The purpose of this study is to estimate the relationship between receiving emotional support from parents early in life and an individual's health in adulthood. Analysis of data from a nationally representative sample of adults ages 25-74 years suggests that a lack of parental support during childhood is associated with increased levels of depressive symptoms and chronic conditions in adulthood. These associations between early parental support and adult health persist with increasing age throughout adulthood. Personal control, self-esteem, and social relationships during adulthood account for a large portion of these long-term associations. These findings underscore the importance of adopting a life course perspective in studying the social determinants of health among adults.

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This study tested various models of the effects of positive and negative exchanges on positive and negative affect using structural equation modeling. Based on a probability sample of middle-aged and older adults, the relationships between social exchanges and psychological well-being were examined both within the total sample and within subgroups of individuals who had experienced few vs many life events. Within the general population, the Domain Specific Model resulted in the best fit. That is, positive exchanges were associated with positive affect, and negative exchanges were associated with negative affect. However, among the subgroup that had experienced more life events, there was a significantly stronger relationship between negative exchanges and negative affect. These findings suggest that, to understand the effects of social exchanges, it is important to consider the context of life events.

Using a social exchange perspective and data from a national sample of 978 spouse and child caregivers of older family members, this study assessed the association between caregiver relationship and gender and the costs and rewards of caregiving. We also evaluated whether relationship and gender moderate the effects of helpfulness on caregiver costs and rewards. Results supported the hypotheses that women, whether wives or daughters, experience more caregiving costs than do men, and that adult children experience more rewards than do spousal caregivers. In addition, care recipient helpfulness was associated with greater increases in rewards for spousal caregivers than for adult children caregivers.

Gender and relationship differences in caregiving (i.e., for a spouse, parent, parent-in-law, other relative, or friend) are investigated among a sample of employed caregivers (N = 2,174). No gender differences were found in the provision of 7 of 13 caregiving tasks, but women devoted more time and were more likely to be primary caregivers. After controlling for other key variables, relationship added modestly to the ability to predict all five measures of caregiving consequences, and gender further added nominally to the ability to predict three of the measures. The findings lend support to the gender-role socialization hypothesis (Miller & Cafasso, 1992) and suggest the targeting of services to caregivers of spouses and parents, especially female caregivers.

The purpose of this study is twofold: (a) To see whether religious doubt is related to psychological well-being and (b) to test for age differences in the relationship between these constructs. The data come from a national sample of Presbyterians. The findings suggest that doubt is associated with greater psychological distress and diminished feelings of well-being. Moreover, the results reveal that the deleterious effects of doubt are greater for younger than for older people. Implications for practice with adults across the life span are suggested.

This study focused on the perception of reciprocal and nonreciprocal support within the natural support network of family and friends. Data from a national probability sample of 718 middle-aged and older adults were examined. Hypotheses based on equity theory were developed to test the effect of perceived reciprocated versus nonreciprocated confiding and sick care vis-à-vis spouse, children, and friends. Initial results indicated that the modal response for all age groups was reciprocated confiding and sick care. However, a closer examination revealed a complex pattern of the extent and effects of perceived support when considering different relationships. These findings are discussed within a life-course perspective with individuals providing and receiving support over time.

OBJECTIVE -To examine the relationships among cognitive representations of diabetes, diabetes-specific health behaviors, and quality of life using Leventhal and Diefenbach' s self-regulation model of illness (Leventhal H, Diefenbach M: The active side of illness cognition. In Mental Representation in Health and Illness. Skelton JA, Croyle RT, Eds. New York, Springer-Verlag, 1991, p. 247-272).RESEARCH DESIGN AND METHODS -This research involved secondary analysis of a mailed survey completed by 296 adults (ages 20-90 years). Structural equation modeling was conducted to investigate relationships among cognitive representations, diabetes-specific health behaviors, and quality of life. Model differences by diabetes type were also investigated.RESULTS -Findings indicated that certain cognitive representation constructs were related to increased diabetes-specific health behaviors, decreased sense of burden, and positive quality-of-life outcomes. Individuals' levels of understanding of diabetes and their perceptions of control over diabetes were the most significant predictors of outcomes. However, diabetes-specific health behaviors were related to an increased sense of burden that was negatively associated with quality of life. Multigroup analyses indicated that this self-regulatory model provided a good fit for individuals with type 1 diabetes, those with type 2 diabetes who take insulin, and those with type 2 diabetes who do not take insulin.CONCLUSIONS -These findings advance what is known about cognitive representations of illness and the self-regulation of diabetes as well as the relationships between cognitive representations of illness, quality of life, and behavioral factors. In particular, results from this study suggest the need for further study to address ways of reducing the burden of diabetes associated with health behaviors and decreased quality of life.