European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S253
patients in plastic surgery should be routinely screened and con-
sidered for further psychological intervention.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW397
Negative emotions and threat
perception in narratives from
battered women
M. Crespo ∗ ernández-Lansac , M. Gómez-Gutiérrez ,
C. Soberón
Complutense University-Psychology School, Clinical Psychology,
Madrid, Spain
∗ Corresponding author.
Introduction Trauma narratives contain a lot of emotion words,
in comparison with narratives about other autobiographical mem-
ories. Negative emotion’s words, as well as words about death (as
an indicator of threat perception), have been associated to a worse
adjustment after trauma. However, the different kind of negative
emotions reported have been rarely explored. Also, in violence
victims, the use of words about abuse might indicate threat per-
ception.
Objectives Analyzing the use of negative words and threat per-
ception (death and abuse words) in trauma narratives from 50
battered women, compared with stressful narratives from 50
non-traumatized women, and positive narratives. The relationship
between narratives aspects and symptomatology is explored.
Aims Exploring differences in emotions and threat perception
related to psychological functioning after trauma.
Methods Battered women were asked to remember the worst
violence episode, whereas non-traumatized women narrated their
most stressful experience. Both groups remembered also a neutral
and a positive episode. LIWC software was used to calculate the
percentage of different words used.
Results Anger was the most used negative emotion. Anger and
sadness words were more reported in stressful and trauma narra-
tives than in positive ones. There were differences between groups
in the use of death and abuse words. Anger and abuse words were
associated to anxiety and depression, but not PTSD symptoms.
Death words were related to a better functioning.
Conclusions This study evidences the need to explore the role of
different negative emotions in the posttraumatic adaptation. Also
contextual aspects involved on threat perception must be consid-
ered.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW398
Gender differences in medical and
psychiatric comorbidities in patients
with posttraumatic stress disorder
L. Fortuna ∗ amos algas-Bague ellerino
M. Alegria
1 Boston Medical Center, Psychiatry/Child and Adolescent Psychiatry
Child and Adolescent Psychiatry, Boston, USA
2 Massachusetts General Hospital, Disparities Research Unit, Boston,
USA
3 Vall d’hebrón University Hospital, Department of Psychiatry and
Forensic Medicine, Barcelona, Spain
∗ Corresponding author.
Introduction PTSD is associated with medical and psychiatric
comorbidities. Less is known regarding differences in PTSD comor-
bidities and service use by gender.
Objectives To examine variations in comorbidities for PTSD by
gender and implications for quality of care.
Aims We identify the prevalence of PTSD, medical and psy-
chiatric comorbidities diagnosed by gender within outpatient,
inpatient and emergency services.
Methods We conducted a retrospective analysis using existing
medical records from all outpatient, inpatient and emergency
department (ED) encounters in 2010–2012 in a safety net health
care system in the US. We identified the rates of PTSD diagno-
sis by gender, co-occurring diagnoses in ED and inpatient care,
and rate of different comorbid diagnoses following initial PTSD
diagnosis.
Results Women in the sample had twice the likelihood of having
a diagnosis of PTSD as compared to men (1.9% vs. 3.6%, P> 0.001),
themost common comorbid diagnoses for ED visits were substance
use disorder (SUD), depression, anxiety and pain. Men were more
likely to have pain as a diagnosis in the ED as compared to women
(P > 0.001). In inpatient services, menwith PTSDweremore likely to
be diagnosed with a SUD (35% vs. 26%, P > 0.001) and women more
likely diagnosed with comorbid depression (32% vs. 43%, P> 0.001).
Menweremore likely to have combinedmedical and substance use
disorders and women more likely to have combined medical and
psychiatric disorders.
Conclusions Given the different patterns of comorbidity by gen-
der, services should focus on tailoring services early to contendwith
these differences.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW399
Prevalence of post-traumatic stress
disorder and symptoms associated
with children’s bereavement that died
in the blast gas Sarakhs–Mashhad
A. Golmohammadi Hafshejani ∗ Kalantari . Mehrabi
1 University of Isfahan, Clinical Psychology, Isfahafan, Iran
2 University of Isfahan, Department of Psychology, Isfahan, Iran
3 Assistant Professor University of Isfahan, Department Psychology,
Isfahan, Iran
∗ Corresponding author.
Introduction Every day on the world, so many lost their dears
because of events and became grieving. In this regard, Iran country
is encountered to so many natural events (especially earthquake
and flood) or manmade events (like war and driving events).
Objectives The present study examined the prevalence of post
traumatic stress disorder and symptoms associated with impaired
quality of life in survivors of the gas explosion victims’ wives ferns-
was conducted in Mashhad.
Methods Accordingly, in the formof a descriptive and correlation
study of all surviving personnel of the gas transmission pipeline
project Fern-Mashhad who were present on 8.9.2010 at work,
including contractors, engineers, professionals andworkers (n = 55)
the research sample, the modes were selected.
Results Accident victims of deceased victims of Post-Traumatic
Stress Disorder Inventory Scale (M-PTSD), a questionnaire for
quality of life (QOL) questionnaire and the researcher-made ques-
tionnaire. Statistical analysis showed that the14/3% of survivors
with posttraumatic stress disorder.
Conclusions The relationship between quality of life and post
traumatic stress disorder in survivors of the victims showed that
elevated post traumatic stress disorder symptoms, quality of life,
in all aspects of the victims of physical, psychological, and social
environment was significantly reduced. The Managing Director of
Chaharmahal and Bakhtiari Province Gas Company to support the
program, and also respectful of all employees participated in the
survey and thank the gas company and I appreciate.