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01-06-2013 | Original Article

Rumination Mediates the Relationship Between Distress Tolerance and Depressive Symptoms Among Substance Users

Auteurs: Jessica F. Magidson, Alyson R. Listhaus, C. J. Seitz-Brown, Katelyn E. Anderson, Briana Lindberg, Alexis Wilson, Stacey B. Daughters

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2013

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Abstract

Distress tolerance has been implicated in the emergence of internalizing symptomatology, notably depressive symptoms. However, few studies have tested potential mechanisms underlying the relationship between distress tolerance and depressive symptoms, and further, this has not been tested among substance users, who commonly experience both low distress tolerance and elevated depressive symptoms. The current study focused on the construct of rumination, which has been suggested to be a coping response to stress associated with substance use and depression. Two forms of rumination, brooding and reflection, were tested as potential mediators of the relationship between distress tolerance and self-reported depressive symptoms among 128 individuals entering substance abuse treatment. Brooding (i.e., to overly focus on symptoms of distress) mediated the relationship between distress tolerance and depressive symptoms. However, reflection (i.e., to attempt to gain insight into problems) was unrelated to distress tolerance. Findings suggest the important role of brooding as a mechanism underlying the relationship between distress tolerance and depressive symptomatology.
Voetnoten
1
BDI scores were slightly positively skewed (skewness = 1.02, SE = 0.21). As such, we log transformed BDI scores, which improved skewness (skewness = −0.62, SE = 0.21). Transforming scores did not affect results across all analyses. To preserve the clinical significance of depression scores, the non-transformed data are reported here.
 
2
We conducted the same analyses with a contrast between the two indirect effects of brooding and reflection. In these analyses, there remained a significant indirect effect of brooding, but the indirect effect of reflection was non-significant (using both bias-corrected and percentile-based 95 % CIs).
 
Literatuur
go back to reference Abela, J. Z., & Hankin, B. L. (2011). Rumination as a vulnerability factor to depression during the transition from early to middle adolescence: A multiwave longitudinal study. Journal of Abnormal Psychology, 120(2), 259–271. doi:10.1037/a0022796.PubMedCrossRef Abela, J. Z., & Hankin, B. L. (2011). Rumination as a vulnerability factor to depression during the transition from early to middle adolescence: A multiwave longitudinal study. Journal of Abnormal Psychology, 120(2), 259–271. doi:10.​1037/​a0022796.PubMedCrossRef
go back to reference Abrantes, A. M., Strong, D. R., Lejuez, C. W., Kahler, C. W., Carpenter, L. L., Price, L. H, et al. (2008). The role of negative affect in risk for early lapse among low distress tolerance smokers. Addictive Behaviors, 33, 1394–1401.PubMedCrossRef Abrantes, A. M., Strong, D. R., Lejuez, C. W., Kahler, C. W., Carpenter, L. L., Price, L. H, et al. (2008). The role of negative affect in risk for early lapse among low distress tolerance smokers. Addictive Behaviors, 33, 1394–1401.PubMedCrossRef
go back to reference Bagby, R., & Parker, J. A. (2001). Relation of rumination and distraction with neuroticism and extraversion in a sample of patients with major depression. Cognitive Therapy and Research, 25(1), 91–102. doi:10.1023/A:1026430900363.CrossRef Bagby, R., & Parker, J. A. (2001). Relation of rumination and distraction with neuroticism and extraversion in a sample of patients with major depression. Cognitive Therapy and Research, 25(1), 91–102. doi:10.​1023/​A:​1026430900363.CrossRef
