Not all studies have found the health-related effects of negative exchanges to outweigh those of positive exchanges (e.g, Ryan, Wan, & Smith, 2014; Walen & Lachman, 2000). Some studies also control for depressive symptoms and traits such as neuroticism or hostility (e.g., DeVogli et al., 2007; Sneed & Cohen, 2014), making it unlikely that the effects of negative exchanges are an artifact of participants’ mental health or personality characteristics. Ambivalent social ties, despite being a source of both positive and negative exchanges, also appear to have largely negative effects on health (Rook, Luong, Sorkin, Newsom, & Krause, 2012; Uchino et al. 2012


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