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抑郁症的认知行为疗法与药物治疗(综述)

CBT and medication in depression (Review).

作者信息

Vasile Cristian

机构信息

Department of Educational Sciences, Petroleum-Gas University of Ploiesti, 100680 Ploiesti, Romania.

出版信息

Exp Ther Med. 2020 Oct;20(4):3513-3516. doi: 10.3892/etm.2020.9014. Epub 2020 Jul 14.

Abstract

Depression is a serious problem, primarily for the patient, but in-extenso, for society. The World Health Organization has long signaled an increase in the number of cases of mental health problems globally and, in particular, an increase in the number of people suffering from depression. In the context in which the most effective solutions are sought for the reduction and even remission of depressive symptoms. In the present review literature is analyzed on two current treatment modalities for depression: Cognitive behavioral therapy (CBT) and antidepressive medication (ADM). Both modalities act by the same internal mechanisms, in the same order, but studies found also differences between the ADM and CBT effects depending on early traumatic experiences of the patients, cognitive and genetic variables, other epigenetic factors and patient's history. A literature review is presented, which systematically collects actual data and synthesizes previous research findings in the field of depression treatment using ADM and CBT.

摘要

抑郁症是一个严重的问题,主要影响患者,但从更广泛的意义上来说,也影响社会。世界卫生组织早就指出,全球心理健康问题的病例数量在增加,尤其是抑郁症患者的数量在增加。在寻求最有效解决方案以减轻甚至缓解抑郁症状的背景下,本综述分析了当前治疗抑郁症的两种方式:认知行为疗法(CBT)和抗抑郁药物(ADM)。这两种方式通过相同的内部机制、按相同的顺序起作用,但研究也发现,根据患者早期的创伤经历、认知和基因变量、其他表观遗传因素以及患者病史,抗抑郁药物和认知行为疗法的效果存在差异。本文呈现了一篇文献综述,该综述系统地收集了抑郁症治疗领域使用抗抑郁药物和认知行为疗法的实际数据,并综合了以往的研究结果。

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本文引用的文献

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