{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T02:46:41Z","timestamp":1782442001557,"version":"3.54.5"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Adjustment disorder (AD) is characterized by disproportionate emotional and behavioural responses to stressors, often leading to significant functional impairment; however, the psychological mechanisms underlying this impairment remain underexplored. This cross\u2010sectional study examined the effects of coping skills and metacognitive beliefs on psychosocial functioning in 83 young male patients (aged 19\u201330\u2009years) diagnosed with AD according to DSM\u20105 criteria. Participants completed the Coping Strategies Questionnaire (CSQ), Metacognitions Questionnaire (MCQ\u201030), Beck Depression Inventory (BDI) and Functioning Assessment Short Test (FAST). Data were analysed using Pearson correlation, multiple linear regression and bootstrap\u2010based mediation analyses. Functional impairment was strongly and positively associated with depression severity (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.459,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.01). Effective coping strategies were negatively associated with functional impairment, whereas biochemical avoidance was positively associated with dysfunction. In multiple regression analyses, depression severity (\n                    <jats:italic>\u03b2<\/jats:italic>\n                    \u2009=\u20090.42,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001) and coping skills (\n                    <jats:italic>\u03b2<\/jats:italic>\n                    \u2009=\u2009\u22120.28,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.010) emerged as significant predictors of functional impairment, whereas metacognitive beliefs were not independently associated with functioning. Mediation analyses indicated that the effect of depression severity on functioning was largely direct; the indirect effect through coping strategies did not reach statistical significance (95% BCa CI [\u22120.004, 0.137]). Due to the cross\u2010sectional design, causal inferences cannot be drawn. These findings suggest that functional impairment in AD is primarily associated with depressive symptoms and maladaptive coping styles, highlighting these domains as potential targets for clinical intervention.\n                  <\/jats:p>","DOI":"10.1002\/cpp.70285","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T14:16:26Z","timestamp":1779459386000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Depression Severity and Coping Styles as Independent Predictors of Functioning in Male Adults With Adjustment Disorder"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4300-0150","authenticated-orcid":false,"given":"Halil\u00a0\u0130brahim","family":"Eren","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Health Sciences, Van Training and Research Hospital  Van T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1108-9437","authenticated-orcid":false,"given":"U\u011fur","family":"Tak\u0131m","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Health Sciences, Erzurum City Hospital  Erzurum T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"issue":"3","key":"e_1_2_11_3_1","article-title":"Reliability and Validity Study of the Turkish Version of Functioning Assessment Short Test in Bipolar Disorder","volume":"23","author":"Aydemir \u00d6.","year":"2012","journal-title":"T\u00fcrk Psikiyatri Dergisi"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.10.034"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327965pli0701_1"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165\u20101781(89)90047\u20104"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1745-0179-5-15"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0887-6185(97)00011-X"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.112.110494"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2014.12.003"},{"key":"e_1_2_11_12_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/bul0000110"},{"key":"e_1_2_11_14_1","volume-title":"Motivational Models of Substance Use","author":"Cooper M. 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