Exploring the associations shared by mood,pain-related attention and pain outcomes related to sleep disturbance in a chronic pain sample

Objective: Sleep disturbance in chronic pain is common, occurring in two-thirds of patients. There is a complex relationship between chronic pain and sleep; pain can disrupt sleep and poor sleep can exaggerate pain intensity. This may have an impact on both depressive symptoms and attention to pain. This study aims to evaluate the relationship between chronic pain and sleep, and the role of mood and attention.

Methods: Chronic pain patients, recruited from a secondary care outpatient clinic, completed self-report measures of pain, sleep, depressive symptoms and attention to pain. Hierarchical regression and structural equation modelling were used to explore the relationships between these measures. Participants (n = 221) were aged between 20 and 84 (mean = 52) years.

Results: The majority of participants were found to be ‘poor sleepers’ (86%) with increased pain severity, depressive symptoms and attention to pain. Both analytical approaches indicated that sleep disturbance is indirectly associated with increased pain severity Instead the relationship shared by sleep disturbance and pain severity was further associated with depressive symptoms and attention to pain.

Conclusions: Our results indicate that sleep disturbance may contribute to clinical pain severity indirectly though changes in mood and attention. Prospective studies exploring lagged associations between these constructs could have critical information relevant to the treatment of chronic pain.     

Subjective age and sleep in middle-aged and older adults

Objective: Chronological age is commonly used to explain change in sleep. The present study examines whether subjective age is associated with change in sleep difficulties across middle adulthood and old age.

Design: Participants were drawn from the second (2004–2005) and third (2013–2014) waves of the Midlife in the United States Survey (MIDUS, N = 2350; Mean Age: 55.54 years), the 2008 and 2014 waves of the Health and Retirement Study (HRS, N = 4066; Mean Age: 67.59 years) and the first (2011) and fourth (2014) waves of the National Health and Aging Trends Survey (NHATS, N = 3541; Mean Age: 76.46). In each sample, subjective age, sleep difficulties, depressive symptoms, anxiety and chronic conditions were assessed at baseline. Sleep difficulties was assessed again at follow-up.

Main outcome measures: Sleep difficulties.

Results: An older subjective age at baseline was related to an increase in sleep difficulties over time in the three samples, and was mediated, in part, through more depressive symptoms, anxiety and chronic conditions. Feeling older was associated with an increased likelihood of major sleeping difficulties at follow-up in the three samples.

Conclusion: Subjective age is a salient marker of individuals’ at risk for poor sleep quality, beyond chronological age.     

Predicting jet lag in long-haul cabin crew: The role of illness cognitions and behaviour

Objective: Established risk factors for jet lag are mostly physiological including circadian preference, age, gender, the number of flight zones crossed and to some extent direction of travel. Some research has also highlighted a role for psychosocial factors including sleep, diet and ‘circadian’ health behaviours and illness cognitions although this remains relatively untested. The aim of this study was to evaluate the role of sleep, diet and illness cognitions in predicting perceived jet lag amongst long-haul crew.

Design: Sixty long-haul crew took part in a longitudinal study. Profile characteristics (including chronotype), preparation strategies (sleep, eating and ‘circadian’ behaviours) and illness cognitions were measured at baseline (before a trip).

Main outcome measures: Subjective jet lag (unidimensional and multidimensional) was measured on the crews’ second day off (post-trip).

Results: Hierarchical regression analyses showed that unidimensional jet lag was predicted by the belief in a cyclical timeline, whereas multidimensional jet lag was predicted by multidimensional jet lag at baseline and to a lesser extent by identity. No role was found for profile characteristics and preparation strategies.

Conclusion: Illness cognitions partly explain the experience of perceived jet lag in long-haul cabin crew indicating that jet lag is in part a psycho-social construct, not just a biological one.     

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

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 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.     

Personality,hedonic balance and the quality and quantity of sleep in adulthood

Objective: Sufficient and good-quality sleep is important for individual functioning. This study explored associations between personality and sleep duration and sleep quality in adulthood. The mediating role of hedonic balance and the moderating roles of age and sex were also explored.

Method: A nationally representative sample of Australian adults (n = 14,065; M_age = 44.4 years; 53.1% women) completed self-report measures of personality, sleep, hedonic balance and demographic variables (e.g. health status, employment status) in late 2013.

