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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)
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)
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 Provider-patient language discordance is related to worse quality care for limited English proficient (LEP) patients who speak Spanish. However, little is known about language barriers among LEP Asian-American patients. OBJECTIVE We examined the effects of language discordance on the degree of health education and the quality of interpersonal(More)
Although negative social exchanges detract from well-being, little is known about the factors that influence older adults' vulnerability to such exchanges. Interpersonal control strivings were examined as predictors of 2 dimensions of vulnerability to negative social exchanges, exposure and reactivity, in a nationally representative sample of older adults(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)
BACKGROUND Racial/ethnic minorities are more likely to report receipt of lower quality of health care; however, the mediators of such patient reports are not known. OBJECTIVES To determine (1) whether racial disparities in perceptions of quality of health care are mediated by perceptions of being discriminated against while receiving medical care and (2)(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)
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)
OBJECTIVE To examine racial/ethnic differences in the prevalence of depressive symptoms and in provider recognition of depression among Latino, Asian, and non-Hispanic white patients with type 2 diabetes. RESEARCH DESIGN AND METHODS Patients (n = 1,209) with type 2 diabetes were recruited from five university-affiliated primary care clinics for an(More)