Department of Psychology, Vanderbilt University, Nashville, Tennessee 37203, USA.
Depress Anxiety. 2010 Oct;27(10):891-932. doi: 10.1002/da.20741.
The mood disorders are prevalent and problematic. We review randomized controlled psychotherapy trials to find those that are empirically supported with respect to acute symptom reduction and the prevention of subsequent relapse and recurrence.
We searched the PsycINFO and PubMed databases and the reference sections of chapters and journal articles to identify appropriate articles.
One hundred twenty-five studies were found evaluating treatment efficacy for the various mood disorders. With respect to the treatment of major depressive disorder (MDD), interpersonal psychotherapy (IPT), cognitive behavior therapy (CBT), and behavior therapy (BT) are efficacious and specific and brief dynamic therapy (BDT) and emotion-focused therapy (EFT) are possibly efficacious. CBT is efficacious and specific, mindfulness-based cognitive therapy (MBCT) efficacious, and BDT and EFT possibly efficacious in the prevention of relapse/recurrence following treatment termination and IPT and CBT are each possibly efficacious in the prevention of relapse/recurrence if continued or maintained. IPT is possibly efficacious in the treatment of dysthymic disorder. With respect to bipolar disorder (BD), CBT and family-focused therapy (FFT) are efficacious and interpersonal social rhythm therapy (IPSRT) possibly efficacious as adjuncts to medication in the treatment of depression. Psychoeducation (PE) is efficacious in the prevention of mania/hypomania (and possibly depression) and FFT is efficacious and IPSRT and CBT possibly efficacious in preventing bipolar episodes.
The newer psychological interventions are as efficacious as and more enduring than medications in the treatment of MDD and may enhance the efficacy of medications in the treatment of BD.
情绪障碍普遍存在且问题严重。我们回顾了随机对照心理治疗试验，以寻找在急性症状缓解和预防随后的复发和复发方面具有实证支持的试验。
我们搜索了 PsycINFO 和 PubMed 数据库以及章节和期刊文章的参考文献部分，以确定合适的文章。
发现了 125 项评估各种情绪障碍治疗效果的研究。关于治疗重度抑郁症（MDD），人际心理治疗（IPT）、认知行为疗法（CBT）和行为疗法（BT）是有效的且具有特异性，而简短动态治疗（BDT）和情绪聚焦疗法（EFT）可能有效。CBT 是有效的和具体的，正念认知疗法（MBCT）是有效的，BDT 和 EFT 在治疗结束后预防复发/复发方面可能有效，IPT 和 CBT 在继续或维持治疗时预防复发/复发方面可能有效。IPT 可能对治疗恶劣心境障碍有效。关于双相情感障碍（BD），CBT 和家庭为中心的治疗（FFT）是有效的，人际社会节奏疗法（IPSRT）作为药物治疗的辅助手段在治疗抑郁症方面可能有效。心理教育（PE）在预防躁狂/轻躁狂（和可能的抑郁症）方面有效，FFT 是有效的，IPSRT 和 CBT 可能在预防双相发作方面有效。
较新的心理干预措施与药物治疗一样有效且更持久，可以增强药物治疗 BD 的疗效。
