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Updated: Jun 24, 2026

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Impact of social support and self-efficacy on functioning in depressed older adults with chronic obstructive
Patricia Marino1, Jo Anne Sirey, Patrick J Raue
1Department of Psychiatry, Weill Medical College of Cornell University, 21 Bloomingdale Road,White Plains, NY 10605, USA. pam2029@med.cornell.edu
Objective:
The objective of this study was to examine the association between social support, self-efficacy, and functioning among a sample of depressed older adults with chronic obstructive pulmonary disease (COPD).
Methods:
Participants were recruited immediately following admission to an acute pulmonary rehabilitation unit of a rehabilitation hospital. One hundred and fifty-six subjects completed assessments of depression, functioning, social support, and self-efficacy at admission to the rehabilitation unit. Regression analyses were conducted to evaluate the impact of different aspects of social support and self-efficacy on overall functioning at admission.
Results:
Controlling for depression, COPD severity, and age, subjective social support (p = 0.05) and self-efficacy (p < 0.01) were associated with overall functioning.
Conclusion:
The perception of social support as well as self-efficacy are important constructs related to overall functioning among depressed older adults with COPD. Attention to these psychosocial variables in health management interventions may help maintain or improve the overall functioning of depressed COPD patients.
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