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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.514

EW397

Negative emotions and threat

perception in narratives from

battered women

M. Crespo

, V. F

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.515

EW398

Gender differences in medical and

psychiatric comorbidities in patients

with posttraumatic stress disorder

L. Fortuna

1 ,

, Z . R

amos

2 , I. F

algas-Bague

3 , L. C

ellerino

3 ,

M. Alegria

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.516

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

1 ,

, M .

Kalantari

2 , H.A

. Mehrabi

3

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.