Markowitz J C
Department of Psychiatry, Cornell University Medical College, Payne Whitney Clinic, The New York Hospital-Cornell Medical Center, New York, USA.
Psychiatr Clin North Am. 1996 Mar;19(1):133-49. doi: 10.1016/s0193-953x(05)70278-1.
The psychotherapy of dysthymic disorder has received too little serious attention and funding. Impressive advances in the pharmacotherapy of dysthymic disorder should not obscure the need for psychosocial treatment for the high proportion of patients who do not respond to medication. Despite the dearth of psychotherapy outcome studies in this area, such data that do exist suggest that relatively brief, focal, antidepressant psychotherapies may successfully treat many patients with lifelong mood disorders. Maintenance therapy probably is indicated to ensure the persistence of treatment gains.
恶劣心境障碍的心理治疗受到的认真关注和资金投入过少。恶劣心境障碍药物治疗取得的显著进展不应掩盖这样一个事实，即对于很大一部分对药物治疗无反应的患者而言，社会心理治疗是有必要的。尽管该领域心理治疗的疗效研究匮乏，但现有的此类数据表明，相对简短、有针对性的抗抑郁心理治疗可能成功治疗许多患有终身性心境障碍的患者。可能需要维持治疗以确保治疗效果得以持续。
