Randomized controlled trial of an intervention to prevent adherence failure among HIV-infected patients initiating antiretroviral therapy.

OBJECTIVE: Compare the efficacy of a multicomponent social support intervention to standard-of-care counseling on medication adherence among HIV-infected patients initiating antiretroviral therapy. DESIGN: Randomized controlled trial. Generalized estimating equations tested for differences in the percentage of participants achieving 90% adherence. MAIN OUTCOME MEASURES: Pill-taking, electronically monitored over 6 consecutive months; plasma viral load (VL), assessed at 3 and 6 months following initiation of therapy. RESULTS: Of 226 participants who were randomized and began the trial, 87 (38%) were lost to the study by 6 months. The proportion of adherent participants declined steadily over time, with no time by group interaction. Sustained adherence was associated with increased odds of achieving an undetectable VL (OR=1.78; 95% CI=1.01, 3.13). In intention-to-treat analyses, a larger proportion of the intervention group than the control group was adherent (40.15% vs. 27.59%, p=.02) and achieved an undetectable VL p=.04). However, the majority of participants who remained on study experienced some reduction in VL (>or=1-log drop or undetectable), regardless of experimental condition. CONCLUSION: The multicomponent social support intervention significantly improved medication adherence over standard-of-care counseling; evidence for improved virologic outcomes was inconsistent. Early discontinuation of care and treatment may be a greater threat to the health of HIV patients than imperfect medication-taking.     

The Rate and Characteristics of Suicide Attempters in the Native Hawaiian Adolescent Population

Native Hawaiian high school students, N = 1779, were surveyed for symptoms of psycho-pathology and suicide attempts in the previous 6 months. Seventy-seven (4.3%) of the students reported making a suicide attempt. There were no significant differences in prevalence rates for males and females. Depression, anxiety, aggression, substance abuse symptoms, and low family support, but not peer support, were significantly correlated with suicide attempts. On logistic regression, depression, substance abuse, and family support independently predicted attempts. The lack of gender difference may indicate a cultural characteristic of the Hawaiian population that differentiates it from mainstream American populations but likens it to the Native American population.     

Effects of communication apprehension,familiarity of partner,and topic on selected “women's language” features

In keeping with Lakoff's (1975) notion that the use of women's language (WL) conveys uncertainty on the part of the speaker, the influence of communication apprehension, familiarity of partner, and topic on the use of selected WL forms was investigated. In dyadic conversation with a female friend or stranger, 71 female university students, who had completed the Personal Report of Communication Apprehension—Long, discussed a familiar or an unfamiliar topic. Multiple-regression analyses revealed that (1) communication apprehension was positively related to the use of question intonation, (2) familiarity of topic and partner were negatively related to the use of hedges, and (3) familiarity of topic was positively related to the use of intensifiers. There were no intercorrelations of the linguistic forms. These results challenge the notion that WL forms actually cohere to form a kind of language and suggest that the influence of social and psychological variables on the use of WL is much more complex and multifaceted than Lakoff believed.This article is based on portions of an Honour's thesis completed by the second author, and was presented at the Annual Convention of the Canadian Psychological Association held in Ottawa, Ontario, June 1990.     

Components of analogical reasoning in a mildly head injured population

This study sought to investigate the effects of mild head injury on a particular type of cognitive ability, verbal analogical reasoning. The performance of 19 individuals with head injuries was compared to a group of 30 control subjects matched for age, education, and gender on 100 verbal analogies. Solution times and error rates were modeled. Unstandardized regression weights for individual subjects were correlated with subjects’ performance on a number of standardized ability tests. Results showed that compared to the control subjects, the head injured subjects: (a) were significantly slower to solve the analogies, and were particularly slow to perform certain processes: encoding/inference and comparison; (b) tended to show greater variability in performance; and (c) had data that had a poorer componential model fit. The data suggest that analogical reasoning is affected by a head injury, and that certain information processes may be responsible for performance deficits.     

Book reviews and notes

GENERAL.

READINGS IN THE QUR'AN. Selected and translated by KENNETH CRAGG. London: Collins Liturgical Publications, 1990. 389pp. Pb. £8.95. ISBN 0–00–599087–4.