go back to reference Baron, R., & Kenny, D. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.PubMedCrossRef Baron, R., & Kenny, D. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.PubMedCrossRef
go back to reference Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996). Comparison of Beck Depression Inventories-IA and -II in psychiatric outpatients. Journal of Personality Assessment, 67(3), 588.PubMedCrossRef Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996). Comparison of Beck Depression Inventories-IA and -II in psychiatric outpatients. Journal of Personality Assessment, 67(3), 588.PubMedCrossRef
go back to reference Bjornsson, A., Carey, G., Hauser, M., Karris, A., Kaufmann, V., Sheets, E., et al. (2010). The effects of experiential avoidance and rumination on depression among college students. International Journal of Cognitive Therapy, 3(4), 389–401. doi:10.1521/ijct.2010.3.4.389.CrossRef Bjornsson, A., Carey, G., Hauser, M., Karris, A., Kaufmann, V., Sheets, E., et al. (2010). The effects of experiential avoidance and rumination on depression among college students. International Journal of Cognitive Therapy, 3(4), 389–401. doi:10.​1521/​ijct.​2010.​3.​4.​389.CrossRef
go back to reference Borkovec, T. D. (1994). The nature, functions, and origins of worry. In G. L. Davey & F. Tallis (Eds.), Worrying: Perspectives on theory, assessment and treatment (pp. 5–33). Oxford England: Wiley. Borkovec, T. D. (1994). The nature, functions, and origins of worry. In G. L. Davey & F. Tallis (Eds.), Worrying: Perspectives on theory, assessment and treatment (pp. 5–33). Oxford England: Wiley.
go back to reference Borkovec, T. D., Ray, W. J., & Stöber, J. (1998). Worry: A cognitive phenomenon intimately linked to affective, physiological, and interpersonal behavioral processes. Cognitive Therapy and Research, 22(6), 561–576. doi:10.1023/A:1018790003416.CrossRef Borkovec, T. D., Ray, W. J., & Stöber, J. (1998). Worry: A cognitive phenomenon intimately linked to affective, physiological, and interpersonal behavioral processes. Cognitive Therapy and Research, 22(6), 561–576. doi:10.​1023/​A:​1018790003416.CrossRef
go back to reference Burwell, R. A., & Shirk, S. R. (2007). Subtypes of rumination in adolescence: Associations between brooding, reflection, depressive symptoms, and coping. Journal of Clinical Child and Adolescent Psychology, 36(1), 56–65. doi:10.1207/s15374424jccp3601_6.PubMed Burwell, R. A., & Shirk, S. R. (2007). Subtypes of rumination in adolescence: Associations between brooding, reflection, depressive symptoms, and coping. Journal of Clinical Child and Adolescent Psychology, 36(1), 56–65. doi:10.​1207/​s15374424jccp360​1_​6.PubMed
go back to reference Conway, M., Csank, P. R., Holm, S. L., & Blake, C. K. (2000). On assessing individual differences in rumination on sadness. Journal of Personality Assessment, 75(3), 404–425.PubMedCrossRef Conway, M., Csank, P. R., Holm, S. L., & Blake, C. K. (2000). On assessing individual differences in rumination on sadness. Journal of Personality Assessment, 75(3), 404–425.PubMedCrossRef
go back to reference Cox, B. J., Enns, M. W., & Taylor, S. (2001). The effect of rumination as a mediator of elevated anxiety sensitivity in major depression. Cognitive Therapy and Research, 25(5), 525–534. doi:10.1023/A:1005580518671.CrossRef Cox, B. J., Enns, M. W., & Taylor, S. (2001). The effect of rumination as a mediator of elevated anxiety sensitivity in major depression. Cognitive Therapy and Research, 25(5), 525–534. doi:10.​1023/​A:​1005580518671.CrossRef
