The role of social support in anxiety for persons with COPD
Open accessAbstract
Objective This study examined the contribution of perceived social support to the presence of anxiety in persons with chronic obstructive pulmonary disease (COPD).Methods A cross-sectional survey sample of 452 persons with COPD (61.3% female; 53.5% older than 65; 70.8% without a college degree or higher educational achievement, and 54.8% with household income of $40,000 or less) completed a telephone survey. Measures included the anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A), 5 social support subscales from the Positive and Negative Social Exchanges (PANSE) Scale, a COPD Severity Score (CSS; a weighted algorithmic combination of symptoms and the need for various COPD medical interventions), and the Geriatric Depression Scale, Short Form (GDS-SF). Zero order correlations and a series of multiple regression analyses were calculated.Results Multiple regression analysis revealed that the receipt of instrumental support, feeling let down by the failure of others to provide needed help, and unsympathetic or insensitive behavior from others each positively predicted a higher level of patient anxiety in COPD patients, after controlling for demographic variables, smoking status, comorbid depression (GDS) and severity of illness (CSS). Additionally, the control variable of depression was the strongest predictor of anxiety, suggesting a high degree of co-morbidity in this sample.Conclusion Anxiety and depression are serious co-morbid mental health concerns for persons with COPD. It is important to examine both positive and negative aspects of perceived social support for COPD patients and how they may impact or interact with these mental health concerns.
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Co-morbid depression is a strong predictor of anxiety, which confounds anxiety symptoms making treatment more difficult.
“Indeed, co-morbid depression is known to be a strong predictor of anxiety (DiNicola 2013), which confounds anxiety symptoms making treatment more difficult (Atlantis 2013).”
From Psychological therapies for the treatment of anxiety disorders in chronic obstructive pulmonary disease (2017) · cites this paper as DiNicola 2013
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- Authors
- DiNicola, G., Julian, L., Gregorich, S. E., Blanc, P. D., & Katz, P. P.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Katz, Patricia P.
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2013-02
- Volume
- 74
- Issue
- 2
- Pages
- 110-115
- ISSN
- 0022-3999 (ISSN-L)
- PMC
- PMC3552252
- OpenAlex
- W2032278144
- Cited by
- 58
- References
- 55
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 3 · 2023: 5 · 2022: 4 · 2021: 5 · 2020: 5 · 2019: 4 · 2018: 6 · 2017: 2 · 2016: 5 · 2015: 7 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 3.09
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01 HL07438)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- chronic obstructive pulmonary disease, anxiety, perceived social support, instrumental support, depression, comorbidities, COPD severity, mental health, older adults
- MeSH terms
- Aged, Anxiety, Cross-Sectional Studies, Depression, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Severity of Illness Index, Smoking, Social Support, Pulmonary Disease, Chronic Obstructive
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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