The role of illness uncertainty on coping with fibromyalgia symptoms.

This study examined the role of illness uncertainty in pain coping among women with fibromyalgia (FM), a chronic pain condition of unknown origin. Fifty-one FM participants completed initial demographic and illness uncertainty questionnaires and underwent 10-12 weekly interviews regarding pain, coping difficulty, and coping efficacy. Main outcome measures included weekly levels of difficulty coping with FM symptoms and coping efficacy. Multilevel analyses indicated that pain elevations for those high in illness uncertainty predicted increases in coping difficulty. Furthermore, when participants had more difficulty coping, they reported lower levels of coping efficacy. Results were consistent with hypothesized effects. Illness uncertainty accompanied by episodic pain negatively influenced coping efficacy, an important resource in adaptation to FM.     

A measurement model of women's behavioral risk taking.

The current study was designed to gain a better understanding of the nature of the relationship between substance use and sexual risk taking within a community sample of women (N = 1,004). Using confirmatory factor analysis, the authors examined the factor structure of sexual risk behaviors and substance use to determine whether they are best conceptualized as domains underlying a single, higher order, risk-taking propensity. A 2 higher order factor model (sexual risk behavior and substance use) provided the best fit to the data, suggesting that these 2 general risk domains are correlated but independent factors. Sensation seeking had large general direct effects on the 2 risk domains and large indirect effects on the 4 first-order factors and the individual indicators. Negative affect had smaller, yet still significant, effects. Impulsivity and anxiety were unrelated to sexual health risk domains.     

Gender differences in friendship patterns

The same-sex and opposite-sex friendship patterns of men and women students from two first-year psychology classes at the University of Waikato in New Zealand were examined. A friendship questionnaire previously used in the United States of America was administered to compare results of the two cultures. Findings from this study support American research suggesting that women are more intimate and emotional in their same-sex friendships than men, and tend to place a higher value on these friendships than men do. In accordance with findings of the American sample, New Zealand women emphasized talking, emotional sharing, and discussing personal problems with their same-sex friends, and men showed an emphasis on sharing activities and doing things with their men friends. Differences between the American and New Zealand samples were shown for men in the number of friends and the intimacy levels of these friendships. New Zealand men preferred numerous but less intimate same-sex friends, while women (as in the United States) showed a preference for a few, close, intimate same-sex friends. Men, in contrast to women, derived emotional support and therapeutic value more from their opposite-sex relationships than their same-sex friendships. Finally, more men than women stated they would not cancel an engagement with an opposite-sex friend in order to go out with a same-sex friend. Results are interpreted as suggesting a need for changes in the current socialization process of males who are taught to repress their emotions and form rather less intimate and possibly less beneficial same-sex friendships than women.     

The Utility of Problem-solving Training that Emphasises Selfmanagement Principles

This study examined the usefulness of an 8-week applied problem-solving training program. Specifically, the study examined (a) whether problem-solving training that emphasised self-management principles would be useful, (b) if the effects of training would persist over time, (c) whether an individual difference variable (problem-solving appraisal) would affect training outcomes, and (d) whether the cognitive responses of the subjects during the course of training were related to their problem-solving appraisal or the change process. Results indicated that problem solving training was effective at enhancing students’ problem-solving appraisal, and that the self-report changes were maintained at a 1 year follow-up. In particular, training seemed most useful for students who initially appraised their problem solving very negatively. Finally, the results suggested that the process-oriented cognitive responses were related to students' initial problem-solving self-appraisal as well as the impact of training. Implications of the results are discussed in terms of counselling interventions, problem solving training, the interpersonal influence process, and future research.     

The impact of receiving a positive HIV antibody test: Factors associated with the response

In a recent interview study 265 gay men who were HIV postive were asked about their views and experiences of a whole range of health, social and voluntary services. Included in the interview were questions related to the experience of receiving a positive test result and their reaction to being given a diagnosis.The nature of people's reactions to being told they were positive were complex and in spite of making an intellectual adjustment, the reality of hearing the news was often quite different. There appear to be close parallels in the ways people react to hearing news about their HIV status and other disease categories. Satifaction with the way the result was communicated and the sufficiency of information available at different times were associated with the way people responded, as was how long people had to wait for their result once the blood had been taken.The process of HIV antibody testing provides and opportunity to identify possible interventions to promote adaptation to a stressful medical event.