1996 Cambridge: Cambridge University Press 710 pp., £50.00 ISBN 0–521–34343–7

Implicit Religion in Contemporary Society. Edward I. Bailey, 1997 Kampen, Netherlands: Kok Pharos Publishing House; Weinheim, Germany: Deutscher Studien Verlag 302 pp., Dfl.69.00, £23.00 ISBN (Kok) 90–390–0581–8; ISBN (DSV) 3–89271–694–3

Geography of Religions in Russia. Alexei D. Krindatch, 1996 Decatur, Georgia: Glenmary Research Center 72 pp., 47 maps, US$29.95 (Paper/Spiral Bound) ISBN 0–914422–25–1

Believing in Australia: A Cultural History of Religions". Hilary M. Carey, 1996 St Leonards, N.S.W.: Allen & Unwin xviii + 270p., £16.95 (pb) ISBN 1–86373–950–5

Icelandic Spiritualism: Mediumship and Modernity in Iceland. William H. Swatos, jr. & Loftur Reímar Gíssurarson, 1997 New Brunswick: Transaction Publishers 269 pp., US$32.95 (hb) ISBN 1–56000–273–5

The Channeling Zone: American Spirituality in an Anxious Age. Michael F. Brown, 1997 Cambridge, Massachusetts & London, England: Harvard University Press 214 pp., £14.50 (hb) ISBN 0–674–10882–5

Listening People, Speaking Earth: Contemporary Paganism. Graham Harvey, 1997 London: Hurst & Co. 250 pp., £27.50 (hb), £9.95 (pb) ISBN 1–85065–271–6 (hb), ISBN 1–85065–272–4 (pb)     

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     

A qualitative study exploring the experience of people with IBD and elevated symptoms of anxiety and low mood and the type of psychological help they would like

Background: People with inflammatory bowel disease (IBD) are at increased risk of developing anxiety and low mood. We sought to explore the experience of people with IBD and moderate–severe symptoms of anxiety/low mood to identify psychological processes which could be targeted in psychological interventions, as well as the kind of psychological support preferred.

Methods: Twenty-five participants with IBD and moderate–severe symptoms of anxiety/low mood were recruited for interview. Template analysis was utilised to analyse interview data. We explored the situations, cognitions and behaviour linked to symptoms of anxiety and low mood by people with IBD, as well as the kind of psychological help preferred.

Results: Two themes were identified within participants accounts of symptoms of anxiety; ‘under performance’ and ‘preventing an accident’. Two further themes were identified for symptoms of low mood; ‘lack of understanding’ and ‘stigma’. Expertise and understanding was the main theme identified for the type of psychological help desired.

Conclusion: The analysis highlights situations, cognitions and behaviour linked to anxiety and low mood by people with IBD and the type of psychological support desired. Our findings link to the knowledge and competencies set for psychological therapist working with long-term conditions.