OBJECTIVES: To determine the relationship between two psychological factors ( @entity308 and low functional self-efficacy) and the occurrence of disabling @entity4512 in community-dwelling older @entity1 . DESIGN: A 12-month prospective cohort study. SETTING: Community-based. @entity1 : Two hundred twenty-six community-dwelling @entity1 residing in the greater New Haven, Connecticut, region, aged 70 and older, who had a history of clinically evident @entity4512 and were independent in bathing, walking, dressing, and transferring. MEASUREMENTS: Levels of @entity308 and functional self-efficacy were determined during a comprehensive baseline assessment along with information regarding @entity1 ' demographic, medical, and physical/cognitive status. The occurrence of disabling @entity4512 , defined as staying in bed for at least one-half day or cutting down on one's usual activities due to @entity615 , was ascertained during monthly interviews. RESULTS: The mean number of months of disabling @entity4512 , adjusted for baseline covariates, increased from the lowest to the highest quartile of @entity308 : 1.2 (95% confidence intervals = 0.8-1.7), 1.4 (1.0-2.0), 2.0 (1.5-2.8), 2.3 (1.7-3.1), respectively, P for trend =.002. The corresponding results for functional self-efficacy were (from highest to lowest quartile) 1.4 (1.0-2.0), 1.6 (1.2-2.2), 1.6 (1.2-2.2), 2.2 (1.6-3.0), P for trend =.068. There was no interaction between @entity308 and functional self-efficacy. CONCLUSION: @entity308 and, to a lesser extent, low functional self-efficacy were each associated with the occurrence of disabling @entity4512 among community-dwelling older @entity1 .

The relationship between @entity4512 in community-dwelling older XXXX .

@entity4512 :: ('MESH:D059352', 'Disease') :: ['musculoskeletal pain'] @entity1 :: ('9606', 'Species') :: ['participants', 'PARTICIPANTS', 'persons'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depressive symptoms', 'Depressive symptoms'] @entity615 :: ('MESH:D001416', 'Disease') :: ['joint or back pain']
@entity1 :: (9606,Species) :: ['persons']
