Stuart S, Thase M E
Department of Psychiatry, University of Iowa, Iowa City, and the Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania.
J Psychother Pract Res. 1994 Fall;3(4):284-99.
The authors review empirical research of the past decade on cognitive-behavioral therapy (CBT) in the treatment of depressed inpatients and offer suggestions for future investigations. CBT appears to offer additive benefits in combination with pharmacotherapy, particularly after the transition from inpatient to outpatient treatment. CBT also holds promise as a primary treatment for inpatients but has not been clearly shown to be as effective as antidepressants. There is as yet no evidence that inpatient CBT is superior to other psychotherapies of comparable intensity or that short-term inpatient CBT has enduring value if not followed by outpatient therapy. Further research is needed to clarify the specific effects of CBT for inpatients and to establish its cost-effectiveness.
作者回顾了过去十年关于认知行为疗法（CBT）治疗住院抑郁症患者的实证研究，并为未来的调查提供了建议。CBT与药物治疗相结合似乎能带来额外的益处，尤其是在从住院治疗过渡到门诊治疗之后。CBT作为住院患者的主要治疗方法也有前景，但尚未明确显示其与抗抑郁药一样有效。目前尚无证据表明住院CBT优于其他强度相当的心理疗法，也没有证据表明短期住院CBT如果不继以门诊治疗会有持久的价值。需要进一步研究以阐明CBT对住院患者的具体效果，并确定其成本效益。
