谭诗亮　邬颖华

摘 要：阈下抑郁是一种未达到重症抑郁诊断标准，存在至少两种以上抑郁症状的抑郁症亚型。由于青少年阈下抑郁发病率较高，医院、社区各层面医疗工作者开始针对其开展中心理行为干预。研究通过回顾阈下抑郁概念、评估方式、近年来中西医心理行为治疗效果等研究成果，发现中医在“扶阳抑阴”的理论指导下开展团体心理治疗、电针结合心理等方法，均显示出较好的临床疗效。西医多通过行为认知疗法、运动疗法、网络自助干预等对青少年进行心理干预。

关键词：阈下抑郁；青少年；中西医心理治疗

中图分类号：R749.055 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.10.012

文章编号：1006-1959（2018）10-0037-04

Research Progress of Chinese and Western Psychological Behavior Therapy for Adolescents with Subthreshold Depression

TAN Shi-liang，WU Ying-hua

（School of Nursing，Chengdu University of Traditional Chinese Medicine，Chengdu 611137，Sichuan，China）

Abstract：Subthreshold depression is a subtype of depression that does not meet the diagnostic criteria for severe depression and has at least two depressive symptoms.Because of the high incidence of subthreshold depression among young people，medical workers at various levels in hospitals and communities began to focus on their psychological and behavioral interventions.By reviewing the concept of subthreshold depression，evaluating methods，and the effect of psycho-behavioral therapy of traditional Chinese and western medicine in recent years，it was found that Chinese medicine carried out group psychotherapy，electroacupuncture combined with psychology and so on under the guidance of the theory of"nourishing Yang and suppressing Yin".All of them showed good clinical effect.Western medicine through behavioral cognitive therapy，exercise therapy，network self-help intervention to adolescents psychological intervention.

Key words：Subthreshold depression；Adolescents；Psychotherapy of traditional Chinese medicine and western medicine

现代社会压力下，个体具有抑郁状态的表现却不能达到抑郁症诊断标准的状态称之为阈下抑郁（subthreshold depression，SD）。与抑郁症类似，SD也可以造成严重的职业功能下降、社会功能危害、医疗负荷加重[1]。Cuijpers[2]等人的研究结果显示，正常人群中阈下抑郁的发生率高达20%～30%。由此可见，SD者在数量上远超出抑郁症患者，其潜在危害性甚至大于抑郁症。国内外相关调查对大学生群体抑郁状况的检出率在15.32%～83.8%之间，女生检出率高于男生[3]。青少年在青春期间SD发病率处于持续上升状态，且在14～18岁之间发病的SD终生患病率可高达10%～22.9%[4，5]，因此，对于青少年SD的早期预防、治疗及护理显得尤为重要。本文就阈下抑郁的有关概念、评估方式，及中西医护理在SD青少年中应用的进展三方面进行综述评价，为青少年阈下抑郁的预防及护理提供一定理论支持。……