大学四级-778及答案解析.doc
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1、大学四级-778 及答案解析(总分:712.00,做题时间:90 分钟)一、Part Writing(总题数:1,分数:106.00)1. On Exam Pressure1. 不少学生对考试带来的压力感到反感2. 有些学生则认为考试压力并非坏事3. 我的观点(分数:106.00)_二、Part Reading Compr(总题数:1,分数:70.00)Depression: It Is Real, and It Is TreatableDepression and the AmericansPeople with symptoms of diabetes or other physical
2、problems see their doctors for treatment. Those with depression more often than not try to duke it out alone, according to southwest Minnesota mental health professionals, who say the anxiety is prevalent in the region. Depression affects more than 19 million Americans annually, according to the Nat
3、ional Institute of Mental Health (NIMH). Yet only one in three people seeks medical treatment.Defining DepressionDepression is nondiscriminatory (一视同仁的), affecting all ages, sexes and races, local health professionals say. It is a disease - not a weakness - that consumes the brain of the chemical se
4、rotonin (含于血液中的复合胺) , and it rarely goes away by itself.Depression and SexFemales suffer from depression and seek treatment twice as often as males, according to data from the NIMH. Hormones play a role, as do a combination of genetic, psychological and environmental factors. The institute also repo
5、rts that although depression is associated with an increased risk of coronary heart disease in both sexes, only men suffer a high death rate.Commonality of DepressionThe Surgeon General estimates that one in five people will experience a depressive episode during their lifetime. “It is much more com
6、mon than people realize,“ said Johnson, a licensed marriage and family therapist (治疗专家). “Sometimes people get so depressed that theyre unable to function at all, or they become depressed and self medicate with alcohol, and then another problem is created.“ Depression is one of the main reasons peop
7、le come to the Southwest Mental Health Center. However, far greater numbers rely on family doctors to sort them out and probably just as many or more go untreated. “They dont want to cross over into the mental health field,“ Johnson said. “They worry about what others will think, or about the cost.
8、Its more difficult in rural areas because everybody knows you and there is a shame of asking for help.“Long TreatmentTreatment takes time. People who do seek help often expect a quick fix, but medication helps the body replace serotonin slowly. It is subtle improvement that you almost have to be wat
9、ching for, or you have to look back to how your were a month ago, or six weeks ago. Improvement comes gradually, as does the disorder. How long it takes depends on how well people can change events in their lives, how they interpret things. It depends on what skills you develop to manage the next st
10、ressors (紧张性剌激) that come your way. Many adults will take antidepressants for the rest of their lives and some wont. With kids, it can be more of a short-term treatment, but again it depends on the intensity and longevity of the disorder.Medication as a Common TreatmentOne of the most common treatme
11、nts for depression is medication, but different drugs have different effects on different people. Each medication can cause various side effects including, but not limited to, dry mouth, nausea, anxiety, insomnia, dizziness, sexual dysfunction, apathy, heart palpitations, and headaches. Some people
12、may experience several side effects while others experience none. The more recently developed antidepressants typically produce fewer side effects. Usually, side effects dissipate in a few weeks after the body has become adjusted to the medication. Consumers are advised to start at the lowest dosage
13、 with small increments over a period of time until improvement is noticed. An antidepressants effect may take several weeks before a positive result is noticed.Other Ways of TreatmentPsychotherapy or counseling is another common treatment for depression. Oftentimes, medication and psychotherapy are
14、used together for optimum results. Group therapy is another avenue of treatment for people with depression. There are also support groups available to help those with depression. Such groups allow members to openly share their feelings and receive acceptance from other group members. There is no lea
15、der (professional of otherwise) to direct such groups and there is no maximum number of sessions that one can attend. Some people have also found reading various self-help books to be of benefit in overcoming their depression. And one cannot separate the mind from the body and treat them individuall
16、y. Instead, a thorough treatment regimen should examine all aspects of a persons life. Sometimes lack of exercise is also associated with depression. So depression may be caused by one or combination of factors and can take many forms.Depression and the ElderlyAccording to Terry Pankow, a licensed i
17、ndependent clinical social worker in Montevideo, the elderly are among the hardest to diagnose because their symptoms often take the form of physical complaints for which no medical cause or ideology exists. The Centers for Disease Control reports that as many as three out of every 100 people over 6
18、5 suffer from clinical depression.Depression and the ChildrenChildren and adolescents also are special cases, and they can carry depression into adulthood before getting treatment. One of the things that make depression so hard to diagnose or sort out with children is that they dont have the verbal
19、skills, knowledge and sophistication to talk about “I feel sad or this is making me miserable“. So many times what you see in children is rather than them describing their feelings, they act their feelings out in terms of behavior. And so, lots of kids who are labeled as naughty are really depressed
20、.NIMH Statistics about AdolescentsThe NIMH estimates that up to 2.5 percent of children and up to 8.3 percent of adolescents in the U.S. suffer from depression. A study of 9 to 17 year-olds found that more than six percent experience some depression in any six-month period and nearly five percent ha
21、ve major depression.Types of DepressionDepression falls into two categories, Back said. Endogenous (内因的) depression comes from a chemical imbalance, and exogenous depression arises from difficult situations and circumstances.Depression affects different age groups and people within each age group di
22、fferently. Symptoms include:difficulty concentrating, remembering or making decisionsfeeling angry or moody, crying easily or worrying a lotalcohol or drug use to mask feelingsfatigue or loss of energyloss of interest in ordinary activitieseating and sleeping disordersfeeling sad, empty or numbfeeli
23、ng hopeless, helpless, guilty or worthlessthoughts of suicide, suicide plans or attemptsfrequent doctor visits without relief in symptoms; all tests negativeChildren and adolescents might exhibit some of the same symptoms, as well as aggression, frustration, marked disobedience (不服从), extreme self-c
24、onsciousness, fluctuating energy levels, a fascination for guns and knives, and a preoccupation with music, movies and literature with death themes. They also might complain about dizziness, headaches, stomachaches and body aches.(分数:70.00)(1).People with depression go to see their doctors more ofte
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