2019年06月四级第3套仔细阅读 Passage 2 原文翻译及答案解析

Online programs to fight depression are already commercially available. While they sound efficient and cost-saving, a recent study reports that they are not effective, primarily because depressed patients are not likely to engage with them or stick with them.

在线抗抑郁程序已经商业化。尽管它们听起来高效且节省成本，但最近的一项研究报告称它们并不有效，主要原因是抑郁症患者不太可能使用或坚持使用它们。

The study looked at computer-assisted cognitive (认知的) 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.

该研究考察了计算机辅助的认知行为疗法（CBT），并发现其在治疗抑郁症方面并不比初级保健医生提供的常规护理更有效。

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.

传统的CBT被认为是治疗抑郁症的一种有效谈话疗法，帮助人们挑战负面思维并改变思考方式，从而改变他们的情绪和行为。然而，在线CBT程序越来越受欢迎，其吸引力在于只要有人能接触到计算机，就能提供低成本帮助。

A team of researchers from the University of York conducted a randomized (随机的) 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 (抗抑郁药).

来自约克大学的一个研究团队在英国83家医生诊所中对691名抑郁症患者进行了一项随机对照试验。患者被分为三组：一组只接受医生的常规护理，另外两组接受医生的常规护理加上两种计算机化CBT程序中的一种。参与者在年龄、性别、教育背景、抑郁症严重程度和持续时间以及抗抑郁药使用方面在三组之间保持平衡。

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.

四个月后，使用计算机化CBT程序的患者在抑郁症水平上没有比仅接受医生常规护理的患者有所改善。

"It's an important, cautionary 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."

“这是一个重要的警示，我们不应该过于沉迷于计算机系统可以取代医生和治疗师的想法，”利物浦大学初级医疗护理教授克里斯托弗·道里克说。“我们仍然需要人性的关怀或人际互动，尤其是在人们抑郁的时候。”

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 combating that sense of isolation. "When you're emotionally vulnerable, you're even more in need of a caring human being," he says.

抑郁可能意味着感觉“迷失在自己的狭小、负面、黑暗的世界中，”道里克说。由人而不是计算机来接触你，对于对抗那种孤立感尤为重要。“当你情感脆弱时，你更需要一个有爱心的人，”他说。