go back to reference Daughters, S. B., Lejuez, C. W., Bornovalova, M. A., Kahler, C. W., Strong, D. R., & Brown, R. A. (2005). Distress tolerance as a predictor of early treatment dropout in a residential substance abuse treatment facility. Journal of Abnormal Psychology, 114, 728–734. doi:10.1037/0021-843X.114.4.729.CrossRef Daughters, S. B., Lejuez, C. W., Bornovalova, M. A., Kahler, C. W., Strong, D. R., & Brown, R. A. (2005). Distress tolerance as a predictor of early treatment dropout in a residential substance abuse treatment facility. Journal of Abnormal Psychology, 114, 728–734. doi:10.​1037/​0021-843X.​114.​4.​729.CrossRef
go back to reference Daughters, S. B., Reynolds, E. K., MacPherson, L., Kahler, C. W., Danielson, C. K., Zvolensky, M., et al. (2009). Distress tolerance and early adolescent externalizing and internalizing symptoms: The moderating role of gender and ethnicity. Behaviour Research and Therapy, 47(3), 198–205. doi:10.1016/j.brat.2008.12.001.PubMedCrossRef Daughters, S. B., Reynolds, E. K., MacPherson, L., Kahler, C. W., Danielson, C. K., Zvolensky, M., et al. (2009). Distress tolerance and early adolescent externalizing and internalizing symptoms: The moderating role of gender and ethnicity. Behaviour Research and Therapy, 47(3), 198–205. doi:10.​1016/​j.​brat.​2008.​12.​001.PubMedCrossRef
go back to reference Dennhardt, A. A., & Murphy, J. G. (2011). Associations between depression, distress tolerance, delay discounting, and alcohol-related problems in European American and African American college students. Psychology of Addictive Behaviors, 25(4), 595–604. doi:10.1037/a0025807.PubMedCrossRef Dennhardt, A. A., & Murphy, J. G. (2011). Associations between depression, distress tolerance, delay discounting, and alcohol-related problems in European American and African American college students. Psychology of Addictive Behaviors, 25(4), 595–604. doi:10.​1037/​a0025807.PubMedCrossRef
go back to reference Deyo, M., Wilson, K. A., Ong, J., & Koopman, C. (2009). Mindfulness and rumination: Does mindfulness training lead to reductions in the ruminative thinking associated with depression? Patient Education and Counseling, 5, 265–271. Deyo, M., Wilson, K. A., Ong, J., & Koopman, C. (2009). Mindfulness and rumination: Does mindfulness training lead to reductions in the ruminative thinking associated with depression? Patient Education and Counseling, 5, 265–271.
go back to reference Ellis, A. J., Fischer, K. M., & Beevers, C. G. (2010). Is dysphoria about being red and blue? Potentiation of anger and reduced distress tolerance among dysphoric individuals. Cognition and Emotion, 24(4), 596–608. doi:10.1080/13803390902851176.CrossRef Ellis, A. J., Fischer, K. M., & Beevers, C. G. (2010). Is dysphoria about being red and blue? Potentiation of anger and reduced distress tolerance among dysphoric individuals. Cognition and Emotion, 24(4), 596–608. doi:10.​1080/​1380339090285117​6.CrossRef
go back to reference First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured clinical interview for DSM-IV-TR Axis I disorders, research version, patient edition with psychotic screen. New York: Biometrics Research, New York State Psychiatric Institute. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured clinical interview for DSM-IV-TR Axis I disorders, research version, patient edition with psychotic screen. New York: Biometrics Research, New York State Psychiatric Institute.
go back to reference Glick, D. M., & Orsillo, S. M. (2011). Relationships among social anxiety, self-focused attention, and experiential distress and avoidance. Journal of Cognitive and Behavioral Psychotherapies, 11(1), 1–12. Glick, D. M., & Orsillo, S. M. (2011). Relationships among social anxiety, self-focused attention, and experiential distress and avoidance. Journal of Cognitive and Behavioral Psychotherapies, 11(1), 1–12.
