Scott J
University Department of Psychiatry, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
J Affect Disord. 1996 Feb 12;37(1):1-11. doi: 10.1016/0165-0327(95)00069-0.
Cognitive therapy is the most extensively researched psychological treatment for nonpsychotic, unipolar outpatient depressive disorders. Careful analysis of published outcome studies suggests that its benefits in acute depression whilst very promising have not been proven, mainly because of inadequate methodology in treatment trials. However, cognitive therapy does appear to reduce the risk of depressive relapse and may have a more durable effect than pharmacotherapy alone. This paper explores short- and long-term outcome data and reviews clinical factors, including therapists competency, that may predict outcome. The development of cognitive approaches to individuals with bipolar disorders is examined. Future areas of research, particularly the need to detect which individuals may differentially respond to cognitive therapy, are identified.
认知疗法是针对非精神病性、单相门诊抑郁症研究最为广泛的心理治疗方法。对已发表的疗效研究进行仔细分析表明，其在急性抑郁症治疗中的益处虽很有前景，但尚未得到证实，主要原因是治疗试验的方法不够完善。然而，认知疗法似乎确实能降低抑郁复发的风险，而且可能比单纯药物治疗产生更持久的效果。本文探讨了短期和长期疗效数据，并回顾了可能预测疗效的临床因素，包括治疗师的能力。本文还研究了针对双相情感障碍患者的认知方法的发展。确定了未来的研究领域，特别是需要发现哪些个体可能对认知疗法有不同的反应。
