Zapotoczky H G
Psychopathology. 1986;19 Suppl 2:142-7. doi: 10.1159/000285146.
Cognitive therapy alone without concurrent behavioral components seems to be ineffective in the treatment of depressive patients. However, the combination of cognitive and behavioral treatment procedures including social skills training is effective even in the therapy of definite endogenous depression. Three important characteristics are mentioned explaining the therapeutical effectiveness: a concrete rationale, a highly structured therapy program and feedback- and support-techniques. Effectiveness and outcome of the various treatment methods are discussed in the light of three aetiological cognitive hypotheses: the Precipitation theory, the Vulnerability theory and the 'depression about depression' hypothesis.
单独的认知疗法如果没有同时具备行为成分，似乎对抑郁症患者的治疗无效。然而，包括社交技能训练在内的认知与行为治疗程序相结合，即使在治疗明确的内源性抑郁症时也有效。文中提到了三个重要特征来解释其治疗效果：具体的理论依据、高度结构化的治疗方案以及反馈和支持技术。根据三种病因学认知假说：诱发理论、易感性理论和“对抑郁的抑郁”假说，对各种治疗方法的有效性和结果进行了讨论。
