Skip to main content

Advertisement

Log in

Confidant Relations Among Taiwanese: Implications for Ethnic Chinese Health Care Treatment

  • Published:
Current Psychology Aims and scope Submit manuscript

Abstract

The select individual(s) whom one trusts in sharing important personal matters is sometimes referred to as a confidant. The confidant relationship has received increasing attention in recent years as a major social factor contributing to individual health and wellness. Yet, little empirical data has been available to guide health researchers, policy-makers, and practitioners. In this study, 142 adult Taiwanese responded to a structured questionnaire. Participants comprised 105 females, 32 males, and five with sex unspecified (overall mean age = 33.8, age range = 18 to 74 years). They were asked whether they had a confidant, and if so, to describe various features of this relationship. Contrary to previous studies conducted in Europe and the Americas, our investigation found that Taiwanese men were equally likely as Taiwanese women to have a confidant (87.5 % of males and 89.5 % for females). Taiwanese women were significantly more likely to have a female rather than a male confidant, whereas males showed no such sex difference. A significantly higher percentage of confidants were non-family members rather than spouses or other immediate/extended family members. This finding is consistent with research on the relatively minor salience of emotional intimacy in Taiwanese marriages and the hierarchical structures of many Taiwanese families. The implications of our findings for enhancing Taiwanese and broader ethnic Chinese health treatment are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Adler, A. (1930). The education of children. Translated by Eleanor and Friedrich Jensen. New York: Greenberg.

  • Adler, A. (1938). Social interest: A challenge to mankind. Translated by J. Linton and R. Vaughn. London: Faber and Faber.

  • Aristotle. (2011). Aristotle’s Nicomachean ethics (R.C. Bartlett and S.D. Collins, Trans.). Chicago: University of Chicago Press.

    Google Scholar 

  • Bagwell, C. L., Schmidt, M. E., Newcomb, A. F., & Bukowski, W. M. (2001). Friendship and peer rejection as predictors of adult adjustment. New Directions for Child and Adolescent Development, 2001(91), 25–50. doi:10.1002/cd.4.

    Article  Google Scholar 

  • Baron-Cohen, S., & Wheelwright, S. (2004). The empathy quotient: an investigation of adults with Asperger syndrome or high functioning autism, and normal sex differences. Journal of Autism and Developmental Disorders, 34, 163–185.

    Article  PubMed  Google Scholar 

  • Benenson, J. F., & Koulnazarian, M. (2008). The greater fragility of females’ versus males’ closest same-sex friendships. British Journal of Developmental Psychology, 26, 163–169. doi:10.1111/bjdp.2008.26.issue-2/issuuetoc.

    Article  Google Scholar 

  • Chen, F., & Li, T. (2007). Marital enqing: an examination of its relationship to spousal contributions, sacrifices, and family stress in Chinese marriages. Journal of Social Psychology, 147(4), 393–412.

    Article  PubMed  Google Scholar 

  • Clark, M. S., & Reis, H. T. (1988). Interpersonal processes in close relationships. Annual Review of Psychology, 39, 609–672. doi:10.1146/annurev.ps.39.020188.003141.

    Article  PubMed  Google Scholar 

  • Compton, W. C., & Hoffman, E. (2012). Positive psychology: The science of happiness and flourishing. Davis, CA: Cengage.

    Google Scholar 

  • Dickens, C. (2004). Depressive disorder and lack of a close confidant are associated with younger age at first MI. Journal of Psychosomatic Research, 56(6), Abstracts, p. 636. doi:10.1016/j.jpsychores.2004.04.243.

  • Dindia, K., & Allen, M. (1992). Sex differences in self-disclosure: a meta-analysis. Psychological Bulletin, 112, 106–124. doi:10.1037/0033-2909.112.1.106.

    Article  PubMed  Google Scholar 

  • Fitzpatrick, J., Liang, S., Feng, D., Crawford, D., Sorell, G. T., & Morgan-Fleming, B. (2006). Social values and self-disclosure: a comparison of Chinese native, Chinese resident (in U.S.) and North American spouses. Journal of Comparative Family Studies, 37(1), 113–127.

    Google Scholar 

  • Garland, A. F., & Zigler, E. F. (1994). Psychological correlates of help-seeking attitudes among children and adolescents. The American Journal of Orthopsychiatry, 64, 586–593. doi:10.1037/h0079573.

    Article  PubMed  Google Scholar 

  • Hartup, W. W. (1996). The company they keep: friendships and their developmental significance. Child Development, 67(1), 1–13. doi:10.1111/1467-8624.ep9602271141.

    Article  PubMed  Google Scholar 

  • Hartup, W. W., & Stevens, N. (1999). Friendships and adaptation across the life span. Current Directions in Psychological Science, 8(3), 76–79. doi:10.1111/1467-8721.00018.

    Article  Google Scholar 

  • Hoffman, E., Resende, A., Nishimura, M., and Isaacs. J. (in press). Confidant relations among Brazilians: Implications for Latino health care treatment. International Journal of Health, Wellness and Society.

  • Hofstede, G. (1980). Culture’s consequences: International differences in work-related values. Beverly Hills CA: Sage Publications.

    Google Scholar 

  • Holt-Lunstad, J., Jones, B. Q., & Birmingham, W. (2008). The influence of close relationships on nocturnal blood pressure dipping. International Journal of Psychophysiology, 71, 211–217. doi:10.1016/j.ijpsycho.2008.09.008.

    Article  PubMed  Google Scholar 

  • House, J. S., Landis, K. R., & Umberson, D. (1988). Social relationships and health. Science, 241, 540–545. doi:10.1126/science.3399889.

