【摘要】 目的：探讨理智－情绪疗法（ＲＥＴ）、阿米替林、ＲＥＴ合并阿米替林对心境恶劣障碍的治疗效应。方法：将９５例患者随机分为三组，ＲＥＴ组２９例，阿米替林组３４例，合并治疗组３２例。采用Ｈａｍｉｌｔｏｎ和Ｚｕｎｇ氏抑郁量表进行治疗前后评定，用方差分析和均数ｔ检验。结果：ＲＥＴ合并阿米替林组对心境恶劣障碍的临床疗效、依从性优于ＲＥＴ及阿米替林组。结论：合并治疗组对心境恶劣障碍安全有效。更多还原

【Abstract】 Objective:to study the effect of rational emotive therapy(RET),amitriptyline and RET combined amitriptyline on dysthemic disorder Method:95 cases of dysthemia disorder were divided into three groups,29 cases treated by RET,34 by amitriptyline,32 by RET combined amitriptyline The HAMD and SDS were used to evaluate symptom before and after treatment The result were treated statistically with variance analysis and t test Result:clinical effects and compliance were best in the combined group Conclusion:combined treatment of RET with amitriptyline is safe and effective for dysthemia disorder更多还原