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在CBT初始评估阶段，规范施测抑郁自评量表（SDS）与焦虑自评量表（SAS），严格遵循指导语、计分规则与临床解释标准，生成可量化、可追踪的情绪症状基线数据，作为后续疗效评估的锚点。
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Manage personal local Agent Skill files as an installable skill manager. Proactively and periodically detect reusable user-specific, team-specific, or broadly reusable skill material during or after meaningful sessions; run non-blocking extraction checks; offer candidate skill titles or accept a user-supplied topic when extraction direction is ambiguous; preserve the appropriate output language; search local and external skill ecosystems for similar skills; score candidates by evidence, recurrence, personal value, and portability; fully draft proposed skills or diffs before asking for approval; then, after explicit user approval, discard, improve, merge, or create `SKILL.md` folders.
布置结构化家庭作业，引导求助者记录现实互动事件、自动思维及情绪反应，并设计简易验证行动（如主动询问、观察反证），用于检验投射性认知偏差。适用于已识别出具体非理性信念（如‘别人肯定不喜欢我’）且情绪稳定者。
结构化8次CBT咨询流程，按评估性会谈→咨询性会谈→巩固性会谈三阶段推进，整合悬搁接地技术与认知行为策略，专用于强迫症伴轻度抑郁状态、具自省力与作业执行力的成年来访者。
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| id | 80ddfafe-e0fb-5726-a911-42d8eeb2f807 |
| name | SDS/SAS标准化抑郁焦虑基线测量 |
| description | 在CBT初始评估阶段，规范施测抑郁自评量表（SDS）与焦虑自评量表（SAS），严格遵循指导语、计分规则与临床解释标准，生成可量化、可追踪的情绪症状基线数据，作为后续疗效评估的锚点。 |
| version | 0.1.0 |
| tags | ["CBT","心理测量","基线评估","抑郁","焦虑","SDS","认知行为疗法","profile:psychology::认知行为疗法","axis:疗法","class:认知行为疗法","kind:child","document_merge_state:active","canonical:true"] |
| triggers | ["启动CBT初始评估流程","需建立可量化的症状基线","计划开展疗效追踪"] |
| examples | [{"input":"来访者女性，32岁，主诉持续疲乏、失眠、莫名紧张，SDS原始分48，SAS原始分48。","output":"SDS标准分60（中度抑郁）；SAS标准分60（中度焦虑）。反馈话术：‘您这两项分数都提示中度的情绪负担，尤其疲惫和紧张感可能是身体在提醒您压力已积累一段时间。接下来我们可以一起看看，哪些日常想法或习惯正在加重这种状态？’"},{"input":"来访者男性，45岁，SDS原始分52，SAS原始分32。","output":"SDS标准分65（中至重度抑郁）；SAS标准分40（正常范围）。反馈话术：‘您的抑郁分数提示当前情绪负荷较重，而焦虑相对平稳——这说明低落感可能更多来自对自我或未来的消极评价，而非对外界威胁的警觉。我们后续可以重点探索这些想法。’"}] |
在CBT初始评估阶段，规范施测抑郁自评量表（SDS）与焦虑自评量表（SAS），严格遵循指导语、计分规则与临床解释标准，生成可量化、可追踪的情绪症状基线数据，作为后续疗效评估的锚点。
获取可量化、可比较的情绪症状基线数据
references/evidence.mdreferences/evidence_manifest.jsonInput:
来访者女性，32岁，主诉持续疲乏、失眠、莫名紧张，SDS原始分48，SAS原始分48。
Output:
SDS标准分60（中度抑郁）；SAS标准分60（中度焦虑）。反馈话术：‘您这两项分数都提示中度的情绪负担，尤其疲惫和紧张感可能是身体在提醒您压力已积累一段时间。接下来我们可以一起看看，哪些日常想法或习惯正在加重这种状态？’
Input:
来访者男性，45岁，SDS原始分52，SAS原始分32。
Output:
SDS标准分65（中至重度抑郁）；SAS标准分40（正常范围）。反馈话术：‘您的抑郁分数提示当前情绪负荷较重，而焦虑相对平稳——这说明低落感可能更多来自对自我或未来的消极评价，而非对外界威胁的警觉。我们后续可以重点探索这些想法。’