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　　Online programs to fight depression are already commercially available. While they sound efficient 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.

　　The study looked at computer-assisted cognitive behavioral 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.

　　A team of researchers from the University of York conducted a randomized (随机的) controltrialwith691depressedpatients from 83 physician practices across the 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).

　　After four months, the patients using the computerized CBT programshad no improvement in depression levels over the patients who were only getting usual care from their doctors.

　　“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.”

　　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 need of a caring human beings,” he says.

　　答案：A C A B D

　　51. What does the recent study say about online CBT programs?

　　A) Patients may not be able to carry them through for effective cure.

　　B) Patients cannot engage with them without the use of a computer.

　　C) They can save patients trouble visiting physicians.

　　D) They have been well received by a lot of patients.

　　关键词：study, CBT program，定位到第一段“a recent study reports that they are not effective, primarily because depressed patients are not likely to engage with them or stick with them.” 选[A]，病人可能无法进行有效的治疗。

　　52. What has made online CBT programs increasingly popular?

　　A) Their effectiveness in combating depression.

　　B) The low efficiency of traditional talk therapy.

　　C) Their easy and inexpensive access by patients.

　　D) The recommendation by primary care doctors.

　　关键词：CBT program, popular，定位到“However, online CBT programs have been gaining popularity, with the attraction of providing low-cost help wherever someone has access to a computer.” 选[C]。

　　53What is the major finding by researchers at the University of York?

　　A) Online CBT programs are no more effective than regular care from their doctor.

　　B) The process of treating depression is often more complicated than a……

　　C) The combination of traditional CBT and computerized CBT is most effective

　　D) Depression is a mental condition which is to be treated with extrer……

　　关键词：major finding,University of York，定位到第三段之后。第三段是实验过程，第四段是实验结果： “After four months, the patients using the computerized CBT programshad 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程序的患者的抑郁程度并没有比只接受医生常规治疗的患者有所改善)选[A]。

　　54. What is Professor Dowrick’s advice concerning online CBT programs?

　　A)They should not be neglected in primary care.

　　B)Their effectiveness should not be overestimated.

　　C)They should be used by strictly following instructions

　　D)Their use should be encouraged by doctors and therapists

　　关键词：Professor Dowrick’s advice, online CBT programs，定位到第五段：“We do still need the human touch or the human interaction, particularly when people are depressed.”(我们仍然需要人与人之间的接触和互动，尤其是当人们感到沮丧的时候)，选[B]。

　　55. What is more important to an emotionally vulnerable person?

　　A) positive state of mind C)Timely encouragement

　　B) Appropriate medication D)Human interaction

　　关键词：more important, an emotionally vulnerable person，定位到最后一段“When you’re emotionally vulnerable, you’re even more need of a caring human beings,” he says.”选[D ]。

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