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首页> 外文期刊>Journal of Contemporary Psychotherapy >Psychotherapy and (or) Medications for Depression in Youth? An Evidence-Based Review with Recommendations for Treatment
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Psychotherapy and (or) Medications for Depression in Youth? An Evidence-Based Review with Recommendations for Treatment

机译：青年抑郁症的心理治疗和（或）药物治疗？循证审查并提出治疗建议

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摘要

This article reviews existing research pertaining to antidepressant medications, psychotherapy, and their combined efficacy in the treatment of clinical depression in youth. Based on this review, we recommend that youth depression and its treatment can be readily understood from a social-psycho-bio model. We maintain that this model presents an alternative conceptualization to the dominant biopsychosocial model, which implies the primacy of biological contributors. Further, our review indicates that psychotherapy should be the frontline treatment for youth with depression and that little scientific evidence suggests that combined psychotherapy and medication treatment is more effective than psychotherapy alone. Due primarily to safety issues, selective serotonin reuptake inhibitors should be initiated only in conjunction with psychotherapy and/or supportive monitoring. Keywords Psychotherapy - Antidepressant medications - Children and adolescents - Randomized controlled trials - Efficacy
机译：本文回顾了有关抗抑郁药物，心理疗法及其在青少年临床抑郁症治疗中的综合功效的现有研究。基于此评论，我们建议可以从社会心理生物模型中轻松理解青年抑郁症及其治疗方法。我们认为，该模型提出了一种替代性的概念化方法，取代了主要的生物心理社会模型，这暗示了生物贡献者的首要地位。此外，我们的评论表明，心理治疗应成为青年抑郁症患者的一线治疗方法，几乎​​没有科学证据表明心理治疗和药物治疗相结合比单独的心理治疗更有效。主要由于安全问题，仅应结合心理治疗和/或支持性监测来启动选择性5-羟色胺再摄取抑制剂。关键词心理治疗-抗抑郁药-儿童和青少年-随机对照试验-疗效

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