The sparse evidence regarding interventions to introduce or improve palliative care for surgical patients is further limited by methodologic flaws. Rigorous evaluations of standardized palliative care interventions measuring meaningful patient outcomes are needed.

Because adult Korean-born adoptees have unique experiences, the factors that contribute to their psychological well-being need to be studied separately from both Caucasian and Korean Americans. In this Internet-based study with 83 adult Korean-born adoptees in the United States, both ethnic identity and adjustment to adoption (considered a component of adoptive identity) were expected to predict psychological well-being. Results supported predictions: Each measure of psychological well-being (personal growth, self-acceptance, and positive relationships with others) was affected by the predictive variables in unique ways. Cultural socialization experiences also were related to personal growth, but this association was fully mediated by strength of ethnic identity. Implications for adoptive parents and counselors are discussed.

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