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Negative social exchanges have been more reliably related to psychological health than have positive social exchanges. Little research, however, has sought to understand how underlying appraisal processes link such exchanges to psychological health. This study examined the frequencies of occurrence and appraisals of four parallel domains of positive and(More)
Negative exchanges have been shown to detract from psychological well-being in later life, but little research has investigated how older adults respond to such exchanges. The authors examined older adults' coping responses, goals, and effectiveness following a specific negative social exchange. The findings revealed that participants' coping responses and(More)
Provision of " culturally competent " medical care is one of the strategies advocated for reducing or eliminating racial and ethnic health disparities. This report identifies five domains of culturally competent care that can best be assessed through patients' perspectives: 1) patient–provider communication; 2) respect for patient preferences and shared(More)
Social isolation has been linked to a variety of adverse health outcomes, including cardiovascular disease. Researchers have attributed this association to the feelings of loneliness that accompany social isolation, but they have rarely assessed loneliness directly. In a sample of 180 older adults, feelings of loneliness and two kinds of social deficits(More)
OBJECTIVE This study sought to evaluate the feasibility of a pilot, dyad-based lifestyle intervention, the Unidas por la Vida program, for improving weight loss and dietary intake among high-risk Mexican American mothers who have Type 2 diabetes and their overweight/obese adult daughters. METHOD Mother-daughter dyads (N = 89) were recruited from two(More)
BACKGROUND Asian Americans represent a mix of cultures and immigration experiences, which may put them differentially at risk for mental health problems. Yet, little is known about the mental health needs of older adults from various Asian subgroups compared to non-Hispanic whites. OBJECTIVES To compare the prevalence rates of mental distress of Chinese,(More)
Little is known about the unmet mental health needs of minority older adults. Racial and ethnic differences in the prevalence rates of psychological distress and reported need and use of mental health services were examined in a population-based sample of older adults using the 2005 California Health Interview Survey. The sample comprised 16,974 people aged(More)
This study examined the effects on older adults' psychological health of participation in a volunteer role that afforded opportunities to form friendships with age peers and to express nurturance toward another person. Access to these important social provisions was expected, in turn, to contribute to greater self-esteem, less loneliness, and less(More)
Language-related communication barriers between minority patients and their physicians may contribute to racial and ethnic disparities in mental health care. Accordingly, the current study sought to examine whether perceived mental health needs and discussion of these needs differed as a function of race or ethnicity and language concordance in older(More)
BACKGROUND : Among patients with limited English-language proficiency (LEP), provider-patient language discordance is related to lower patient satisfaction. However, little is known about how language barriers are associated with specific patient experiences, and how these experiences in turn may influence patient satisfaction. OBJECTIVE : To evaluate the(More)