题目
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． The study looked at computer-assisted cognitive 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． 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． 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 split into three groups： one group received only usual care from a physician while the other two groups received usual care I 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． 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． "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 in need of a caring human being，" he says．（1）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．（2）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．（3）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．（4）What is more important to an emotionally vulnerable person？ ____ A． A positive state of mind．B． Appropriate medication．C． Timely encouragement．D． Human interaction．
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．
The study looked at computer-assisted cognitive 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．
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．
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 split into three groups： one group received only usual care from a physician while the other two groups received usual care I 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．
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．
"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 in need of a caring human being，" he says．
（1）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．
（2）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．
（3）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．
（4）What is more important to an emotionally vulnerable person？ ____
A． A positive state of mind．
B． Appropriate medication．
C． Timely encouragement．
D． Human interaction．
The study looked at computer-assisted cognitive 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．
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．
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 split into three groups： one group received only usual care from a physician while the other two groups received usual care I 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．
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．
"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 in need of a caring human being，" he says．
（1）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．
（2）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．
（3）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．
（4）What is more important to an emotionally vulnerable person？ ____
A． A positive state of mind．
B． Appropriate medication．
C． Timely encouragement．
D． Human interaction．
题目解答
答案
（1）A．细节理解题．根据文章第一段，While they sound efficient and cost-saving， a recent study reports that they're not effective， primarily because depressed patients are not likely to engage with them or stick with them．在线治疗尽管听起高效、省钱，但是近期的报道称这种方法无效，主要因为病人不大可能参与或者长期使用这种疗法；以及第二段，The study looked at computer-assisted cognitive 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．这项研究观察了计算机辅助认知行为疗法（CBT），发现它在治疗抑郁症方面并不比通常的由初级保健医生提供的护理更有效．可知，在线CBT项目可能无法让病人接受有效的治疗，结合选项，故选A．
（2）C． 细节理解题．根据文章第三段，However， online CBT programs have been gaining popularity…然而，在线CBT项目越来越受欢迎；以及，the attraction of providing low-cost help wherever someone has access to a computer"，即因为在线CBT提供了价格低廉的帮助，并且只要能使用电脑，就能获取这种帮助．可知，该疗法受欢迎是因为患者可以方便而廉价地使用它们，结合选项，故选C．
（3）B．细节理解题．根据文章倒数第二段，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， We do still need the human touch or the human interaction， particularly when people are depressed． 这是一个很重要的提醒，我们不应该对计算机系统可以取代医生和治疗师的想法太过着迷，我们仍然需要人的触摸或人的互动，特别是当人们很沮丧的时候．可知，教授认为，在线CBT项目的有效性不应被高估，结合选项．故选B．
（4）D．细节理解题．根据文章最后一段，When you′re emotionally vulnerable，you're even more in need of a caring human being．当你情绪脆弱时，你更需要一个有爱心的人，可知，当人脆弱时人际交往是最重要的．结合选项．故选D．
（2）C． 细节理解题．根据文章第三段，However， online CBT programs have been gaining popularity…然而，在线CBT项目越来越受欢迎；以及，the attraction of providing low-cost help wherever someone has access to a computer"，即因为在线CBT提供了价格低廉的帮助，并且只要能使用电脑，就能获取这种帮助．可知，该疗法受欢迎是因为患者可以方便而廉价地使用它们，结合选项，故选C．
（3）B．细节理解题．根据文章倒数第二段，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， We do still need the human touch or the human interaction， particularly when people are depressed． 这是一个很重要的提醒，我们不应该对计算机系统可以取代医生和治疗师的想法太过着迷，我们仍然需要人的触摸或人的互动，特别是当人们很沮丧的时候．可知，教授认为，在线CBT项目的有效性不应被高估，结合选项．故选B．
（4）D．细节理解题．根据文章最后一段，When you′re emotionally vulnerable，you're even more in need of a caring human being．当你情绪脆弱时，你更需要一个有爱心的人，可知，当人脆弱时人际交往是最重要的．结合选项．故选D．
解析
- 考查要点：本题主要考查学生对文章细节的理解能力，需要根据上下文准确提取关键信息。
- 解题思路：
- 第（1）题：需关注研究结论，明确在线CBT无效的核心原因。
- 第（2）题：需定位在线CBT受欢迎的原因，抓住“低费用”和“易访问性”两个关键词。
- 第（3）题：需理解Dowrick教授的建议，注意“不应过度依赖技术”这一隐含含义。
- 第（4）题：需结合情感脆弱者的实际需求，锁定“人际互动”这一核心需求。
第（1）题
关键句：
第一段指出“在线CBT无效，主要因为患者不太可能参与或坚持使用”。
结论：患者无法长期参与导致治疗效果不明显，对应选项A。
第（2）题
关键句：
第三段提到“在线CBT的吸引力在于提供低成本帮助，且只要有电脑就能访问”。
结论：选项C的“易获取、低费用”直接对应文章内容。
第（3）题
关键句：
倒数第二段中Dowrick强调“不应认为电脑系统能取代医生，仍需人类互动”。
结论：选项B“不应高估有效性”符合其谨慎态度。
第（4）题
关键句：
最后一段明确“情感脆弱时更需要关爱的人”。
结论：选项D“人际互动”是核心需求。