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Cognitive risk, coping‐oriented substance use, and increased avoidance tendencies among depressed outpatients: A prospective investigation
Author(s) -
Heggeness Luke F.,
Bean Christian A. L.,
Kalmbach David A.,
Ciesla Jeffrey A.
Publication year - 2020
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.22978
Subject(s) - disengagement theory , dysfunctional family , rumination , psychology , coping (psychology) , clinical psychology , cognition , psychiatry , medicine , gerontology
Objective The present study was designed to assess the interplay between depressive cognition, coping‐oriented substance use, and future behavioral disengagement tendencies. Cognitive risk subtypes examined include brooding rumination, attributional bias (internal/stable/global), and dysfunctional attitudes. Method Individuals were recruited from outpatient treatment settings and met criteria for a unipolar depressive disorder ( N = 70; 66% female; 81% White; M age = 31; SD age = 13.2). Participants completed self‐report measures of brooding rumination, attributional style, dysfunctional attitudes, coping‐oriented substance use, and behavioral disengagement tendencies following a 3‐week period. Results Brooding rumination, stable attributional style, and dysfunctional attitudes were positively associated with later behavioral disengagement tendencies. Coping‐oriented substance use moderated associations between both internal attributional style, as well as dysfunctional attitudes onto later behavioral disengagement. Conclusions With regard to stress‐related avoidance, subsyndromal substance use may play a detrimental role among cognitively vulnerable, depressed outpatients when said drug or alcohol use serves as a means of coping.