{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T03:29:38Z","timestamp":1787110178655,"version":"build-2736575974"},"reference-count":6,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"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":["Personality &amp;amp; Mental Health"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>We critically appraise the study by de Bruin et\u00a0al., which examined whether avoidant personality traits and avoidant coping predict differential outcomes of cognitive\u2010behavioral therapy (CBT) versus short\u2010term psychodynamic psychotherapy (STPP) in adult depression. Although the authors address an important clinical question regarding dimensional personality assessment in treatment selection, several methodological issues may limit the strength of their conclusions. First, avoidant personality traits were operationalized using a composite score derived from subtracting extraversion from neuroticism on the NEO\u2010FFI. Although dimensional models are increasingly encouraged, this approach may not adequately capture the multifaceted construct of avoidant personality pathology, which includes features such as rejection sensitivity, shame, social inhibition, and feelings of inadequacy, and may instead reflect broader negative affectivity or introversion. Second, the study may have been underpowered to detect moderation effects, which typically require larger samples than main effect analyses. Attrition and participant exclusion may have further reduced statistical power, limiting the ability to identify meaningful treatment interactions. Therefore, the absence of significant moderation effects should be interpreted cautiously and not taken as definitive evidence of equivalent treatment efficacy across levels of avoidant pathology. Despite these limitations, the study contributes to growing research on dimensional personality approaches in depression treatment, and further well\u2010powered studies using validated measures are warranted.<\/jats:p>","DOI":"10.1002\/pmh.70091","type":"journal-article","created":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T05:50:08Z","timestamp":1782539408000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comment on \u201cAvoidant Personality Traits and Avoidant Coping in Cognitive\u2010Behavioral Therapy vs. Short\u2010Term Psychodynamic Psychotherapy for Adult Depression\u201d"],"prefix":"10.1002","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7326-065X","authenticated-orcid":false,"given":"Laiba","family":"Hanif","sequence":"first","affiliation":[{"name":"Shaikha Fatima Institute of Nursing  Lahore Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima","family":"Nadeem","sequence":"additional","affiliation":[{"name":"FMH College of Medicine and Dentistry  Lahore Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syeda Rabita","family":"Nazim","sequence":"additional","affiliation":[{"name":"FMH College of Medicine and Dentistry  Lahore Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aamina","family":"Almas","sequence":"additional","affiliation":[{"name":"FMH College of Medicine and Dentistry  Lahore Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafia","family":"Raza","sequence":"additional","affiliation":[{"name":"FMH College of Medicine and Dentistry  Lahore Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"e_1_2_1_10_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021\u20109010.90.1.94"},{"key":"e_1_2_1_10_3_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.16.1.1.22558"},{"key":"e_1_2_1_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.70081"},{"key":"e_1_2_1_10_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/PRBM.S121073"},{"key":"e_1_2_1_10_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u20102909.114.2.376"},{"key":"e_1_2_1_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2008.07.002"}],"container-title":["Personality and Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmh.70091","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmh.70091","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmh.70091","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T02:59:49Z","timestamp":1787108389000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmh.70091"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,26]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/pmh.70091"],"URL":"https:\/\/doi.org\/10.1002\/pmh.70091","archive":["Portico"],"relation":{},"ISSN":["1932-8621","1932-863X"],"issn-type":[{"value":"1932-8621","type":"print"},{"value":"1932-863X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,26]]},"assertion":[{"value":"2026-06-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70091"}}