{"id":3229,"date":"2020-07-01T15:47:43","date_gmt":"2020-07-01T15:47:43","guid":{"rendered":"https:\/\/curesz.org\/?p=3229"},"modified":"2020-08-08T17:53:42","modified_gmt":"2020-08-08T17:53:42","slug":"talk-to-your-doctor-combining-psychotherapy-with-medications","status":"publish","type":"post","link":"https:\/\/curesz.org\/zh\/2020\/07\/01\/talk-to-your-doctor-combining-psychotherapy-with-medications\/","title":{"rendered":"\u4e0e\u60a8\u7684\u533b\u751f\u4ea4\u8c08\uff1a\u5c06\u5fc3\u7406\u6cbb\u7597\u4e0e\u836f\u7269\u6cbb\u7597\u76f8\u7ed3\u5408"},"content":{"rendered":"
\"\"

\u533b\u5b66\u535a\u58eb Justin McCutcheon<\/p><\/div>\n

\u4f5c\u4e3a\u4e00\u540d\u7cbe\u795e\u79d1\u533b\u751f\uff0c\u6211\u5de5\u4f5c\u4e2d\u6700\u6709\u4ef7\u503c\u7684\u90e8\u5206\u662f\u8fdb\u884c\u5fc3\u7406\u6cbb\u7597\uff0c\u5c24\u5176\u662f\u5f53\u6211\u80fd\u591f\u5e2e\u52a9\u60a3\u6709\u7cbe\u795e\u5206\u88c2\u75c7\u7b49\u4e25\u91cd\u7cbe\u795e\u75be\u75c5\u7684\u60a3\u8005\u65f6\u3002\u5f53\u6211\u542c\u5230\u6709\u4eba\u8bf4\u5fc3\u7406\u6cbb\u7597\u771f\u7684\u4e0d\u662f\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u7684\u6b63\u786e\u6cbb\u7597\u65b9\u6cd5\u65f6\uff0c\u6211\u611f\u5230\u5f88\u5931\u671b1<\/sup>.\u6211\u5728\u8fd9\u7bc7\u6587\u7ae0\u4e2d\u7684\u76ee\u7684\u662f\u544a\u77e5\u60a3\u8005\u3001\u4ed6\u4eec\u7684\u5bb6\u4eba\u548c\u4ece\u4e1a\u8005\uff0c\u5fc3\u7406\u6cbb\u7597\u53ef\u4ee5\u6210\u4e3a\u60a3\u8005\u4ece\u7cbe\u795e\u5206\u88c2\u75c7\u5eb7\u590d\u8ba1\u5212\u4e2d\u975e\u5e38\u91cd\u8981\u7684\u4e00\u90e8\u5206\u3002\u4f5c\u4e3a\u7cbe\u795e\u5206\u88c2\u75c7\u6cbb\u7597\u65b9\u6cd5\u7814\u7a76\u7684\u53ef\u80fd\u7597\u6cd5\u6e05\u5355\u975e\u5e38\u591a\uff0c\u9009\u62e9\u4e00\u79cd\u7597\u6cd5\u53d6\u51b3\u4e8e\u60a8\u548c\u60a8\u72ec\u7279\u7684\u4e2a\u4eba\u6cbb\u7597\u76ee\u6807\u3002<\/p>\n

