Evidence map›Paper›PMID 42070779›Full record

Trial reportPersonality and mental health2026

Avoidant Personality Traits and Avoidant Coping in Cognitive-Behavioral Therapy vs. Short-Term Psychodynamic Psychotherapy for Adult Depression.

Saskia de Bruin, Pauline L Herrmann, Jack J M Dekker, Jaap Peen, Henricus L Van, Frank Don, Ellen Driessen

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Personality and mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Saskia de BruinPro Persona Mental Health Care, Nijmegen, the Netherlands.ORCID 0009-0006-4107-0090
Pauline L HerrmannDepartment of Clinical Psychology, Psychotherapy and Psychoanalysis, Institute for Psychology, Klagenfurt University, Klagenfurt, Austria.ORCID 0000-0001-5213-6426
Jack J M DekkerFaculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Jaap PeenArkin Mental Health Care, Amsterdam, the Netherlands.
Henricus L VanArkin Mental Health Care, Amsterdam, the Netherlands.
Frank DonDepression Expertise Center, Pro Persona Mental Health Care, Nijmegen, the Netherlands.
Ellen DriessenDepression Expertise Center, Pro Persona Mental Health Care, Nijmegen, the Netherlands.ORCID 0000-0002-9602-1548

Funding

Dutch Research Council 016.Veni.195.2156806Non-US Government Research Support type
6 · The paper itself

Abstract

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-behavioral therapy (CBT) versus short-term 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-week 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. Trial Registration: ISRCTN31263312 (http://www.controlled-trials.com).

Indexed as

Adaptation, PsychologicalCognitive Behavioral TherapyMajor Depressive DisorderPersonalityPersonality DisordersPsychotherapy, BriefPsychotherapy, PsychodynamicAdultCoping SkillsFemaleHumansMaleMiddle AgedTreatment Outcomeavoidant copingavoidant personalitycognitive–behavioral therapydepressiondimensional assessmentshort‐term psychodynamic psychotherapy

Identifiers

PMID42070779
PMCPMC13135863

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.