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.     

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.     

A Projection Caliper for Measuring at a Distance

(Frankl, Viktor E. The Doctor and the Soul. New York: Knopf, 1955. Pp. 280.) Reviewed by Robert M. Allen.     

Religion and the Human Rights Idea

Three recent books focus, in different ways, on the idea of human rights and its relation to religion and religious ethics. All three books discussed here address criticisms of the human rights idea and seek to establish the relationship of religion and human rights with regard to the field of policy. The present discussion begins with an overview that places these three books in the larger context of the development of the human rights idea and its historical relationship with religion. It then turns to Little's book, next to the collection of essays edited by Twiss, Simion, and Petersen, which is described internally as a Festschrift for Little, and then to Hogan's book, and in the final section it explores comparisons among the books.     

Attempted suicide in youth: Its relationship to school achievement,educational goals,and socioeconomic status

Twenty-six suicide attempters, 9 to 18 years of age, were compared with 725 nonattempters on measures of school achievement, educational goals, socioeconomic status, and depression. As has been found in studies using clinical samples, suicide attempters in our communitybased sample had significantly lower school achievement than nonattempters. The relationship between attempted suicide and low school achievement seemed to be explained by the effects of depression. Lower-SES youth tended to be more likely to attempt suicide than higher-SES youths. However, SES appeared to have little effect on the relationship between attempted suicide and school achievement. Results also suggest that children of mothers with low educational goals for them may be more at risk for attempted suicide than youths whose mothers have higher educational goals for their children.This research was supported by the National Institute of Mental Health, Grant No. MH36971.     

Subject knowledge of the Experimenter''s interest in handedness and familial sinistrality variables and laterality test outcomes

We investigated the possible influence of common "demand characteristics" on the results on behavioral language laterality tasks. The demand characteristics were (1) whether Ss were or were not recruited for study according to their handedness, and (2) whether a detailed familial sinistrality inquiry was conducted before or after the tasks. Tasks were the Dichotic Consonant Vowel Task (DCVT) and the Bilateral Object Naming Latency Task (BONLT). Results showed no effect of demand characteristics on the BONLT. On the DCVT, however, prior inquiry regarding familial sinistrality was associated with significantly reduced right ear advantages (REAs). Interactions showed that the greatest reduction in REAs occurred in Ss with left-handedness in their families, who were asked about familial sinistrality prior to the tasks, who took the DCVT after the BONLT, and who were also recruited by handedness. Results, though generally reassuring regarding the robustness of the tasks against these sources of bias, raise some cautions for the DCVT.     

Confidence in judgments based on incomplete information: An investigation using both hypothetical and real gambles

This study assessed how confidence in judgments is affected by the need to make inferences about missing information. Subjects indicated their likelihood of taking each of a series of gambles based on both probability and payoff information or only one of these sources of information. They also rated their confidence in each likelihood judgment. Subjects in the Explicit Inference condition were asked to explicitly estimate the values of missing information before making their responses while subjects in the Implicit Inference condition were not. The manner in which probability information was framed was also manipulated. Experiment 1 employed hypothetical gambles and Experiment 2 employed gambles with real money. Expressed likelihood of taking gambles was higher when probability was phrased in terms of '% chance of winning' rather than '% chance of losing', but this difference was somewhat less with real gambles than with hypothetical gambles. Confidence ratings in each experiment were actually higher on incomplete information trials than on complete information trials in the Explicit Inference condition. Results were related to the general issue of confidence in judgments.     

Attitudes toward older and younger adults: a meta-analysis

Attitudes toward the elderly have been examined in a number of empirical studies, yet the question of whether the elderly are viewed more negatively than younger persons has not been resolved. A meta-analysis of the literature was conducted to examine this question; results demonstrated that attitudes toward the elderly are more negative than attitudes toward younger people. However, smaller differences between the evaluations of elderly and younger targets were found when (a) the study used measures of personality traits (compared with measures of competence), (b) there were a larger number of dependent measures included in the effect size, (c) specific information was provided about the target person (compared with when a general target such as old person was used), and (d) a between-subjects design (compared with a within-subjects design) was used. These results support Lutsky's (1981) conclusion that age, in and of itself, seems to be less important in determining attitudes toward the elderly than other types of information. The methodological limitations within the literature and a need to consider multiple components of attitudes toward older individuals are discussed.     

Life event categories differentially predict psychopathology symptom levels.

The present study used a prospective design to investigate whether eight categories of daily negative life events or "hassles" differentially predict psychopathology levels, and/or changes in psychopathology levels over 1 month in a mixed-sex, nonclinical sample of undergraduate subjects. Hassles were assessed using the Revised Hassles Scale (HS-R; DeLongis, 1985); psychopathology was assessed using the Hopkins Symptom Checklist (SCL-90; Derogatis, Lipman, & Covi, 1973) on two occasions, separated by 1 month. Scores on all eight HS-R subscales predicted Time 2 scores on most or all of the SCL-90 psychopathology scales. However, the magnitudes of these correlations varied widely, indicating that these subscales may be substantially different in their abilities to predict psychopathology levels.