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目的 研究宣泄疗法对急性应激障碍患者心理弹性及预后的影响.方法 在本院2020年1月～2020年12月接收的急性应激障碍患者中选取148例并随机分两组,对照组74例进行常规心理干预与药物治疗,观察组74例在其基础上应用宣泄疗法.比较两组效果.结果 观察组斯坦福急性应激反应问卷(SASRQ)评分中社会功能、回避、激惹症状、分离性症状以及反复再体验评分均略低于对照组,但对比无统计学意义(P＞0.05),总分则明显低于对照组(P＜0.05);观察组患者的心理弹性量表(CD-RISC)中坚韧、力量、乐观以及总分均明显高于对照组(P＜0.05);观察组治疗满意度明显高于对照组,焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均明显低于对照组(P＜0.05).结论 在进行急性应激障碍患者心理干预时,合理利用宣泄疗法可有效改善患者心理状态,缓解应激症状,增强其心理弹性,利于预后,值得推广.“,”Objective To study the effect of catharsis therapy on the psychological resilience and prognosis of patients with acute stress disorder. Methods 148 patients with acute stress disorder accepted in our hospital from January 2020 to December 2020 were selected and randomly divided into two groups. The control group had 74 routine psychological interventions and medications, and the observation group was applied on the basis of 74 patients catharsis therapy. Comparing the effects of the two groups. Results The Stanford acute stress response questionnaire (SASRQ) scores in the observation group were slightly lower in social function, avoidance, agitation symptoms, dissociative symptoms, and repeated re-experience scores than those in the control group, but the comparison was not statistically significant (P＞0.05), the scores were significantly lower than those of the control group (P＜0.05); the toughness, strength, optimism and total scores of the observation group were significantly higher than those of the control group (P＜0.05); treatment of the observation group satisfaction was significantly higher than that of the control group, and the scores of the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were significantly lower than those of the control group (P＜0.05). Conclusion When conducting psychological intervention for patients with acute stress disorder, rational use of catharsis therapy can effectively improve the patient\'\'s psychological state, relieve stress symptoms, enhance their psychological flexibility, and be beneficial to the prognosis. It is worthy of promotion.