Bowers W A
Department of Psychiatry, University of Iowa, Iowa City 52242.
Br J Psychiatry. 1990 Jan;156:73-8. doi: 10.1192/bjp.156.1.73.
Thirty in-patients received one of three treatments - medication (nortriptyline) alone (MA), relaxation therapy plus medication (RT&M), or cognitive therapy plus medication (CT&M) (each n = 10) - along with ward milieu. The relaxation and cognitive therapy groups participated in 12 therapy sessions. Symptoms of depression and related cognitive variables were assessed at sessions 1, 6 and 12, and at discharge. All groups improved over the course of the study. CT&M and RT&M groups reported significantly fewer depressive symptoms and negative cognitions at discharge than the MA group. The number of subjects judged depressed at discharge was lower in the CT&M group than in the MA and RT&M groups. It is proposed that a consistent rationale for treatment is a significant facilitating factor in achieving behavioural and cognitive changes in depression.
30名住院患者接受了三种治疗中的一种——单独使用药物治疗（去甲替林）（MA）、放松疗法加药物治疗（RT&M）或认知疗法加药物治疗（CT&M）（每组n = 10）——同时接受病房环境治疗。放松疗法组和认知疗法组参加了12次治疗课程。在第1、6和12次治疗课程以及出院时评估抑郁症状和相关认知变量。在研究过程中，所有组的情况都有所改善。与MA组相比，CT&M组和RT&M组在出院时报告的抑郁症状和消极认知明显较少。CT&M组出院时被判定为抑郁的受试者数量低于MA组和RT&M组。有人提出，一致的治疗理论依据是实现抑郁症行为和认知改变的一个重要促进因素。
