Social Support and Its Relation to Health: A Critical Evaluation

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Abstract
Issues and problems related to the view that social support can moderate or reduce the adverse effects of stress on mental and physical health are discussed. Conceptual, methodological, and theoretical shortcomings of this body of research are presented. Research attention is directed toward the interactive process between provider and recipient of social support. Identification of factors involved in the receipt and offering of social support is essential for theory development. Recognition of individual differences in the giving, as well as taking, of social support is needed. The possibility is raised that the persistent belief in the power of social support to reduce stress, despite lack of convincing data, reflects a form of bias due to strong expectancies.

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