Results: After controlling for demographic variables, we found that high neuroticism was associated with poorer sleep quality, and both long and short sleep durations (a curvilinear relationship). Small effects were also observed relating high extraversion and low openness to better sleep quality. Hedonic balance mediated all linear and non-linear associations between personality and sleep. Additional moderator analyses showed that high openness was more strongly related to poor sleep quality among men and young adults. High neuroticism was more strongly related to poor sleep quality among men.

Conclusion: Findings indicate that personality is important for sleep in adulthood and that hedonic balance features a prominent role in this association.     

Emotion regulation mediates the relationship between personality and sleep quality

Objective: Despite a long history of interest in personality as well as in the mechanisms that regulate sleep, the relationship between personality and sleep is not yet well understood. The purpose of this study was to explore how personality affects sleep.

Design: The present cross-sectional study, based on a sample of 1291 participants with a mean age of 31.16 years (SD = 12.77), investigates the impact of personality styles, assessed by the Personality Adjectives Checklist (PACL), on subjective sleep quality, as well as the possible mediation of this relationship by dispositional emotion regulation (ER) styles.

Results: The dispositional use of suppression was a quite consistent predictor of poor subjective sleep quality for individuals scoring high on Confident, Cooperative or Introversive personality traits, but low on Respectful personality traits. Although a positive relationship between reappraisal and subjective sleep quality was found, there was only little evidence for a relationship between the assessed personality styles and the use of cognitive reappraisal.

Conclusion: The present results indicate that in the evaluation of subjective sleep, the impact of personality and ER processes, such as emotion suppression, should be taken into account.     

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 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     

Zooming into daily life: within-person associations between physical activity and affect in young adults

Objective: Negative affect in daily life is linked to poorer mental and physical health. Activity could serve as an effective, low-cost intervention to improve affect. However, few prior studies have assessed physical activity and affect in everyday life, limiting the ecological validity of prior findings. This study investigates whether daily activity is associated with negative and positive evening affect in young adults.

Design: Young adults (N = 189, Mdn = 23.00) participated in an intensive longitudinal study over 10 consecutive days.

Main Outcome Measures: Participants wore accelerometers to objectively assess moderate-to-vigorous physical activity continuously throughout the day and reported their affect in time-stamped online evening diaries before going to sleep.

Results: On days when participants engaged in more activity than usual, they reported not only less depressed and angry evening affect but also more vigour and serenity in the evening.

Conclusion: Young adults showed both less negative and more positive affect on days with more activity. Physical activity is a promising health promotion strategy for physical and mental well-being.     

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)     

Sex,germs, and health: pathogen-avoidance motives and health-protective behaviour

Objective: Recent work suggests that the psychology of pathogen-avoidance has wide-reaching effects on how people interact with the world. These processes – part of what has been referred to as the behavioural immune system – are, in a way, our ‘evolved’ health psychology. However, scholars have scarcely investigated how the behavioural immune system relates to health-protective behaviours. The current research attempts to fill this gap.

Design: Across two cross-sectional studies (N = 386 and 470, respectively), we examined the relationship between pathogen-avoidance motives and health-protective behaviour.

Outcome Measures: The studies used self-reported measures of attitude and intention as indicators of health-protective behaviour.

Results: Data collected in Study 1 revealed that pathogen-avoidance motivation related to participants’ attitude and intention towards sexually transmitted infections screening. High levels of pathogen-avoidance motivation were also related to having had fewer sexual partners, which partially mediated the effect of pathogen-avoidance variables on testing motivation. Study 2 extended these findings by showing moderate associations between pathogen-avoidance motivation and a broad range of health-protective behaviours, including but not limited to pathogen-related health concerns.

Conclusion: We argue that understanding and targeting pathogen-avoidance psychology can add novel and important understanding of health-protective behaviour.     

Positive affect and physical activity: Testing effects on goal setting,activation, prioritisation,and attainment

Objective: The present research tested whether incidental positive affect promotes pursuit of physical activity goals. Four key features of goal pursuit were examined – setting physical activity goals (Study 1), goal activation (Study 2), and goal prioritization and goal attainment (Study 3).

Design: Participants (N_s = 80, 81, and 59, in Studies 1–3, respectively) were randomized to positive affect (joy, hope) or neutral affect (control) conditions in each study.

Main Outcome Measures: Questionnaire measures of goal level, goal commitment, and means selection (Study 1); a lexical decision task indexed goal activation (Study 2), a choice task captured goal prioritization and MET minutes quantified goal attainment (Study 3).