\u8ba4\u77e5\u884c\u4e3a\u7597\u6cd5 (CBT) \u662f\u7814\u7a76\u6700\u5e7f\u6cdb\u7684\u7cbe\u795e\u5206\u88c2\u75c7\u7597\u6cd5\uff0c\u5b83\u9996\u5148\u6d89\u53ca\u66f4\u52a0\u4e86\u89e3\u60a8\u7684\u601d\u60f3\uff08\u8ba4\u77e5\uff09\u3001\u611f\u53d7\u548c\u884c\u4e3a\u3002\u7136\u540e\uff0c\u60a8\u5c06\u4e0e\u60a8\u7684\u6cbb\u7597\u5e08\u4e00\u8d77\u6b63\u5e38\u5316\u5e76\u4e86\u89e3\u60a8\u4ee5\u524d\u6216\u73b0\u5728\u7684\u4e00\u4e9b\u7cbe\u795e\u5206\u88c2\u75c7\u75c7\u72b6\uff08\u4f8b\u5982\u5984\u60f3\u3001\u5e7b\u89c9\u6216\u601d\u7ef4\u6df7\u4e71\uff09\u662f\u60a8\u7cbe\u795e\u75be\u75c5\u7684\u4e00\u90e8\u5206\u3002\u60a8\u53ef\u4ee5\u5728\u4e0d\u88ab\u8bc4\u5224\u7684\u60c5\u51b5\u4e0b\u5206\u4eab\u8fd9\u4e9b\u4ee4\u4eba\u4e0d\u5b89\u7684\u7ecf\u5386\uff0c\u5e76\u4f7f\u7528 CBT \u6765\u63d0\u9ad8\u60a8\u7684\u7406\u89e3\u548c\u5e94\u5bf9\u6280\u5de7\u3002\u5df2\u53d1\u8868\u7684\u7814\u7a76\u62a5\u544a\u8bf4\uff0c\u63a5\u53d7 CBT \u7684\u60a3\u8005\u5728\u9633\u6027\uff08\u5373\u7cbe\u795e\u75c5\u6027\uff09\u75c7\u72b6\uff08\u5e7b\u89c9\u3001\u5984\u60f3\uff09\u3001\u9634\u6027\u75c7\u72b6\uff08\u7f3a\u4e4f\u52a8\u529b\u3001\u9762\u90e8\u8868\u60c5\u8fdf\u949d\u3001\u793e\u4ea4\u9000\u7f29\uff09\u3001\u529f\u80fd\u3001\u60c5\u7eea\u3001\u7edd\u671b\u548c\u793e\u4ea4\u7126\u8651\u65b9\u9762\u6709\u6240\u6539\u55842<\/sup>.<\/p>\n

\u652f\u6301\u7597\u6cd5 (ST) \u53ef\u4ee5\u4e3a\u60a8\u63d0\u4f9b\u6e29\u6696\u3001\u652f\u6301\u7684\u5173\u7cfb\uff0c\u5728\u8fd9\u79cd\u5173\u7cfb\u4e2d\uff0c\u60a8\u53ef\u4ee5\u81ea\u7531\u8ba8\u8bba\u5f53\u524d\u7684\u95ee\u9898\uff0c\u5e76\u4e0e\u60a8\u7684\u63d0\u4f9b\u8005\u5408\u4f5c\u89e3\u51b3\u3002\u5b83\u901a\u5e38\u4e0d\u5982\u5176\u4ed6\u5f62\u5f0f\u7684\u6cbb\u7597\u90a3\u4e48\u7ed3\u6784\u5316\uff0c\u5176\u6709\u6548\u6027\u7684\u79d1\u5b66\u8bc1\u636e\u4e0d\u5982\u5176\u4ed6\u6cbb\u7597\u5f3a\u59273<\/sup>.<\/p>\n

\u793e\u4ea4\u6280\u80fd\u8bad\u7ec3 (SST) \u662f\u4e00\u79cd\u4e13\u6ce8\u4e8e\u5b66\u4e60\u548c\u7ec3\u4e60\u7279\u5b9a\u793e\u4ea4\u6280\u80fd\u4ee5\u6539\u5584\u60a8\u7684\u751f\u6d3b\u7684\u7597\u6cd5\uff0c\u8fd8\u6d89\u53ca\u5236\u5b9a\u548c\u5b9e\u73b0\u4e2a\u4eba\u5eb7\u590d\u76ee\u6807\uff08\u5373\u627e\u5de5\u4f5c\u3001\u7ed3\u8bc6\u65b0\u670b\u53cb\u3001\u589e\u52a0\u6109\u5feb\u7684\u6d3b\u52a8\uff094<\/sup>.<\/p>\n