go back to reference Gorka, S. M., Ali, B., & Daughters, S. B. (2012). The role of distress tolerance in the relationship between depressive symptoms and problematic alcohol use. Psychology of Addictive Behaviors, 26(3), 621–626. doi:10.1037/a0026386.PubMedCrossRef Gorka, S. M., Ali, B., & Daughters, S. B. (2012). The role of distress tolerance in the relationship between depressive symptoms and problematic alcohol use. Psychology of Addictive Behaviors, 26(3), 621–626. doi:10.​1037/​a0026386.PubMedCrossRef
go back to reference Harrington, N. (2006). Frustration intolerance beliefs: Their relationship with depression, anxiety, and anger in a clinical population. Cognitive Therapy and Research, 30(6), 699–709. doi:10.1007/s10608-006-9061-6.CrossRef Harrington, N. (2006). Frustration intolerance beliefs: Their relationship with depression, anxiety, and anger in a clinical population. Cognitive Therapy and Research, 30(6), 699–709. doi:10.​1007/​s10608-006-9061-6.CrossRef
go back to reference Lejuez, C., Bornovalova, M., Daughters, S., & Curtin, J. (2005). Differences in impulsivity and sexual risk behavior among inner-city crack/cocaine users and heroin users. Drug and Alcohol Dependence, 77(2), 169–175.PubMedCrossRef Lejuez, C., Bornovalova, M., Daughters, S., & Curtin, J. (2005). Differences in impulsivity and sexual risk behavior among inner-city crack/cocaine users and heroin users. Drug and Alcohol Dependence, 77(2), 169–175.PubMedCrossRef
go back to reference Leyro, T. M., Zvolensky, M. J., & Bernstein, A. (2010). Distress tolerance and psychopathological symptoms and disorders: A review of the empirical literature among adults. Psychological Bulletin, 136(4), 576–600.PubMedCrossRef Leyro, T. M., Zvolensky, M. J., & Bernstein, A. (2010). Distress tolerance and psychopathological symptoms and disorders: A review of the empirical literature among adults. Psychological Bulletin, 136(4), 576–600.PubMedCrossRef
go back to reference Linehan, M. M., Schmidt, H., Dimeff, L. A., Craft, J., Kanter, J., & Comtois, K. A. (1999). Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence. The American Journal on Addictions, 8(4), 279–292. doi:10.1080/105504999305686.PubMedCrossRef Linehan, M. M., Schmidt, H., Dimeff, L. A., Craft, J., Kanter, J., & Comtois, K. A. (1999). Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence. The American Journal on Addictions, 8(4), 279–292. doi:10.​1080/​105504999305686.PubMedCrossRef
go back to reference MacPherson, L., Reynolds, E. K., Daughters, S. B., Wang, F., Cassidy, J., Mayes, L., et al. (2010). Positive and negative reinforcement underlying risk behavior in early adolescents. Prevention Science, 11(3), 331–342. doi:10.1007/s11121-010-0172-7.PubMedCrossRef MacPherson, L., Reynolds, E. K., Daughters, S. B., Wang, F., Cassidy, J., Mayes, L., et al. (2010). Positive and negative reinforcement underlying risk behavior in early adolescents. Prevention Science, 11(3), 331–342. doi:10.​1007/​s11121-010-0172-7.PubMedCrossRef
go back to reference Martin, L. L., & Tesser, A. (1996). Some ruminative thoughts. In R. S. Wyer (Ed.), Ruminative thoughts (pp. 1–47). Hillsdale, NJ: Lawrence Erlbaum Associates, Inc. Martin, L. L., & Tesser, A. (1996). Some ruminative thoughts. In R. S. Wyer (Ed.), Ruminative thoughts (pp. 1–47). Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.
go back to reference Mayer, J. D., & Salovey, P. (1997). What is emotional intelligence? In P. Salovey & D. J. Sluyter (Eds.), Emotional development and emotional intelligence: Educational implications (pp. 3–34). New York, NY: Basic Books. Mayer, J. D., & Salovey, P. (1997). What is emotional intelligence? In P. Salovey & D. J. Sluyter (Eds.), Emotional development and emotional intelligence: Educational implications (pp. 3–34). New York, NY: Basic Books.