DER KORAN UND DIE JUDEN: DIE GESCHICHTE EINER TRAGODIE. By Johan Bouman. Darmstadt: Wissenschaftliche Buch‐gesellschaft, 1990. 130pp. Pb. n.p. ISBN 3–534–80123–7.

ISMAIL HAKKI BURSEVPS TRANSLATION OF AND COMMENTARY ON FUSUS AL‐HKAM. VOLS. 3 and 4. By Muhyiddin Ibn Arabi. Translated by Bulent Rauf with the help of R. Brass and H. Tollemache. Oxford: Muhyiddin ibn ^cArabi Society, 1989, 1991. 254pp, 353pp. Hb. £40.00, £50.00. ISBN 0–9509527–2–9; 0–9509527–4–5.

SCIENCE AND MUSLIM SOCIETIES. By Nasim Butt. London: Grey Seal Books, 1991. 135pp. Pb. £5.95. ISBN 1–85640–023–9.

THE MUSLIMS OF AMERICA. Edited by Yvonne Yazbeck Haddad. Oxford: Oxford University Press, 1991. 249pp. Hb. £35.00. ISBN 0–19–506728–2.

TURNING POINTS IN RELIGIOUS STUDIES. By URSULA KING. Edinburgh: T & T Clark Ltd, 1990. 329pp. Hb. £19.95. ISBN 0–567–09564–9.

THE SEPARATED ONES: JESUS, THE PHARISEES AND ISLAM. By Ruqaiyyah Waris Maqsood. London: SCM Press, 1991. 194pp. Pb. £9.95. ISBN 0–334–02498–6.

WHO NEEDS AN ISLAMIC STATE! By Abdelwahab El‐Affendi. London: Grey Seal Books, 1991.115pp. Pb. £5.95. ISBN 1–85640–022–0.

‘MULTI‐FAITH WORSHIP'? QUESTIONS AND SUGGESTIONS FROM THE INTER‐FAITH CONSULTATIVE GROUP. By The. General Synod Board of Mission. London: Church House Publishing, 1992. 66pp. Pb. £3.50. ISBN 0–7151–5530‐X.

WAS SAGT DER KORAN ZUM HEILIGEN KRIEG? By Adel TheodorKhoury. Giitersloh: Gutersloher Verlaghaus Gerd Mohn, 1991. 95pp. Pb. DM12.80. ISBN 3–579–00787–0.

REGIONAL.

Africa.

RELIGION AND CUSTOM IN A MUSLIM SOCIETY: THE BERTI OF SUDAN. By Ladislav Holy. Cambridge Studies in Social and Cultural Anthropology. Cambridge: Cambridge University Press, 1991. 243pp. Hb. £30.00; $49.50. ISBN 0–521–39485–6.

POPULAR ISLAM IN TUNISIA. By Kees Schilder. Research Reports 1991/44. Leiden: African Studies Centre, 1991. 171pp. Pb. DFL.12.50. ISBN 90–70110–85–7.

A POEM CONCERNING THE DEATH OF THE PROPHET MUHAMMAD UTENDI WA KUTA WAFUNABII. Edited by J.W.T. Allen, Rland Allen, N.Q. King, Jan Knappert Et Al. African Studies, 26. New York/Ontario/Larnpeter: The Edwin Mellen Press, 1991. 161pp. Hb. n.p. ISBN 0–7734–9705–6.

SACRED VOID: SPATIAL IMAGES OF WORK AND RITUAL AMONG THE GIRIAMA OF KENYA. By David Parkin. Cambridge Studies in Social and Cultural Anthropology. Cambridge: Cambridge University Press, 1992. 259pp. Hb. £35.00. ISBN 0–521–40466–5.

PEOPLE AND EMPIRES IN AFRICAN HISTORY: ESSAYS IN MEMORY OF MICHAEL CROWDER. Edited By J.F. Ade Ajayi and J.D.Y. Peel. London and New York: Longman, 1992. 254pp. Hb. £36.00. ISBN 0–582–08997–2.

Asia.

MUSLIMS IN CENTRAL ASIA: EXPRESSIONS OF IDENTITY AND CHANGE. By Jo‐ANN GROSS. Durham: Duke University Press, 1992. 224pp. Pb. $18.95. ISBN 0–8223–1190–9.

Europe.

