Riso Lawrence P, Newman Cory F
Department of Psychology, Georgia State University, Atlanta 30303, USA.
J Clin Psychol. 2003 Aug;59(8):817-31. doi: 10.1002/jclp.10175.
Recent literature indicates that there are important clinical differences between chronic and non-chronic depression. This article considers the implications of these differences when conducting cognitive therapy (CT) with chronically depressed patients. CT with chronic patients requires a greater emphasis on combating hopelessness, helplessness, and perfectionism, addressing early life-adverse experiences, and modifying maladaptive schemas. In addition, the effectiveness of CT may be enhanced by focusing on patients' poor social skills, ineffective reasoning skills, and their depressive identity. The case example presented illustrates CT with a chronically depressed patient.
近期文献表明，慢性抑郁症与非慢性抑郁症之间存在重要的临床差异。本文探讨了对慢性抑郁症患者进行认知疗法（CT）时这些差异所带来的影响。对慢性患者进行认知疗法需要更加强调对抗绝望感、无助感和完美主义，处理早年的不良经历，以及修正适应不良的模式。此外，关注患者糟糕的社交技能、无效的推理能力及其抑郁身份认同，可能会提高认知疗法的效果。所呈现的案例说明了对一名慢性抑郁症患者进行认知疗法的过程。
