Teasdale J D, Fennell M J, Hibbert G A, Amies P L
Br J Psychiatry. 1984 Apr;144:400-6. doi: 10.1192/bjp.144.4.400.
Cognitive therapy for depression is a psychological treatment designed to train patients to identify and correct the negative depressive thinking which, it has been hypothesised, contributes to the maintenance of depression. General practice patients meeting Research Diagnostic Criteria for primary major depressive disorder were randomly allocated either to continue with the treatment they would normally receive (which in the majority of cases included antidepressant medication) or to receive, in addition, sessions of cognitive therapy. At completion of treatment, patients receiving cognitive therapy were significantly less depressed than the comparison group, both on blind ratings of symptom severity made by psychiatric assessors and on a self-report measure of severity of depression. At three-month follow-up cognitive therapy patients no longer differed from patients receiving treatment-as-usual, but this was mainly as a result of continuing improvement in the comparison group.
抑郁症的认知疗法是一种心理治疗方法，旨在训练患者识别并纠正消极的抑郁思维，据推测，这种思维有助于维持抑郁症状态。符合原发性重度抑郁症研究诊断标准的全科医疗患者被随机分配，要么继续接受他们通常会接受的治疗（在大多数情况下包括抗抑郁药物治疗），要么额外接受认知疗法治疗。治疗结束时，无论是根据精神科评估人员对症状严重程度的盲评，还是根据抑郁症严重程度的自我报告测量，接受认知疗法的患者的抑郁程度都明显低于对照组。在三个月的随访中，接受认知疗法的患者与接受常规治疗的患者没有差异，但这主要是由于对照组持续改善的结果。