ISLAM IN DUTCH SOCIETY: CURRENT DEVELOPMENTS AND FUTURE PROSPECTS. Edited by W.A.R. Shadid and P.S. Van Koningsveld. Kampen. Kok Pharos Publishing House, 1992. 205pp. Pb. n.p.ISBN 90–242–3047–0.

VAN MAT TOT MINARET. By Nico Landman. Amsterdam: VU Uitgeverij, 1992. 387pp. Pb. n.p. ISBN 90–5383–086–3.

DE ISLAM IN WEST‐EUROPA, IN HET BIJZONDER IN NEDERLAND. By HuUG Van Ooijen, Rinus Penninx, Jan Rath and ThulSunier. Nijmegen: Reeks REcht & Samenleving, 1991. 76pp. Pb. n.p. ISBN 90–71478–20–3.

MUSLIMS IN WESTERN EUROPE. By Jorgen S. Nielsen. Islamic Surveys 20. Edinburgh: Edinburgh University Press, 1992. 186pp. Hb. £25.00. ISBN 0–7486–0309–0.

NATIONAL PROBLEMS IN THE BALKANS: HISTORY AND CONTEMPORARY DEVELOPMENTS. Edited by V. Mincheva. Sofia: Arges Publishing House for the Institute of Balkan Studies, 1992.247pp. Pb. LV20,00. No ISBN.

THE BALKANS: MINORITIES AND STATES IN CONFLICT. By Hugh Poulton. London: Minority Rights Publications, 1991. 244pp. Pb. £8.95. ISBN 1–873194–05–6.

THE SATANIC VERSES: BRADFORD RESPONDS. Edited by David G. Bowen. Bradford: D.G. Bowen and Bradford & Ilkley Community College, 1992. 82pp. Pb. .n.p. ISBN 0–947–851–25–9.

THE KINGDOM OF CYPRUS AND THE CRUSADES 1191–1374. By Peter W. Edbury. Cambridge: Cambridge University Press, 1991.241pp. Hb. £27.50, $44.50. ISBN 0–521–26876–1.

DIE MIGRANTEN AUS SUBAY: TURKEN IN DEUTSCHLAND: EINE ETHNOGRAPHIE. By Werner Schiffauer. Stuttgart: Klett‐Cotta, 1991. 388pp. Hb. n.p. ISBN 3–608–93170–8.

Middle East.

POLITICAL ISLAM: RELIGION AND POLITICS IN THE ARAB WORLD. By Nazih N. Ayubi. London and New York: Routledge, 1991. 291pp. Hb. £40.00. ISBN 0–415–05442–7.

THE ARAB CHRISTIAN: A HISTORY IN THE MIDDLE EAST. By Kenneth CRAGG. London: Mowbray, 1992. 336pp. Pb. £9.95. ISBN 0–264–67257–7.

ISLAMIC FUNDAMENTALISM AND THE GULF CRISIS. Edited by JAMES PISCATORI. Chicago: The University of Chicago Press, 1991. 267pp. Pb. £7.95; $11.50. ISBN 0–9629608–0–2.

RACE AND SLAVERY IN THE MIDDLE EAST. By BERNARD LEWIS. Oxford: Oxford University Press, 1990. 184pp. Hb. £22.50. ISBN 0–19–506283–3.

THE IRAQI REVOLUTION OF 1958: THE OLD SOCIAL CLASSES REVISITED. Edited by Robert A. Fernea and Wm. Roger Louis. London: I.B. Tauris, 1991. 232pp. Hb. £35.00. ISBN 1–85043–318–6.

CULTURE, HISTORY AND IDEOLOGY IN THE FORMATION OF BA'THIST IRAQ, 1968–69. By AMATZIABaram. New York: St Martin's Press, 1991. 196pp. Hb. £35.00. ISBN 0–312–04805‐X.

THE PALLESTINIAN UPRISING: A WAR BY OTHER MEANS. By F. Robert Hunter. London: I.B. Tauris, 1991.292pp. Hb. £17.95. ISBN 1–85043–325–9.

POLITICS IN AN ARABIAN OASIS: THE RASHIDI TRIBAL DYNASTY. By Madawi AL Rasheed. London: I.B. Tauris, 1991. 300pp. Hb. £35.00. ISBN 1–85043–320–8.

THE LION OF EGYPT: SULTAN BAYBARSI AND THE NEAR EAST IN THE TfflRTEENTH CENTURY. By Peter THORAU. London: London and New York, 1987. 319pp. Pb. £13.50. ISBN 0–582–06823–1.

