Digital Commons Network^™

The Whole Is Greater Than The Sum Of Its Parts: The Social Support Exchange Process, Rifky Tkatch

Wayne State University Dissertations

Social support is a dyadic exchange process that yields many psychological and physiological health benefits. The goal of this study was to examine the effects of the support exchange process from a dyadic perspective on health outcomes and to investigate the extent that gender and relationship characteristics influence the support process and health outcomes. It was hypothesized that female patients would report seeking more support and male patients would report receiving more support. In addition, it was expected that patient seeking support would be associated with both partner provision and patient receipt of support. It was also hypothesized that patients' …

The Experience Of Chronic Pain As Described By African American Indigent Adults Attending An Urban Primary Care Clinic, Jamie Alexandra Crawley

Wayne State University Dissertations

Background: Inadequate chronic pain control has far-reaching implications including costs for missed time at work; utilization of health care resources and reduced quality of life. People at highest risk for inadequate pain control include indigent adults and minorities. Newman's theory health as expanding consciousness views the chronic pain experience as a life pattern within health. Qualitatively examining chronic pain from participants' perspectives may improve chronic pain care.

Purpose: The purpose of this study was to examine the experiences of chronic pain as described by African American indigent adults attending an urban, primary care clinic.

Methods: 13- participants (7 men and …