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BBC新闻报道:适度的抑郁症对健康有益 (2009-3-18)

Moderate Depression Might Be Good for Health CLAUDIA HAMMOND: This is Health Check from BBC and I'm Claudia Hammond. A couple of weeks ago, a study came out suggesting that anti-depression medication works no better than sugar pills for most depressed patients. Now a new book has just come out suggesting that mild to moderate depression might in fact be good for us. Psychiatrist Paul Keedwell, the author of How Sadness Survived believes that sadness is a depression might evolve to get us to stop and take stock of our lives. When he came into the BBC studio, Paul Keedwell told me why something is distressing is the pression could in fact be useful. PAUL KEEDWEL: From an evolutionary point of view that maybe because you are denying some fundamental archetypal needs in order to chase after some more futile goals. The most obvious example in the modern world which makes blamewide depression appears to be increasing is that people are, perhaps, chasing after material goals at the expense of good quality relationships with their friends and family kin. I am not coming down and saying it's definitely an adaptation. But I'm saying that I do believe there are some advantages and some lessons that can be learned from depression that compensate, perhaps, for the causes of depression when you are actually in that moribund state. I am not making light of the experience of depression. It's an incredibly painful experience. It's quite difficult to desCRIbe. It's like a psychic pain, if you like, and a slowing down of the brain and the body. So it's a difficult message perhaps. This one I'm putting across is a difficult message perhaps for people depressed right now. But what I'm trying to do is to reduce the stigma that attached to depression. People do actually come out of depression spontaneously in traditional communities. Perhaps, because they have the time out to really recover and they also, of course, enjoy in many cases much stronger bonds with their kid and kin. CLAUDIA HAMMOND: So is there evidence that they actually have some inter-gain when they recover. They are actually… life is better for them in some way. PAUL KEEDWELL: There is a scientific study, the anonymous study which followed up a group of adults aged between 18 and 64. The 165 cases produced the first study to follow people up before, during and after an absolute depression. And I think they were expecting to find that people were left in this disabled state after depression. But actually the reversal is true that in the majority of the cases they seemed to have a better quality of life after recovery from the depression and they had before the answer to the depression. So this sort of supports the evolutionary argument if you like. The main argument is that depression takes you out of this chronically persistent stressful situation, puts the brakes on when you are not doing so voluntarily. And depression really is like that. It means does put on the brakes. It's not something that is real. Then the theory goes that as a consequence of going through this introspective state where you are thinking perhaps more realistically. It takes a way to explore optimism you might have or these unrealistic expectations, makes you more aware of your limitations as well as your strength. Particularly, as you are coming out of the depression, I think that's a time of rebirth, if you like, when people start to take stock and think right. I don't want to act again and what do I need to change. And reason that depression lasts longer than ordinary sadness perhaps it's because of its forces and more radical change. We need to value depressed people because they may potentially have new insights upon recovery that they can share with the group. So I think there is that understanding, more so in saying Bandar in Uganda, the Bandar tribe in Uganda than in western societies where we don't have enough time for each other. Edheigen, the evolutionary psychologist, has a theory along with lines that because people are so solipsist, it makes much more aware of the depressed persons' needs, not just then but ongoing. So upon recovery perhaps there might be an increased awareness. It's what he calls a strike-hypothesis. So going through a depression in a community world that depends on you. It's a bit like going on strike when the employers depending on you. Just tell the employer that you want more attention, more pay, if you like, and now I'll withdraw my labor until that happens. CLAUDIA HAMMOND: So if the pression might be useful in a long term, painfulness is in a short term. Does that mean we shouldn't trying treat it. PAUL KEEDWELL: I'm not saying that if we take an anti-depression, for example, we are definitely switching off a helpful process. But I would say that the pressures of modern living, the pressure to get back to work quickly, to pay mortgages and sell on all. Just, the general pressure is to succeed in life now and the fast pace means that there is a temptation for people to just take the anti-depression to feel better. But not change anything about their lives and I will say that's a mistake. CLAUDIA HAMMOND: Paul Keedwell. 来自:VOA英语网 文章地址: http://www.tingvoa.com/html/20090402/1207.html