\u8ba4\u77e5\u77eb\u6b63 (CR) \u81f4\u529b\u4e8e\u6539\u5584\u6216\u5bfb\u627e\u201c\u53d8\u901a\u65b9\u6cd5\u201d\u6765\u89e3\u51b3\u56e0\u7cbe\u795e\u5206\u88c2\u75c7\u800c\u7ecf\u5e38\u51fa\u73b0\u7684\u601d\u7ef4\u95ee\u9898\u3002 CR \u76ee\u6807\u7684\u4f8b\u5b50\u53ef\u4ee5\u662f\u63d0\u9ad8\u6ce8\u610f\u529b\u3001\u8bb0\u5fc6\u529b\u3001\u793e\u4f1a\u610f\u8bc6\u6216\u201c\u601d\u8003\u4f60\u7684\u60f3\u6cd5\u201d\uff08\u5143\u8ba4\u77e5\uff09\u7684\u80fd\u529b5<\/sup>.<\/p>\n

\u5fc3\u7406\u6559\u80b2 (PE) \u5411\u60a3\u8005\u63d0\u4f9b\u4fe1\u606f\uff0c\u800c\u5bb6\u5ead\u5e72\u9884 (FI) \u5411\u60a3\u8005\u53ca\u5176\u5bb6\u5c5e\u63d0\u4f9b\u6709\u5173\u8bca\u65ad\u3001\u73b0\u5b9e\u671f\u671b\u548c\u5e38\u89c1\u95ee\u9898\u6216\u51b2\u7a81\u7684\u4fe1\u606f6<\/sup>.<\/p>\n

\u5fc3\u7406\u52a8\u529b\u5b66\u5fc3\u7406\u6cbb\u7597\u6d89\u53ca\u63a2\u7d22\u60a8\u8fc7\u53bb\u7684\u751f\u6d3b\u7ecf\u5386\uff0c\u5e76\u52a0\u6df1\u60a8\u5bf9\u4ee5\u524d\u7684\u60c5\u7eea\u51b2\u7a81\u53ef\u80fd\uff08\u65e0\u610f\u8bc6\u5730\uff09\u5f71\u54cd\u60a8\u5f53\u524d\u884c\u4e3a\u7684\u7406\u89e3\u3002\u7814\u7a76\u8868\u660e\uff0c\u5fc3\u7406\u52a8\u529b\u5b66\u5fc3\u7406\u6cbb\u7597\u53ef\u4ee5\u6539\u5584\u201c\u76ee\u6807\u95ee\u9898\u201d\u3001\u75c7\u72b6\u6c34\u5e73\u548c\u793e\u4f1a\u529f\u80fd7<\/sup>.\u4f46\u662f\uff0c\u5b83\u53ef\u80fd\u5e76\u4e0d\u9002\u5408\u6240\u6709\u60a3\u8005\u3002<\/p>\n

\u5728\u6211\u7684\u4e34\u5e8a\u5b9e\u8df5\u4e2d\uff0c\u6211\u901a\u5e38\u5bf9\u6211\u7684\u8bb8\u591a\u60a3\u8005\u4f7f\u7528 CBT\u3002\u6211\u7814\u7a76\u8fc7\u5176\u4ed6\u5f62\u5f0f\u7684\u6cbb\u7597\uff0c\u4f46\u53d1\u73b0 CBT \u662f\u5e2e\u52a9\u6211\u7684\u60a3\u8005\u8301\u58ee\u6210\u957f\u7684\u6700\u7075\u6d3b\u3001\u6700\u6709\u6548\u7684\u65b9\u6cd5\u3002\u6211\u7684\u4e00\u4f4d\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\uff08\u201c\u6770\u592b\u201d\uff09\u5c31\u5fc3\u7406\u6cbb\u7597\u5982\u4f55\u5e2e\u52a9\u4ed6\u7684\u5eb7\u590d\u4e4b\u65c5\u53d1\u8868\u4e86\u4e00\u4e9b\u8bc4\u8bba\uff0c\u6211\u5c06\u4ee5\u4ed6\u7684\u8bc4\u8bba\u7ed3\u675f\u8fd9\u7bc7\u6587\u7ae0\u3002\u4e0e Jeff \u4e00\u8d77\u5de5\u4f5c\u5f88\u6109\u5feb\uff0c\u6211\u4e3a\u4ed6\u7684\u8fdb\u6b65\u611f\u5230\u65e0\u6bd4\u81ea\u8c6a\uff01<\/p>\n

