心理治疗在阈下抑郁中的疗效：文献综述

于文丽; 潘璐彤; 李奇遇; 葛蒲; 杨绿

doi:10.70693/rwsk.v1i4.885

Authors

于文丽吉林体育学院
潘璐彤山东大学公共卫生学院
李奇遇中国医科大学医学人文学院
葛蒲北京中医药大学中医学院
杨绿吉林体育学院

DOI:

https://doi.org/10.70693/rwsk.v1i4.885

Keywords:

心理治疗, 阈下抑郁, 认知行为疗法, 行为激活疗法

Abstract

抑郁症是全球致残首位精神疾病，阈下抑郁作为其前驱阶段可引发显著功能损害及进展风险。心理治疗凭借非侵入性和防复发优势成为阈下抑郁管理的核心策略。证据表明：认知行为疗法通过修正负性认知模式，结合团体干预强化社会学习效应；行为激活疗法以重建积极行为循环为核心，兼具短期缓解与长期预防效能；正念认知疗法特异性阻断高认知易感群体的反刍思维；人际心理疗法通过改善社会支持系统调节情绪；团体治疗利用群体动力降低病耻感；中医情志疗法提供文化适配干预路径。当前研究存在长期疗效证据不足、方案标准化欠缺及神经机制不明等局限。未来需整合多模态生物标记物解析治疗靶点，构建阶梯式干预模型，开发数字化精准诊疗平台。阈下抑郁心理干预既是抑郁症二级预防关键环节，更是实现心理健康关口前移的重要实践，对降低全球疾病负担具有重大公共卫生价值。

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