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Are depressed patients' coping strategies associated with psychotherapy treatment outcomes?

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Title: Are depressed patients' coping strategies associated with psychotherapy treatment outcomes?
Authors: Tait, James, Edmeade, Laura, Delgadillo, Jaime
Source: Psychology & Psychotherapy: Theory, Research & Practice. Mar2022, Vol. 95 Issue 1, p98-112. 15p. 2 Charts.
Subjects: Evidence-based medicine, Regression analysis, Treatment effectiveness, Severity of illness index, Mental depression, Questionnaires, Psychological adaptation, Rumination (Cognition), Psychotherapy
Abstract: Background: 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. Method: Participants (N = 126) completed measures of adaptive and maladaptive coping strategies before and after accessing evidence‐based psychotherapies for depression. The primary outcome was self‐reported depression severity measured with the Patient Health Questionnaire (PHQ‐9). Hierarchical regression was used to investigate associations between coping strategies and post‐treatment depression symptoms, controlling for therapeutic alliance and relevant demographics. Results: Lower pre‐treatment engagement coping and higher rumination predicted higher post‐treatment depression, but both of these effects became non‐significant 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. Conclusions: Deficits in adaptive (engagement) and excesses in maladaptive (rumination) coping strategies may simply be proxy indicators (epiphenomena) of depression severity. Practitioner points: Lower pre‐treatment engagement coping predicted higher post‐treatment depressionHigher pre‐treatment rumination predicted higher post‐treatment depressionChange in rumination during treatment correlated with change in depression symptomsHowever, none of the above associations remained statistically significant after controlling for baseline depression severity [ABSTRACT FROM AUTHOR]
Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Are depressed patients' coping strategies associated with psychotherapy treatment outcomes?
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  Data: <searchLink fieldCode="DE" term="%22Evidence-based+medicine%22">Evidence-based medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22Rumination+%28Cognition%29%22">Rumination (Cognition)</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink>
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  Data: Background: 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. Method: Participants (N = 126) completed measures of adaptive and maladaptive coping strategies before and after accessing evidence‐based psychotherapies for depression. The primary outcome was self‐reported depression severity measured with the Patient Health Questionnaire (PHQ‐9). Hierarchical regression was used to investigate associations between coping strategies and post‐treatment depression symptoms, controlling for therapeutic alliance and relevant demographics. Results: Lower pre‐treatment engagement coping and higher rumination predicted higher post‐treatment depression, but both of these effects became non‐significant 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. Conclusions: Deficits in adaptive (engagement) and excesses in maladaptive (rumination) coping strategies may simply be proxy indicators (epiphenomena) of depression severity. Practitioner points: Lower pre‐treatment engagement coping predicted higher post‐treatment depressionHigher pre‐treatment rumination predicted higher post‐treatment depressionChange in rumination during treatment correlated with change in depression symptomsHowever, none of the above associations remained statistically significant after controlling for baseline depression severity [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=155147207
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        Value: 10.1111/papt.12368
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        Text: English
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      – SubjectFull: Regression analysis
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Severity of illness index
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      – SubjectFull: Mental depression
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      – SubjectFull: Questionnaires
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      – SubjectFull: Psychological adaptation
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      – SubjectFull: Rumination (Cognition)
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      – SubjectFull: Psychotherapy
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      – TitleFull: Are depressed patients' coping strategies associated with psychotherapy treatment outcomes?
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            NameFull: Tait, James
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            NameFull: Edmeade, Laura
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              Text: Mar2022
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              Y: 2022
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