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  3. Depression A study led by researchers at the University of Pennsylvania indicates that the antidepressants work no better th

Depression A study led by researchers at the University of Pennsylvania indicates that the antidepressants work no better th

admin2013-07-08  70
问题                             Depression
    A study led by researchers at the University of Pennsylvania indicates that the antidepressants work no better than placebos for people with mild to moderate depression. It sounded true. After all, any number of experts have argued that antidepressants are over-hyped and oversold. Yet in all the excitement about the study, a more slightly different and truer story about mental health care in America was all hut lost.
    That story begins to take shape when you consider what the new study actually said: Antidepressants do work for very severely depressed people, as well as for those whose mild depression is chronic. However, the researchers found, the pills don’t work for people who aren’t really depressed people with short-term, minor depression whose problems tend to get better on their own. For many of them, it’s often been observed, merely participating in a drug trial can be antidepressant enough.
    After all, people who are depressed for the first time, or have been depressed for only a short time, or are upset after a personal setback, aren’t considered ideal candidates for immediate drug therapy. And, contrary to popular belief, there’s no evidence that most psychiatrists regularly prescribe pills straight off to people who can get better by reading about depression, exercising or doing nothing. What numbers do exist, said Peter Kramer, who has written extensively on antidepressant use, indicate that relatively few people with minimal depression leave psychiatrists’ offices with a prescription.
    That people have come to believe otherwise may be in part because most patients with depression are treated by general practitioners, not psychiatrists. Studies have shown that these primary care doctors don’t seriously enough screen their patients for depression before prescribing drugs, or closely monitor their care afterward.
    And here the truer story about mental health care in America begins to unfold. The trouble is not that the drugs don’t work; it’s that the health care is not very good.
    Inadequate treatment by nonspecialists is only a piece of the problem. In fact, most Americans with depression, rather than being over medicated, are undertreated or not treated at all. This might have been big news, too, had anyone noticed another academic study, a survey of nearly 16,000 people published in The Archives of General Psychiatry, which looked more broadly at the picture of depression in America. The survey found that those who did get care were given psychotherapy more often than drugs. That finding might give heart to those who would prefer to see more alternatives to psychiatric drugs, if it weren’t for the fact that so much psychotherapy is so bad.
    In 2008, a team of psychologists brought this point home in blunt terms in the journal Psychological Science in the Public Interest. "Despite the availability of highly effective interventions," they wrote, "relatively few psychologists learn or practice these interventions. "
What is the truth of mental heath care in America according to the passage?
选项 A、Most treatment to depression is delivered by nonspecialists.
B、People with depression often lack adequate treatment.
C、Drugs prescribed by psychiatrists usually take no effect at all.
D、The professional quality of primary care doctor is relatively low.
答案B
解析 事实细节题。由题干关键词truth，mental health care，America定位到原文第五段。由The trouble is not that the drugs don’t work；it’s that the health care is not very good．再由第六段第二句In fact，most Americans with depression，rather than being overmedicated，areundertreated or not treated at all．可知，美国的治疗措施出了问题，大部分的抑郁症患者不能接受充分的治疗，故选[B]项。
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