{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T21:42:54Z","timestamp":1784238174146,"version":"3.55.0"},"reference-count":79,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T00:00:00Z","timestamp":1633564800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In theory, depression is thought to be associated with deficits in adaptive and excesses in maladaptive coping strategies. This study aimed to investigate associations between coping strategies and depression treatment outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Participants (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009126) completed measures of adaptive and maladaptive coping strategies before and after accessing evidence\u2010based psychotherapies for depression. The primary outcome was self\u2010reported depression severity measured with the Patient Health Questionnaire (PHQ\u20109). Hierarchical regression was used to investigate associations between coping strategies and post\u2010treatment depression symptoms, controlling for therapeutic alliance and relevant demographics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Lower pre\u2010treatment\n                      <jats:italic>engagement coping<\/jats:italic>\n                      and higher\n                      <jats:italic>rumination<\/jats:italic>\n                      predicted higher post\u2010treatment depression, but both of these effects became non\u2010significant after controlling for baseline depression severity. Similarly, correlations between change in rumination and change in depression were no longer significant after controlling for baseline severity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Deficits in adaptive (\n                      <jats:italic>engagement<\/jats:italic>\n                      ) and excesses in maladaptive (\n                      <jats:italic>rumination<\/jats:italic>\n                      ) coping strategies may simply be proxy indicators (epiphenomena) of depression severity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practitioner points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Lower pre\u2010treatment engagement coping predicted higher post\u2010treatment depression<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Higher pre\u2010treatment rumination predicted higher post\u2010treatment depression<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Change in rumination during treatment correlated with change in depression symptoms<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>However, none of the above associations remained statistically significant after controlling for baseline depression severity<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.12368","type":"journal-article","created":{"date-parts":[[2021,10,9]],"date-time":"2021-10-09T06:20:30Z","timestamp":1633760430000},"page":"98-112","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Are depressed patients\u2019 coping strategies associated with psychotherapy treatment outcomes?"],"prefix":"10.1111","volume":"95","author":[{"given":"James","family":"Tait","sequence":"first","affiliation":[{"name":"Clinical and Applied Psychology Unit Department of Psychology University of Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Edmeade","sequence":"additional","affiliation":[{"name":"Leeds Community Healthcare NHS Trust UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5349-230X","authenticated-orcid":false,"given":"Jaime","family":"Delgadillo","sequence":"additional","affiliation":[{"name":"Clinical and Applied Psychology Unit Department of Psychology University of Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.11.004"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:COTR.0000016931.37807.ab"},{"key":"e_1_2_9_4_1","volume-title":"Cognitive therapy and the emotional disorders","author":"Beck A. 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