{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T03:46:35Z","timestamp":1790912795579,"version":"4.1.0"},"reference-count":69,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Ohio Board of Regents Research Incentive Program"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The present study was designed to assess the interplay between depressive cognition, coping\u2010oriented substance use, and future behavioral disengagement tendencies. Cognitive risk subtypes examined include brooding rumination, attributional bias (internal\/stable\/global), and dysfunctional attitudes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Individuals were recruited from outpatient treatment settings and met criteria for a unipolar depressive disorder (<jats:italic>N<\/jats:italic>\u2009=\u200970; 66% female; 81% White; <jats:italic>M<\/jats:italic><jats:sub>age<\/jats:sub>\u2009=\u200931; <jats:italic>SD<\/jats:italic><jats:sub>age<\/jats:sub>\u2009=\u200913.2). Participants completed self\u2010report measures of brooding rumination, attributional style, dysfunctional attitudes, coping\u2010oriented substance use, and behavioral disengagement tendencies following a 3\u2010week period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Brooding rumination, stable attributional style, and dysfunctional attitudes were positively associated with later behavioral disengagement tendencies. Coping\u2010oriented substance use moderated associations between both internal attributional style, as well as dysfunctional attitudes onto later behavioral disengagement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>With regard to stress\u2010related avoidance, subsyndromal substance use may play a detrimental role among cognitively vulnerable, depressed outpatients when said drug or alcohol use serves as a means of coping.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.22978","type":"journal-article","created":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T10:51:13Z","timestamp":1591008673000},"page":"2249-2263","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Cognitive risk, coping\u2010oriented substance use, and increased avoidance tendencies among depressed outpatients: A prospective investigation"],"prefix":"10.1002","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2747-345X","authenticated-orcid":false,"given":"Luke F.","family":"Heggeness","sequence":"first","affiliation":[{"name":"Department of Psychological Sciences Kent State University  Kent Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian A. L.","family":"Bean","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences Kent State University  Kent Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Kalmbach","sequence":"additional","affiliation":[{"name":"Thomas Roth Sleep Disorders &amp; Research Center Henry Ford Health System  Detroit Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey A.","family":"Ciesla","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences Kent State University  Kent Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.96.2.358"},{"key":"e_1_2_6_3_1","first-page":"142","volume-title":"The Oxford handbook of mood disorders","author":"Alloy L. B.","year":"2017"},{"key":"e_1_2_6_4_1","first-page":"318","volume-title":"The psychology of depression: Contemporary theory and research","author":"Beck A. T.","year":"1974"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745691613504116"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.104.3.431"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2006.12.019"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01420597"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2010.10.001"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327558ijbm0401_6"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/1528-3542.4.1.3"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11031-006-9044-7"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0306-4522(98)00472-2"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-011-9355-1"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2011.01.018"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/emo0000646"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.101.3.393"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2017.07.006"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2011.11.002"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699931.2016.1146123"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0037563"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466505X35137"},{"key":"e_1_2_6_23_1","unstructured":"Gibbon M. Spitzer R. L. Benjamin L. S. &First M. B.(2019). Structured clinical interview for DSM\u20105 (SCID\u20105)."},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agr018"},{"key":"e_1_2_6_25_1","volume-title":"Handbook of depression","author":"Gotlib I. H.","year":"2008"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.clinpsy.121208.131305"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1521\/jscp.2013.32.8.878"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/1047840X.2015.989751"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2007.12.001"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-009-9259-5"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.88.4.673"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2018.09.019"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.73.4.658"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2006.03.006"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/2167702614553789"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1521\/jscp.2015.34.4.304"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1018709212986"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2016.07.007"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.2002.63.363"},{"key":"e_1_2_6_40_1","unstructured":"Klein J. L.(1998). Attributional style and alcoholic relapse.Dissertation Abstracts International Section B 58(1998) 4454."},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.75.1.5"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201300399"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.65.2.339"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.77.5.1041"},{"key":"e_1_2_6_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2014.05.018"},{"key":"e_1_2_6_46_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.97.1.76"},{"key":"e_1_2_6_47_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191114524272"},{"key":"e_1_2_6_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2006.03.003"},{"key":"e_1_2_6_49_1","doi-asserted-by":"publisher","DOI":"10.1891\/jcop.16.4.391.52526"},{"key":"e_1_2_6_50_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.61.1.115"},{"key":"e_1_2_6_51_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.116.1.198"},{"key":"e_1_2_6_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745-6924.2008.00088.x"},{"key":"e_1_2_6_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2010.08.002"},{"key":"e_1_2_6_54_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.116.3.475"},{"key":"e_1_2_6_55_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-006-9048-3"},{"key":"e_1_2_6_56_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01173577"},{"key":"e_1_2_6_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2011.09.011"},{"key":"e_1_2_6_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2010.03.002"},{"key":"e_1_2_6_59_1","doi-asserted-by":"publisher","DOI":"10.3109\/00952998709001501"},{"key":"e_1_2_6_60_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2006.01592.x"},{"key":"e_1_2_6_61_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-008-9233-9"},{"key":"e_1_2_6_62_1","doi-asserted-by":"publisher","DOI":"10.1300\/J069v15n02_02"},{"key":"e_1_2_6_63_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781315536255-4"},{"key":"e_1_2_6_64_1","volume-title":"The mindful way through depression: Freeing yourself from chronic unhappiness","author":"Teasdale J. D.","year":"2007"},{"key":"e_1_2_6_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2011.07.007"},{"key":"e_1_2_6_66_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1023910315561"},{"key":"e_1_2_6_67_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2014.01.003"},{"key":"e_1_2_6_68_1","unstructured":"Weissman A. N. &Beck A. T.(1978). Development and validation of the Dysfunctional Attitude Scale: A preliminary investigation."},{"key":"e_1_2_6_69_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0030923"},{"key":"e_1_2_6_70_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2010.12.020"}],"container-title":["Journal of Clinical Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjclp.22978","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.22978","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jclp.22978","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.22978","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T20:29:27Z","timestamp":1693859367000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jclp.22978"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6]]},"references-count":69,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1002\/jclp.22978"],"URL":"https:\/\/doi.org\/10.1002\/jclp.22978","archive":["Portico"],"relation":{},"ISSN":["0021-9762","1097-4679"],"issn-type":[{"value":"0021-9762","type":"print"},{"value":"1097-4679","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6]]},"assertion":[{"value":"2020-06-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}