HISTORICAL DICTIONARY OF LIBYA. By RONALD BRUCE ST JOHN. African Historical Dictionaries, 33.2nd Edition. Metuchen, NJ & London: Scarecrow Press, 1991. 192pp. Hb. £18.75. ISBN 0–8108–2451–5.

ACCOMMODATING PROTEST: WORKING WOMEN, THE NEW VEBLING AND CHANGE IN CAIRO. By ARLENE ELOWE MACLEOD. New York: Columbia University Press, 1991. 206pp. Hb. $37.50. ISBN 0–231–07280–5.

FEZ: CITY OF ISLAM. By Titus Burckhardt. Cambridge: Islamic Texts Society, 1992. 175pp. Hb. £24.95; $39.95. ISBN 0–946621–17–9.

CHRISTIAN‐MUSLIM RELA TIONS.

ROBIN LAMBURN — FROM A MISSIONARY'S NOTEBOOK: THE YAO OF TUNDURU AND OTHER ESSAYS. Edited by NOEL Q. KING and Klaus Fiedler with Gavin White. Social Science Studies on International Problems, no. 164. Saarbriicken; Fort Lauderdale: Verlag Breitenbach, 1991. 240pp. Pb. n.p. ISBN 0584–603‐X.

MATERIAUX POUR SERVIR A L'ETUDE DE LA CONTROVERSE THEOLOGIQUEISLAMO‐CHRETIENNE DE LANGUE ARABE DU Vffle AUX Xlle SIECLE. By PAUL KHOURY. Religionswissenschaftliche Studien 11/2. Wurzburg: Echter Verlag and Altenberge: Oros Verlag, 1991. 633pp. Pb. $633.00; DM99.80. ISBN 3–429–01410–7 (Echter); 3–89375–039–8 (Oros).

THE CONQUEST OF CHRISTIAN AND MUSLIM SPAIN 1031–1157. By Bernard F. Reilly. Oxford: Blackwell, 1992. 284pp. Hb. £40.00. ISBN 0–631–16913‐X.

ISLAM IN A WORLD OF DIVERSE FAITHS. Edited by Dan Cohen‐Sherbok. Library of Philosophy and Religion. Basingstoke: Macmillan, 1991. 218pp. Hb. £45.00. ISBN 0–333–52612–0.

LA FOIE EN MARCHE: LES PROBLEMES DE FOND DU DIALOGUE ISLAMO‐CHRETIEN. By PONTIFICIOISTITUTO Dl STUDI Arabie D'islamistica. Collection ‘Studi Arabo‐Islamici del PISAF, no.4. Rome: PISAI, 1990. 235pp. Pb. n.p. ISBN 88–85907–05–9.

DIPLOMATARIUM II: DOCUMENTS 1–500: FOUNDATIONS OF CRUSADER VALENCIA: REVOLT AND RECOVERY 1257–1263. By ROBERT I. Burns. Princeton: New Jersey, 1991. 440pp. Hb. $69.50. ISBN 0–691–05435–5.

ANTI‐CHRISTIAN POLEMIC IN EARLY ISLAM: ABU ‘ISA AL‐WARRAQ'S ‘AGAINST THE TRINITY’. By David Thomas. University of Cambridge Oriental Publications 45. Cambridge: Cambridge University Press, 1992. 218pp. Hb. £40.00; $74.95. ISBN 0–521–41244–7.

INCULTURATION ET LIBERATION EN AFRIQUE AUJOURDHUI: MELANGES EN L'HONNEUR DU PROFESSEUR ABBE MULAGO GWA CKALA. Revue Africaine de Theologie, 27–28, April‐October 1990. 336pp. No ISBN number.

STRIVING TOGETHER: A WAY FORWARD IN CHRISTIAN‐MUSLIM RELATIONS. By Charles Kimball. Maryknoll: Orbis Books, 1991. 132pp. Pb. n.p. ISBN 0–88344–691‐X.

INTERWINED WORLDS: MEDIEVAL ISLAM AND BIBLE CRITICISM. By Hava Lazarus‐Yafeh. Princeton University Press, 1992. 178pp. Hb. £22.50; $29.95. ISBN 0–691–07398–8.