\u201c\u6cbb\u7597\u5e2e\u52a9\u6211\u66f4\u597d\u5730\u4e86\u89e3\u81ea\u5df1\u548c\u6211\u7684\u75c7\u72b6\u3002\u6211\u8fc7\u53bb\u8ba4\u4e3a\u8fd9\u4e2a\u4e16\u754c\u6bd4\u73b0\u5728\u66f4\u53ef\u6015\uff0c\u4e5f\u66f4\u504f\u6267\u3002\u6211\u4ecd\u7136\u6bcf\u5929\u90fd\u80fd\u542c\u5230\u58f0\u97f3\uff0c\u4f46\u591a\u4e8f\u4e86\u6cbb\u7597\uff0c\u6211\u7406\u89e3\u4e86\u5b83\u4eec\uff0c\u6211\u4ee5\u5b8c\u5168\u4e0d\u540c\u7684\u65b9\u5f0f\u5bf9\u5b83\u4eec\u505a\u51fa\u53cd\u5e94\uff0c\u5b83\u4eec\u5bf9\u6211\u7684\u56f0\u6270\u4e5f\u5c11\u4e86\u5f88\u591a\u3002\u4e00\u65e6\u6211\u80fd\u591f\u4f7f\u7528 CBT \u6765\u89e3\u51b3\u56f0\u6270\u6211\u7684\u95ee\u9898\uff0c\u6211\u5c31\u4f1a\u6ce8\u610f\u5230\u6211\u7684\u538b\u529b\u6c34\u5e73\u663e\u7740\u4e0b\u964d\u3002\u5728\u6709\u5f88\u591a\u4eba\u3001\u566a\u97f3\u548c\u660e\u4eae\u706f\u5149\u7684\u60c5\u51b5\u4e0b\uff0c\u6211\u80fd\u591f\u66f4\u597d\u5730\u4fdd\u6301\u51b7\u9759\u3002\u5728\u6cbb\u7597\u4e2d\uff0c\u6211\u6709\u4e00\u4e2a\u7a7a\u95f4\u6765\u8ba8\u8bba\u6211\u5f88\u96be\u8c08\u8bba\u7684\u4e8b\u60c5\u3002\u5efa\u7acb\u4fe1\u4efb\u5bf9\u6211\u6765\u8bf4\u81f3\u5173\u91cd\u8981\uff0c\u5b83\u8ba9\u6211\u6709\u673a\u4f1a\u628a\u8fd9\u4e9b\u4e8b\u60c5\u8bf4\u51fa\u53e3\u3002\u6700\u540e\uff0c\u5728\u6211\u7684\u751f\u6d3b\u4e2d\uff0c\u6709\u5f88\u591a\u65f6\u5019\u5f88\u5bb9\u6613\u201c\u653e\u5f03\u201d\uff0c\u4f46\u8fd9\u79cd\u7597\u6cd5\u5e2e\u52a9\u6211\u4fdd\u6301\u4e86\u5e0c\u671b\u548c\u52a8\u529b\u3002\u6211\u4e0d\u89c9\u5f97\u81ea\u5df1\u5df2\u7ecf\u201c\u75ca\u6108\u201d\u4e86\uff0c\u4f46\u6211\u7684\u751f\u6d3b\u6bd4\u4ee5\u524d\u597d\u591a\u4e86\uff01<\/p>\n