go back to reference McIntosh, E., Gillanders, D., & Rodgers, S. (2010). Rumination, goal linking, daily hassles and life events in major depression. Clinical Psychology & Psychotherapy, 17(1), 33–43. McIntosh, E., Gillanders, D., & Rodgers, S. (2010). Rumination, goal linking, daily hassles and life events in major depression. Clinical Psychology & Psychotherapy, 17(1), 33–43.
go back to reference McKay, J. R., Donovan, D. M., McLellan, T., Krupski, A., Hansten, M., Stark, K. D., et al. (2002). Evaluation of full vs. partial continuum of care in the treatment of publicly funded substance abusers in Washington State. The American Journal of Drug and Alcohol Abuse, 28(2), 307–338. doi:10.1081/ADA-120002976.PubMedCrossRef McKay, J. R., Donovan, D. M., McLellan, T., Krupski, A., Hansten, M., Stark, K. D., et al. (2002). Evaluation of full vs. partial continuum of care in the treatment of publicly funded substance abusers in Washington State. The American Journal of Drug and Alcohol Abuse, 28(2), 307–338. doi:10.​1081/​ADA-120002976.PubMedCrossRef
go back to reference Michalak, J., Hölz, A., & Teismann, T. (2011). Rumination as a predictor of relapse in mindfulness-based cognitive therapy for depression. Psychology and Psychotherapy: Theory, Research and Practice, 84(2), 230–236. doi:10.1348/147608310X520166.CrossRef Michalak, J., Hölz, A., & Teismann, T. (2011). Rumination as a predictor of relapse in mindfulness-based cognitive therapy for depression. Psychology and Psychotherapy: Theory, Research and Practice, 84(2), 230–236. doi:10.​1348/​147608310X520166​.CrossRef
go back to reference Nezu, A. M., Ronan, G. F., Meadows, E. A., & McClure, K. S. (2000). Practitioner’s guide to empirically based measures of depression. Dordrecht Netherlands: Kluwer Academic Publishers. Nezu, A. M., Ronan, G. F., Meadows, E. A., & McClure, K. S. (2000). Practitioner’s guide to empirically based measures of depression. Dordrecht Netherlands: Kluwer Academic Publishers.
go back to reference Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61(1), 115–121. doi:10.1037/0022-3514.61.1.115.PubMedCrossRef Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61(1), 115–121. doi:10.​1037/​0022-3514.​61.​1.​115.PubMedCrossRef
go back to reference Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, 36, 717–731.CrossRef Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, 36, 717–731.CrossRef
go back to reference Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.PubMedCrossRef Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.PubMedCrossRef
go back to reference Raes, F. (2010). Ruminating and worrying as mediators of the relationship between self-compassion and anxiety and depression. Personality and Individual Differences, 48, 757–761.CrossRef Raes, F. (2010). Ruminating and worrying as mediators of the relationship between self-compassion and anxiety and depression. Personality and Individual Differences, 48, 757–761.CrossRef
go back to reference Raes, F., & Hermans, D. (2008). On the mediating role of subtypes of rumination in the relationship between childhood emotional abuse and depressed mood: Brooding vs. Reflection. Depression & Anxiety, 25, 787–792.PubMedCrossRef Raes, F., & Hermans, D. (2008). On the mediating role of subtypes of rumination in the relationship between childhood emotional abuse and depressed mood: Brooding vs. Reflection. Depression & Anxiety, 25, 787–792.PubMedCrossRef
go back to reference Roberts, J. E., Gilboa, E., & Gotlib, I. H. (1998). Ruminative response style and vulnerability to episodes of dysphoria: Gender, neuroticism, and episode duration. Cognitive Therapy and Research, 22(4), 401–423. doi:10.1023/A:1018713313894.CrossRef Roberts, J. E., Gilboa, E., & Gotlib, I. H. (1998). Ruminative response style and vulnerability to episodes of dysphoria: Gender, neuroticism, and episode duration. Cognitive Therapy and Research, 22(4), 401–423. doi:10.​1023/​A:​1018713313894.CrossRef
