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2019年6月英语四级真题及答案大汇总 | ||
题型 | ||
Section C Passage 2
Online programs to fight depression are already commercially available. 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.
The study looked at computer-assisted cognitive (认知的) 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 (随机的) 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 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 (抗抑郁药).
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.
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 New York?
A) Online CBT programs are no more effective than regular care from p…
B) The process of treating depression is often more complicated than a …
C) The combination of traditional CBT and computerized CBT is mos…
D) Depression is a mental condition which is to be treated with extreme…
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. Which is more important to an emotionally vulnerable person?
A) A positive state of mind.
B) Appropriate medication.
C) Timely encouragement.
D) Human interaction.
【答案】ACABD
【详解】
51. What does the recent study say about online CBT programs?
【解析】注意题目问的是最近的研究对在线CBT的看法,通过关键词the recent study和online CBT programs定位至第一段第二句“…a recent study reports that they're not effective, primarily because depressed patients are not likely to engage with them or stick with them.”和第二段“The study…found that it was no more effective in treating depression than the usual care patients receive from a primary care doctor.”综合理解可知最近的一项研究认为在线CBT并不比传统手段有效,原因是抑郁患者不太会与之建立有意义的联系(engage with them)或保持使用(stick with them),选项(A)Patients may not be able to carry them through for effective cure符合文意。
52. What has made online CBT programs increasingly popular?
【解析】题目问“是什么使得在线CBT越来越流行”,可定位至第三段第二句“However, online CBT programs have been gaining popularity…”。下文with引出原因,“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。选项(C)Their easy and inexpensive access by patients是对原文的同义概括。
53. What is the major finding by researchers at the University of New York?
【解析】凭关键词NYU可定位至文章第四段,而题目问的是“the major finding主要发现”,在第五段可以找到研究结果。“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.”即是说使用在线CBT的患者与只接受常规治疗的患者相比,抑郁水平并没有得到改善。选项(A)Online CBT programs are no more effective than regular care from p…符合文意。
54. What is Professor Dowrick’s advice concerning online CBT programs?
【解析】根据人名关键词可定位至文章第五段,题目问的是建议,可结合情态动词判断。Dowrick提出“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.”,即我们不应该太过相信电脑系统能够取代医生和治疗师,我们依然需要与人类的接触和互动,陷入抑郁时尤其如此。选项(B)Their effectiveness should not be overestimated(它们的有效性不应该被高估)是文意的正确体现。
55. Which is more important to an emotionally vulnerable person?
【解析】根据关键词an emotionally vulnerable person可定位至文章最后一句“When you're emotionally vulnerable, you're even more in need of a caring human being”,即当你情感上脆弱的时候,你就更需要一个关心你的人。结合前句“Having a person, instead of a computer, reach out to you is particularly important in combating that sense of isolation”(能有一个人而不是一台电脑来帮助你,对于战胜那种孤立感来说是特别重要的)以及已看过的前文内容,可知选项(D)Human interaction符合文意。
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