Results: Study 1 showed that positive affect led to a greater number of intended physical activities, and that joy engendered greater willingness to try activities. In Study 2, a positive affect induction led to heightened activation of the physical activity goal compared to the control condition. The joy induction in Study 3 led to greater physical activity, and a trend towards greater goal prioritization.

Conclusion: These findings suggest that positive affect enhances the pursuit of physical activity goals. Implications for health behavior theories and interventions are outlined.     

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.     

Pathways maintaining physical health problems from childhood to young adulthood: The role of stress and mood

Objective: Poor physical health in childhood is associated with a variety of negative health-related outcomes in adulthood. Psychosocial pathways contributing to the maintenance of physical health problems from childhood to young adulthood remain largely unexamined, despite evidence that factors such as negative mood and stress impact physical health.

Design: The current study tested the direct and indirect effects of ongoing health, chronic stress, health-related chronic stress, and depressive symptoms at age 20 on the link between health problems in childhood and young adulthood (age 21) in a longitudinal sample (n = 384).

Main Outcome Measures: The hypotheses were tested using a multiple mediation path analysis framework; the primary outcome measure was a composite index of health status markers in young adulthood.

Results: The proposed model provided an adequate fit for the data, with significant total indirect effects of the four mediators and significant specific indirect effects of health-related chronic stress and depressive symptoms in maintaining health problems from childhood into young adulthood.

Conclusions: Health problems are maintained from early childhood into young adulthood in part through psychosocial mechanisms. Depressive symptoms and health-related chronic stress have significant, unique effects on the relationship between health problems in early childhood and young adulthood.     

Positive and negative affectivity,stress, and well-being in African-Americans: Initial demonstration of a polynomial regression and response surface methodology approach

Objective: The extent to which positive (PA) and negative (NA) affect conjointly impact well-being is not yet well understood. Additionally, research investigating the role of affectivity in maintaining well-being among ethnic and racial minorities is scant. The current research demonstrates how polynomial regression and response surface methodology (PR and RSM) may be used to better understand how PA and NA jointly influence stress and well-being.

Design: In Study 1, 291 African-American undergraduates (M_age = 22.91, SD = 6.91; 67% female) completed measures of affectivity and psychological well-being. In Study 2, a community sample of 117 African-Americans (M_age = 31.87, SD = 13.83; 69% female) completed affectivity measures and a laboratory-based social stressor task to assess links between affectivity and salivary cortisol reactivity.

Main outcome measures: Study 1 included life satisfaction, perceived stress and self-reported depressive symptoms. Study 2 included salivary cortisol reactivity.

Results: Across both studies, PA ascendency (i.e. high PA combined with low NA) was associated with better well-being, while NA ascendancy (i.e. high NA combined with low PA) was associated with poorer outcomes.

Conclusion: PR and RSM may provide new insight into the conjoint influence of PA and NA on health and well-being. We discuss potential implications for affectivity research, including race-related explorations.     

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     

Genetic causal beliefs about obesity,self-efficacy for weight control,and obesity-related behaviours in a middle-aged female cohort

Objective: Obesity is a heritable condition with well-established risk-reducing behaviours. Studies have shown that beliefs about the causes of obesity are associated with diet and exercise behaviour. Identifying mechanisms linking causal beliefs and behaviours is important for obesity prevention and control.

Design: Cross-sectional multi-level regression analyses of self-efficacy for weight control as a possible mediator of obesity attributions (diet, physical activity, genetic) and preventive behaviours in 487 non-Hispanic White women from South King County, Washington.

Main Outcome Measures: Self-reported daily fruit and vegetable intake and weekly leisure-time physical activity.

Results: Diet causal beliefs were positively associated with fruit and vegetable intake, with self-efficacy for weight control partially accounting for this association. Self-efficacy for weight control also indirectly linked physical activity attributions and physical activity behaviour. Relationships between genetic causal beliefs, self-efficacy for weight control, and obesity-related behaviours differed by obesity status. Self-efficacy for weight control contributed to negative associations between genetic causal attributions and obesity-related behaviours in non-obese, but not obese, women.

Conclusion: Self-efficacy is an important construct to include in studies of genetic causal beliefs and behavioural self-regulation. Theoretical and longitudinal work is needed to clarify the causal nature of these relationships and other mediating and moderating factors.