Schramm E, Berger M
Abt. für Psychiatrie und Psychotherapie, Uniklinikum Freiburg, Deutschland.
Nervenarzt. 2011 Nov;82(11):1414, 1416, 1418-24. doi: 10.1007/s00115-011-3350-3.
The general efficacy of psychotherapeutic approaches in the treatment of mental disorders has been demonstrated by meta-analyses. Disorder-specific methods are increasingly dominating the field. In the field of depression psychological interventions have proven to be as equally effective as pharmacotherapy in mild and moderate depressives but with longer lasting effects after termination of treatment. The combination of both methods is particularly relevant for the therapy of severe and chronic depression. The indications should be differentiated beyond the severity and course of the disorder, e.g. according to previous traumatization, comorbidity, patient difficulty and the empirical evidence of the different approaches.
荟萃分析已证明心理治疗方法在治疗精神障碍方面的总体疗效。针对特定障碍的方法在该领域的主导地位日益增强。在抑郁症领域，心理干预已被证明在轻度和中度抑郁症患者中与药物治疗同样有效，但在治疗终止后效果持续时间更长。两种方法的联合对于重度和慢性抑郁症的治疗尤为重要。除了疾病的严重程度和病程外，还应根据先前的创伤经历、共病情况、患者的困难程度以及不同方法的实证依据来区分适应症。
