Almost 8 percent of Americans 12 and older dealt with depression at some point between2009 and 2012. With that many of us feeling blue, wouldn't it be nice if we could simply hopon the computer in our pajamas, without any of the stigma of asking for help, and find realrelief?

　　Online programs to fight depression are already commercially available, and while theysound efficient and cost-saving, a study out of the U.K. reports that they're not effective,primarily because depressed patients aren't likely to engage with them or stick with them.

　　The study, which was published in The BMJ on Wednesday, looked at computer- assistedcognitive behavioral therapy and found that it was no more effective in treating depressionthan the usual care patients receive from a primary care doctor.

　　Traditional cognitive behavioral therapy (CBT) is considered an effective form of talktherapy for depression, helping people challenge negative thoughts and change the way theythink in order to change their mood and behaviors. Online CBT programs have been gainingpopularity, with the allure of providing low-cost help wherever someone has access to acomputer.

　　A team of researchers from the University of York conducted a randomized control trial with

　　691 depressed patients from 83 physician practices across England. The patients were splitinto three groups: one group received only usual care from a physician while the other twogroups received usual care from a physician plus one of two computerized CBT programs,either "Beating the Blues" or "MoodGYM. "Participants were balanced across the three groups for age, sex, educational background, severity and duration of depression, and use of antidepressants.

　　After four months, the patients using the computerized cBT programs, or cCBT, had no improvement in depression levels over the patients who were only getting usual care from their doctors. "Uptake and use of cCBT was low, despite regular telephone support," the study authors wrote. Almost a quarter of participants dropped out within four months, and patients noted the "difficulty in repeatedly logging on to computer systems when they are clinically depressed."

　　"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, who wrote an accompanying editorial. "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 little 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.

　　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.

　　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.

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

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

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

　　C) The combination of traditional CBT and computerized CBT is mos

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

　　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.

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

　　A) positive state of mind.

　　B)appropriate medication.

　　C) timely encouragement

　　D) human interaction

　　答案：ACABD

　　【解析】

　　51.What does the recent study say about online CBT programs?根据题干recent study, CBT programs定位到第三段第一句，The study指代，所以往前找出指代内容，找到第二段抗击抑郁症的在线计划已经商业化，虽然它们听起来效率高，节省成本，但是英国的一项研究报告称，它们无效，主要是因为抑郁症患者不太可能与他们接触或坚持使用，同意替换选择A选项。

　　52. What has made online CBT programs increasingly popular?根据题干信息online CBT program，popular定位到第四段最后一句话，在线CBT计划越来越受欢迎，诱因在于可以在任何可以访问计算机的地方提供低成本帮助，同意替换C选项。

　　53. What is the major finding by researchers at the University of York?根据题干信息finding，University of York定位到第五段，第五段一直在介绍实验的对象，实验内容，知道第六段出现使用CBT programs或者 CBT的患者，与仅接受医生常规治疗的患者相比，抑郁水平没有改善，同意替换A选项no more effective than。

　　54. What is Professor Dowrick's advice concerning online CBT programs?根据题干信息Professor Dowrick，online CBT programs定位到倒数第二段第一句，这是一个重要的，应谨慎对待的提示，我们不应该因为计算机系统可以取代医生和治疗师的想法而感到茫然，我们仍然需要人性接触或人际互动，特别是当人们沮丧时。同意替换B选项。

　　55. What is more important to an emotionally vulnerable person? 根据题干信息 emotionally vulnerable person定位到最后一段最后一句，当你情绪脆弱时，你更需要人性的关怀，同意替换选择D选项。

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