Ono Yutaka
Keio University, Health Center.
Nihon Rinsho. 2007 Sep;65(9):1650-3.
Research on the treatment of depression has shown that both pharmacological and psychosocial interventions are equally efficacious in mild depression as well as moderate and severe depression. Combined psychosocial and pharmacological interventions are also thought to be effective even for severe and chronic depression. Among psychosocial treatments, cognitive behavior therapy, behavior therapy, and interpersonal psychotherapy have been proved to effective. Cognitive behavior therapy is a structured short-term therapy designed to change the patient's negatively distorted cognition. Behavior therapy is a therapy developed based on the understanding that depression is related to a decrease of behaviors that produce positive reinforcement. Interpersonal psychotherapy is a form of short-term therapy to focus on the patient's interpersonal relations with significant others.
抑郁症治疗研究表明,药物干预和心理社会干预在轻度、中度及重度抑郁症中疗效相同。心理社会干预与药物综合干预对重度和慢性抑郁症也被认为是有效的。在心理社会治疗中,认知行为疗法、行为疗法和人际心理治疗已被证明有效。认知行为疗法是一种结构化短期治疗,旨在改变患者负性扭曲认知。行为疗法是基于对抑郁症与产生正性强化行为减少有关的理解而发展起来的一种治疗方法。人际心理治疗是一种短期治疗形式,专注于患者与重要他人的人际关系。