    Article  PubMed  Google Scholar 

  • Huang, K.-Y., & Mujtaba, B. G. (2009). Stress, task, and relationship orientation of Taiwanese adults: an examination of gender in this high-context culture. Journal of International Business and Cultural Studies, 3, 1–12.

    Google Scholar 

  • Hupcey, J. E. (1998). Social support: assessing conceptual coherence. Qualitative Health Research, 8, 304–318. doi:10.1177/104973239800080032.

    Article  Google Scholar 

  • Kaplan, B.H., Cassel, J.C., Gore, S. (1977). Social support and health. Medical Care, 15, (5), Supplement: Issues in Promoting Health Committee, Reports of the Medical Sociology Section of the American Sociological Association, 47–58. http://www.jstor.org/stable/376353.

  • Kirby, J. S., Baucom, D. H., & Peterman, M. A. (2005). An investigation of unmet intimacy needs in marital relationships. Journal of Marital and Family Therapy, 31(4), 313–325. doi:10.1111/j.1752-0606.2005.tb01573.x.

    Article  PubMed  Google Scholar 

  • Ladd, G. W., & Troop-Gordon, W. (2003). The role of chronic peer difficulties in the development of children’s psychological adjustment problems. Child Development, 74(5), 1344–1367. doi:10.1111/1467-8624.00611.

    Article  PubMed  Google Scholar 

  • Li, T., & Chen, F. (2002). Affection in marriage: a study of marital enqing and intimacy in Taiwan. Journal of Psychology in Chinese Societies, 3(1), 37–59.

    Google Scholar 

  • MacLean, R. (2005). For young Mexican men, having a confidant raises the odds of condom use. International Family Planning Perspectives, 31, 1, unpaginated.

    Google Scholar 

  • Maimonides, M. (2004). The guide for the perplexed. (M. Friendlander, Trans.). New York: Barnes and Noble.

  • Markus, H. R., & Kitayama, S. (1991). Culture and the self: implications for cognition, emotion, and motivation. Psychological Review, 98, 224–253. doi:10.1037/0033-295X.98.2.224.

    Article  Google Scholar 

  • Mirgain, S. A., & Cordova, J. V. (2007). Emotion skills and marital health: the association between observed and self-reported emotion skills, intimacy, and marital satisfaction. Journal of Social and Clinical Psychology, 26(9), 983–1009. doi:10.1521/jscp.2007.26.9.983.

    Article  Google Scholar 

  • Nomaguchi, K. M. (2008). Gender, family structure, and adolescents’ primary confidant. Journal of Marriage and the Family, 70, 1213–1227.

    Article  Google Scholar 

  • Panayiotou, G. (2005). Love, commitment, and response to conflict among Cypriot dating couples: two models, one relationship. International Journal of Psychology, 40, 108–117. doi:10.1080/00207590444000230.

    Article  Google Scholar 

  • Seligman, M. E. P. (2002). Authentic happiness. New York: Free Press.

    Google Scholar 

  • Seligman, M. E. P. (2011). Flourish: A visionary new understanding of happiness and well-being. New York: Free Press.

    Google Scholar 

  • Surtees, P. G., Wainwright, N. W. J., & Khaw, K. T. (2004). Obesity, confidant support, and functional health: cross-sectional evidence from the EPIC-Norfolk cohort. International Journal of Obesity and Related Metabolic Disorders, 28, 748–758. doi:10.1038/sj.ijo.0802636.

    Article  PubMed  Google Scholar 

  • Tang, C. S. K. (1999). Wife abuse in Hong Kong Chinese families: a community survey. Journal of Family Violence, 14(2), 173–191. doi:10.1023/A:1022028803208.

    Article  Google Scholar 

  • Thomas, S. P. (1997). Women’s anger: relationship of suppression to blood pressure. Nursing Research, 46(6), 324–330.

    Article  PubMed  Google Scholar 

  • Thomas, S. P., Smucker, C., & Droppelman, P. (1998). It hurts most around the heart: a phenomenological exploration of women’s anger. Journal of Advanced Nursing, 28(2), 311–322. doi:10.1046/j.1365-2648.1998.00785.x.

    Article  PubMed  Google Scholar 

  • Turner, H. A. (1994). Gender and social support: taking the bad with the good? Sex Roles: A Journal of Research, 30(7–8), 521–541. doi:10.1007/BF01420800.

    Article  Google Scholar 

  • Vangelisti, A. L., & Caughlin, J. P. (1997). Revealing family secrets: the influence of topic, function, and relationships. Journal of Social and Personal Relationships, 14, 679–705. doi:10.1177/0265407597145006.

    Article  Google Scholar 

  • Vaswani, N. (2011). Encouraging help-seeking behavior among young men: A literature review. Report for the child protection committee. Glasgow: Glasgow City Council.

  • von dem Knesebeck, O., & Geyer, S. (2007a). Emotional support, education and self-rated health in 22 European countries. BMC Public Health, 7, 1–7. doi:10.1186/1471-2458-7-272.

    Article  Google Scholar 

  • von dem Knesebeck, O., & Geyer, S. (2007b). Emotional support, education and self-rated health in 22 European countries. BMC Public Health, 7, 272. doi:10.1186/1471-2458-7-272.

    Article  Google Scholar 

  • Wainwright, N. W. J., Surtees, D. G., Wareham, N. J., & Harrison, B. D. W. (2007). Psychosocial factors and asthma in a community sample of older adults. Journal of Psychosomatic Research, 62, 357–361. doi:10.1016/j.jpsychores.2006.10.013.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Edward Hoffman.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hoffman, E., Nishimura, M., Isaacs, J. et al. Confidant Relations Among Taiwanese: Implications for Ethnic Chinese Health Care Treatment. Curr Psychol 32, 60–70 (2013). https://doi.org/10.1007/s12144-013-9163-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12144-013-9163-8

Keywords

Navigation