Onlineprogramstofightdepressionarealreadycommerciall...
問題詳情：
Online programs to fight depression are already commercially available. While they sound efficient and cost-saving, a recent study reports that they're not effective, primarily because depressed patients are not likely to engage with them or stick with them.
The study looked at computer-assisted cognitive (認知的) behavioral therapy (CBT) and found that it was no more effective in treating depression than the usual care patients receive from a primary care doctor.
Traditional CBT is considered an effective form of talk therapy for depression, helping people challenge negative thoughts and change the way they think in order to change their mood and behaviors. However, online CBT programs have been gaining popularity, with the attraction of providing low-cost help wherever someone has access to a computer.
A team of researchers from the University of York conducted a randomized (隨機的) control trial with 691 depressed patients from 83 physician practices across England. The patients were split into three groups: one group received only usual care from a physician while the other two groups received usual care from a physician plus one of two computerized CBT programs. Participants were balanced across the three groups for age, sex, educational background, severity and duration of depression, and use of antidepressants(抗抑鬱*).
After four months, the patients using the computerized CBT programs had no improvement in depression levels over the patients who were only getting usual care from their doctors.
"It's an important, warning note that we shouldn't get too carried away with the idea that a computer system can replace doctors and therapists," says Christopher Dowrick, a professor of primary medical care at the University of Liverpool. "We do still need the human touch or the human interaction, particularly when people are depressed. "
"Being depressed can mean feeling lost in your own small, negative, dark world," Dowrick says. Having a person, instead of a computer, reach out to you is particularly important in fighting that sense of isolation. "When you're emotionally fragile, you're even more in need of a caring human being," he says.
57．What does the recent study say about online CBT programs?
A．Patients may not be able to carry them through for effective cure.
B．Patients cannot engage with them without the use of a computer.
C．They can save patients trouble visiting physicians.
D．They have been well received by a lot of patients'
58．What has made online CBT programs increasingly popular?
A．Their effectiveness in combating depression
B．The low efficiency of traditional talk therapy.
C．Their easy and inexpensive access by patients.
D．The recommendation by primary care doctors.
59．What is Professor Dowrick's advice concerning online CBT programs?
A．They should not be neglected in primary care.
B．Their effectiveness should not be overestimated.
C．They should be used by strictly following instructions.
D．Their use should be encouraged by doctors and therapists.
60．Which is more important to an emotionally vulnerable person?
A．A positive state of mind. B．Appropriate medication.
C．Timely encouragement. D．Human interaction.
【回答】
57．A
58．C
59．B
60．D
【分析】
這是一篇説明文。本文主要對計算機輔助認知行為療法（CBT）進行了研究，研究其對治療抑鬱症是否有作用。
57．細節理解題。根據第一段的While they sound efficient and cost-saving, a recent study reports that they're not effective, primarily because depressed patients are not likely to engage with them or stick with them. (儘管它們聽起來有效而且節省開支，但最近的一項研究報告稱它們並沒有效果，主要是因為抑鬱症患者不太可能參與它們或者堅持治療)可知，最近的一項研究認為抑鬱症患者可能不會堅持使用CBT進行有效的治療。A. Patients may not be able to carry them through for effective cure. (病人可能不會堅持使用它們進行有效的治療)符合以上説法，故選A項。
58．細節理解題。根據第三段的However, online CBT programs have been gaining popularity, with the attraction of providing low-cost help wherever someone has access to a computer.(然而，CBT治療變得越來越受歡迎，是因為它可以提供低消費的幫助，只要人們可以使用電腦)可知CBT治療受歡迎是因為價格低廉，且很容易獲得。C. Their easy and inexpensive access by patients. (病人可以方便、便宜地獲得它們)符合以上給説法，故選C項。
59．推理判斷題。根據倒數第二段的"It's an important, warning note that we shouldn't get too carried away with the idea that a computer system can replace doctors and therapists," says Christopher Dowrick, (克里斯托弗.多威克説：“這是一個重要的*告，我們不應過於相信計算機系統可以取代醫生和治療師。”)可推測Christopher Dowrick認為人們不應高估計算機系統治療的效果。B. Their effectiveness should not be overestimated. (它們的效果不應被高估)符合以上説法，故選B項。
60．細節理解題。根據最後一段的"When you're emotionally fragile, you're even more in need of a caring human being," he says. (他説：“當你情緒脆弱時，你更需要一個有愛心的人。”)可知，對於一個情感脆弱的人來説，人類的安慰和陪伴更重要。D. Human interaction. (人類的互動)符合以上説法，故選D項。
知識點：科普知識與現代技術
題型：閲讀理解
