Teasdale J D, Segal Z, Williams J M
MRC Applied Psychology Unit, Cambridge, England.
Behav Res Ther. 1995 Jan;33(1):25-39. doi: 10.1016/0005-7967(94)e0011-7.
There is encouraging evidence that structured psychological treatments for depression, in particular cognitive therapy, can reduce subsequent relapse after the period of initial treatment has been completed. However, there is a continuing need for prophylactic psychological approaches that can be administered to recovered patients in euthymic mood. An information-processing analysis of depressive maintenance and relapse is used to define the requirements for effective prevention, and to propose mechanisms through which cognitive therapy achieves its prophylactic effects. This analysis suggests that similar effects can be achieved using techniques of stress-reduction based on the skills of attentional control taught in mindfulness meditation. An information-processing analysis is presented of mindfulness and mindlessness, and of their relevance to preventing depressive relapse. This analysis provides the basis for the development of Attentional Control Training, a new approach to preventing relapse that integrates features of cognitive therapy and mindfulness training and is applicable to recovered depressed patients.
有令人鼓舞的证据表明，针对抑郁症的结构化心理治疗，尤其是认知疗法，在初始治疗阶段结束后能够减少后续复发。然而，对于处于心境正常的康复患者，持续需要可实施的预防性心理方法。对抑郁维持和复发的信息加工分析用于界定有效预防的要求，并提出认知疗法实现其预防效果的机制。该分析表明，基于正念冥想中所教授的注意力控制技能的减压技术可取得类似效果。本文呈现了对正念与失念及其与预防抑郁复发相关性的信息加工分析。该分析为注意力控制训练的发展提供了基础，注意力控制训练是一种预防复发的新方法，它整合了认知疗法和正念训练的特点，适用于康复的抑郁症患者。