go back to reference Roelofs, J., Muris, P., Huibers, M., Peeters, F., & Arntz, A. (2006). On the measurement of rumination: A psychometric evaluation of the ruminative response scale and the rumination on sadness scale in undergraduates. Journal of Behavior Therapy and Experimental Psychiatry, 37(4), 299–313. doi:10.1016/j.jbtep.2006.03.002.PubMedCrossRef Roelofs, J., Muris, P., Huibers, M., Peeters, F., & Arntz, A. (2006). On the measurement of rumination: A psychometric evaluation of the ruminative response scale and the rumination on sadness scale in undergraduates. Journal of Behavior Therapy and Experimental Psychiatry, 37(4), 299–313. doi:10.​1016/​j.​jbtep.​2006.​03.​002.PubMedCrossRef
go back to reference Sauer, S. E., & Baer, R. A. (2011). Ruminative and mindful self-focused attention in borderline personality disorder. Personality Disorders: Theory, Research, and Treatment. doi:10.1037/a0025465. Sauer, S. E., & Baer, R. A. (2011). Ruminative and mindful self-focused attention in borderline personality disorder. Personality Disorders: Theory, Research, and Treatment. doi:10.​1037/​a0025465.
go back to reference Saunders, J. B., Aasland, O. G., Babor, T. F., De La Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption–II. Addiction, 88(6), 791–804.PubMedCrossRef Saunders, J. B., Aasland, O. G., Babor, T. F., De La Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption–II. Addiction, 88(6), 791–804.PubMedCrossRef
go back to reference Schmidt, N. B., Richey, J. A., Cromer, K. R., & Buckner, J. D. (2007). Discomfort intolerance: Evaluation of a potential risk factor for anxiety psychopathology. Behavior Therapy, 38, 247–255.PubMedCrossRef Schmidt, N. B., Richey, J. A., Cromer, K. R., & Buckner, J. D. (2007). Discomfort intolerance: Evaluation of a potential risk factor for anxiety psychopathology. Behavior Therapy, 38, 247–255.PubMedCrossRef
go back to reference Thase, M. E., Salloum, I. M., & Cornelius, J. D. (2001). Comorbid alcoholism and depression: Treatment issues. Journal of Clinical Psychiatry, 62(S20), 32–41.PubMed Thase, M. E., Salloum, I. M., & Cornelius, J. D. (2001). Comorbid alcoholism and depression: Treatment issues. Journal of Clinical Psychiatry, 62(S20), 32–41.PubMed
go back to reference Zvolensky, M. J., Marshall, E. C., Johnson, K., Hogan, J., Bernstein, A., & Bonn-Miller, M. O. (2009). Relations between anxiety sensitivity, distress tolerance, and fear reactivity to bodily sensations to coping and conformity marijuana use motives among young adult marijuana users. Experimental and Clinical Psychopharmacology, 17(1), 31–42. doi:10.1037/a0014961.PubMedCrossRef Zvolensky, M. J., Marshall, E. C., Johnson, K., Hogan, J., Bernstein, A., & Bonn-Miller, M. O. (2009). Relations between anxiety sensitivity, distress tolerance, and fear reactivity to bodily sensations to coping and conformity marijuana use motives among young adult marijuana users. Experimental and Clinical Psychopharmacology, 17(1), 31–42. doi:10.​1037/​a0014961.PubMedCrossRef
Metagegevens
Titel
Rumination Mediates the Relationship Between Distress Tolerance and Depressive Symptoms Among Substance Users
Auteurs
Jessica F. Magidson
Alyson R. Listhaus
C. J. Seitz-Brown
Katelyn E. Anderson
Briana Lindberg
Alexis Wilson
Stacey B. Daughters
Publicatiedatum
01-06-2013
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 3/2013
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-012-9488-x

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