Social skills training compared with pharmacotherapy and psychotherapy in the treatment of unipolar depression.
Social skills training compared with pharmacotherapy and psychotherapy in the treatment of unipolar depression.
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社交技能训练与药物治疗和心理治疗治疗单相抑郁症的比较。
DOI：
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发表时间：
1981
影响因子：
17.7
通讯作者：
J. Himmelhoch
中科院分区：
文献类型：
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作者：
A. Bellack;M. Hersen;J. Himmelhoch
作者对比了单相（非精神病）抑郁症的四种治疗方法：1）阿米替林，2）社交技能训练加阿米替林，3）社交技能训练加安慰剂，4）心理治疗加安慰剂。他们研究了 72 名女性门诊患者，其中 52 人完成了 12 周的治疗。这四种治疗方法均由经验丰富的临床医生进行，彼此之间没有显着差异。每种治疗都会在症状和社会功能方面产生显着且具有临床意义的变化。然而，作者发现了各组之间的几个显着差异：辍学率的显着差异（从阿米替林组的高 55.6% 到社交技能加安慰剂组的低 15%）以及显着改善的患者比例的显着差异。社交技能加安慰剂治疗是这个维度上最有效的治疗方法。
The authors contrasted four treatments for unipolar (nonpsychotic) depression: 1) amitriptyline, 2) social skills training plus amitriptyline, 3) social skills training plus placebo, and 4) psychotherapy plus placebo. They studied 72 female outpatients, 52 of whom completed the 12 weeks of treatment. The four treatments, conducted by experienced clinicians, were not substantially different from one another. Each treatment produced significant and clinically meaningful changes in symptomatology and social functioning. However, the authors identified several notable differences across groups: a significant difference in dropout rates (from a high of 55.6% for the amitriptyline group to a low of 15% for the social skills plus placebo group) and a significant difference in the proportion of patients who were substantially improved. The social skills plus placebo treatment was the most effective treatment on this dimension.