Department of Psychology and Neuroscience, University of Colorado, 345 UCB Muenzinger, Office 313B, Boulder, CO 80309-0345, USA.
Curr Psychiatry Rep. 2009 Dec;11(6):453-8. doi: 10.1007/s11920-009-0069-y.
Recent innovations in the treatment and prevention of depression that build on the foundation of cognitive-behavioral therapy represent promising directions for clinical practice and research. Specifically, behavioral activation and mindfulness-based cognitive therapy have been a recent focus of attention. Behavioral activation is a brief, structured approach to treating acute depression that seeks to alleviate depression by promoting an individual's contact with sources of reward through increasing activation, improving problem solving, and decreasing avoidance and other barriers to activation. Mindfulness-based cognitive therapy is a brief group intervention that seeks to prevent depressive relapse by promoting mindful attention, acceptance, and skillful action to help individuals interrupt habitual cognitive and affective patterns associated with risk of relapse. Each approach is supported by at least two large-scale, randomized clinical trials; however, many important questions remain. We examine current research on both approaches by addressing the robustness of findings, the extension to novel populations, and the processes by which clinical benefit is achieved.
基于认知行为疗法的基础上，近期在抑郁症治疗和预防方面的创新代表了临床实践和研究的有希望的方向。具体而言，行为激活和基于正念的认知疗法是最近关注的焦点。行为激活是一种治疗急性抑郁症的简短、结构化方法，通过增加活动、改善解决问题的能力以及减少回避和其他活动障碍来促进个体接触奖励来源，从而减轻抑郁。基于正念的认知疗法是一种简短的小组干预措施，旨在通过促进正念注意、接受和熟练的行动来预防抑郁复发，帮助个体打断与复发风险相关的习惯性认知和情感模式。这两种方法都得到了至少两项大型随机临床试验的支持；然而，仍有许多重要问题需要解决。我们通过解决研究结果的稳健性、向新人群的扩展以及实现临床获益的过程，来探讨这两种方法的最新研究。