 <\/p>\n

\u53c2\u8003<\/p>\n

    \n
  1. Kuller, AM\u3001Ott, BD\u3001Goisman, RM\u3001Wainwright, LD \u548c Rabin, RJ (2010)\u3002\u8ba4\u77e5\u884c\u4e3a\u7597\u6cd5\u548c\u7cbe\u795e\u5206\u88c2\u75c7\uff1a\u7f8e\u56fd\u548c\u82f1\u56fd\u4e34\u5e8a\u5b9e\u8df5\u548c\u7597\u6548\u89c2\u70b9\u7684\u8c03\u67e5\u3002 \u793e\u533a\u5fc3\u7406\u5065\u5eb7\u6742\u5fd7<\/em>, 46<\/em>(1), 2-9.<\/li>\n
  2. Wykes, T.\u3001Steel, C.\u3001Everitt, B. \u548c Tarrier, N. (2008)\u3002\u7cbe\u795e\u5206\u88c2\u75c7\u7684\u8ba4\u77e5\u884c\u4e3a\u7597\u6cd5\uff1a\u6548\u5e94\u91cf\u3001\u4e34\u5e8a\u6a21\u578b\u548c\u65b9\u6cd5\u8bba\u7684\u4e25\u8c28\u6027\u3002 \u7cbe\u795e\u5206\u88c2\u75c7\u901a\u62a5<\/em>, 34<\/em>(3), 523-537.<\/li>\n
  3. Buckley, LA\u3001Maayan, N.\u3001Soares-Weiser, K. \u548c Adams, CE (2015)\u3002\u7cbe\u795e\u5206\u88c2\u75c7\u7684\u652f\u6301\u7597\u6cd5\u3002 Cochrane \u7cfb\u7edf\u8bc4\u4ef7\u6570\u636e\u5e93<\/em>, (4).<\/li>\n
  4. Granholm, E., & Harvey, PD (2018)\u3002\u7cbe\u795e\u5206\u88c2\u75c7\u9634\u6027\u75c7\u72b6\u7684\u793e\u4ea4\u6280\u80fd\u8bad\u7ec3\u3002 \u7cbe\u795e\u5206\u88c2\u75c7\u901a\u62a5<\/em>, 44<\/em>(3), 472-474.<\/li>\n
  5. Barlati, S.\u3001Deste, G.\u3001De Peri, L.\u3001Ariu, C. \u548c Vita, A.\uff082013 \u5e74\uff09\u3002\u7cbe\u795e\u5206\u88c2\u75c7\u7684\u8ba4\u77e5\u77eb\u6b63\uff1a\u73b0\u72b6\u548c\u672a\u6765\u5c55\u671b\u3002 \u7cbe\u795e\u5206\u88c2\u75c7\u7684\u7814\u7a76\u548c\u6cbb\u7597<\/em>, 2013<\/em>.<\/li>\n
  6. Gir\u00f3n, M.\u3001Nova-Fern\u00e1ndez, F.\u3001Ma\u00f1\u00e1-Alvarenga, S.\u3001Nolasco, A.\u3001Molina-Habas, A.\u3001Fern\u00e1ndez-Ya\u00f1ez, A., \u2026 & G\u00f3mez-Beneyto, M. (2015)\u3002\u5bb6\u5ead\u5e72\u9884\u5982\u4f55\u6539\u5584\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u7684\u9884\u540e\uff1f\u793e\u4f1a\u7cbe\u795e\u75c5\u5b66\u548c\u7cbe\u795e\u75c5\u6d41\u884c\u75c5\u5b66\uff0c50(3), 379-387\u3002<\/li>\n
  7. Leichsenring, F.\u3001Rabung, S. \u548c Leibing, E. (2004)\u3002\u77ed\u671f\u5fc3\u7406\u52a8\u529b\u5b66\u5fc3\u7406\u6cbb\u7597\u5bf9\u7279\u5b9a\u7cbe\u795e\u75be\u75c5\u7684\u7597\u6548\uff1a\u4e00\u9879\u835f\u8403\u5206\u6790\u3002 \u666e\u901a\u7cbe\u795e\u75c5\u5b66\u6863\u6848<\/em>, 61<\/em>(12), 1208-1216.<\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"

    The most rewarding part of my job as a psychiatrist […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3229","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"acf":[],"yoast_head":"\nTalk to Your Doctor: Combining Psychotherapy with Medications - CURESZ Foundation<\/title>\n<meta name=\"description\" content=\"Patients, their families and their practitioners should know that psychotherapy can be a very important part of a patient's recovery from schizophrenia.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/curesz.org\/zh\/2020\/07\/01\/talk-to-your-doctor-combining-psychotherapy-with-medications\/\" \/>\n<meta property=\"og:locale\" content=\"zh_CN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Talk to Your Doctor: Combining Psychotherapy with Medications - 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