{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T18:24:15Z","timestamp":1782584655090,"version":"3.54.5"},"reference-count":61,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:00:00Z","timestamp":1777766400000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"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"}],"funder":[{"DOI":"10.13039\/100015606","name":"Wyeth Pharmaceuticals","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015606","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003246","name":"Nederlandse Organisatie voor Wetenschappelijk Onderzoek","doi-asserted-by":"publisher","award":["016.Veni.195.2156806"],"award-info":[{"award-number":["016.Veni.195.2156806"]}],"id":[{"id":"10.13039\/501100003246","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Personality &amp;amp; Mental Health"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Research on the significance of comorbid personality disorders (PD) on the outcome of depression treatment has shown inconsistent findings. In addition, it is still unclear whether treatment choice based on personality traits and coping can enhance the efficacy of depression treatment. Aiming to deliver clinically representative results, we use dimensional measures to examine avoidant personality and coping as moderators for the efficacy of cognitive\u2013behavioral therapy (CBT) versus short\u2010term psychodynamic psychotherapy (STPP) for depression. Furthermore, we explored whether these depression treatments reduced avoidant personality traits and coping. Included were 265 patients with major depressive disorder who received 16\u2010week CBT or STPP in a randomized clinical trial. Depression, avoidant personality traits, and avoidant coping were measured with, respectively, the Hamilton Depression Rating Scale, NEO Five Factor Inventory (extraversion and neuroticism subscales), and Utrecht Coping List (avoidance subscale). Multilevel regression analyses estimated the moderating effects of avoidant personality traits and avoidant coping on the relationship between treatment type and depressive symptom change, as well as changes in avoidant personality traits and avoidant coping in CBT and STPP. Avoidant personality traits and avoidant coping did not moderate the efficacy of CBT and STPP. Both treatments resulted in significant reductions in avoidant personality traits, but not in coping. Both CBT and STPP can be offered to patients with avoidant personality traits and avoidant coping and can reduce avoidant personality traits.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Trial Registration:<\/jats:bold>\n                    ISRCTN31263312 (\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.controlled-trials.com\">http:\/\/www.controlled\u2010trials.com<\/jats:ext-link>\n                    ).\n                  <\/jats:p>","DOI":"10.1002\/pmh.70081","type":"journal-article","created":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:51:37Z","timestamp":1777852297000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Avoidant Personality Traits and Avoidant Coping in Cognitive\u2013Behavioral Therapy vs. Short\u2010Term Psychodynamic Psychotherapy for Adult Depression"],"prefix":"10.1002","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4107-0090","authenticated-orcid":false,"given":"Saskia","family":"de Bruin","sequence":"first","affiliation":[{"name":"Pro Persona Mental Health Care  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5213-6426","authenticated-orcid":false,"given":"Pauline L.","family":"Herrmann","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Psychotherapy and Psychoanalysis, Institute for Psychology Klagenfurt University  Klagenfurt Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack J. M.","family":"Dekker","sequence":"additional","affiliation":[{"name":"Faculty of Behavioural and Movement Sciences Vrije Universiteit Amsterdam  Amsterdam the Netherlands"},{"name":"Arkin Mental Health Care  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaap","family":"Peen","sequence":"additional","affiliation":[{"name":"Arkin Mental Health Care  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henricus L.","family":"Van","sequence":"additional","affiliation":[{"name":"Arkin Mental Health Care  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Don","sequence":"additional","affiliation":[{"name":"Depression Expertise Center Pro Persona Mental Health Care  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9602-1548","authenticated-orcid":false,"given":"Ellen","family":"Driessen","sequence":"additional","affiliation":[{"name":"Depression Expertise Center Pro Persona Mental Health Care  Nijmegen the Netherlands"},{"name":"Department of Clinical Psychology, Behavioural Science Institute Radboud University  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,3]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"American Psychological Association APA.2019. \u201cAPA Guideline for the Treatment of Depression.\u201d Accessed July 2 2024. 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