European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S277
Conclusions Cognitive analytic therapy represents a well-
documented psychotherapy with a proven efficacy in a wide range
of clinical contexts.
Keywords “Cognitive analytic”; “Cognitive analytic therapy”
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW464
EMDR trainings for
Bosnia-Herzegovina mental health
workers resulted with child training
in Sarajevo for 75 EMDR
psychotherapists aftermath the
1992–1995 war
M. Hasanovic ∗, J. Morris-Smith , S. Morgan , S. Oakley ,
ˇS. ˇSabanovi´c
1 Tuzla, Bosnia and Herzegovina
2 Humanitarian Assistance Programmes, UK & Ireland, Hove, United
Kingdom
3 EMDR Europe, EMDR Association of Bosnia-Herzegovina, Sarajevo,
Bosnia and Herzegovina
∗ Corresponding author.
Objectives Bosnia-Herzegovina affected by war 1992-1995, chil-
dren survived severe war traumatization together with adult war
victims. The Humanitarian Assistance Programmes UK & Ireland
(HAP) work in partnership with mental health professionals in
Bosnia-Herzegovina (BH) from 2009, providing knowledge and
expertise in the treatment of trauma, and specifically in the use
of EMDR (eye movement desensitisation and reprocessing).
Aim In this way, we aim to build a body of qualified and expe-
rienced professionals who can help children and adolescents, not
only for adults.
Method Authors described educational process for healing child-
hood trauma with EMDR considering the history of idea and its
realization through training levels.
Results Joanne Morris-Smith was invited by the EMDR Associa-
tion of Bosnia & Herzegovina to provide Child Training in Sarajevo
for 75 participants drawn from the 3 cohorts who HAP UK & Ire-
land has already fully EMDR trained. Many of our trainees work
with both children and adolescents as well as adults so they were
delighted to get this specialist training. Trainees were instructed
to learn about the ways of modifying the standard protocol for
children according to their developmental age, and other teaching
points. The possibility of using narrative presentation of the trau-
matic event while applying tactile stimulation was an important
discovery.
Conclusion EMDR for children and adolescents training of Bosnia-
Herzegovina mental health workers to effectively use EMDR with
traumatized children and adolescents, with enthusiastic help of
EMDR trainer Joanne Morris-Smith fromHAP UK & Ireland resulted
with increased psychotherapy capacities of EMDR therapists in
postwar BH.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW465
Effect of an acceptance and
commitment group therapy in the
treatment of panic disorder and
agoraphobia. A preliminary study
L. Leon-quismondo ∗, F. Lopez-rios , E. Rodriguez-pedraza ,
A. Fernandez-liria , G. Lahera
1 “Principe de Asturias” university hospital, Psychiatry, Alcala de
Henares, Spain
2 University of Almeria, psychology, Almeria, Spain
3 University of Alcala, Irycis- Cibersam, psychiatry, Alcala de Henares,
Spain
∗ Corresponding author.
Introduction Acceptance and commitment therapy for the treat-
ment of panic disorder and agoraphobia has been a big boost in last
years, and there are preliminary studies about its efficacy. However,
most studies have used individual interventions.
Objectives Evaluate the effect of an acceptance and commitment
group therapy in patients with panic disorder and agoraphobia.
Methods The sample consisted of 24 patients, aged between 18
and 55 years old, who were referred to groups by psychologists
and psychiatrists of Mental Health Center. The intervention in each
group consisted of 12 treatment sessions of 1 h 30 m duration,
weekly. One pretest and posttest evaluation was conducted. The
variables studied were: severity of panic disorder (Panic Disorder
Severity Scale [PDSS]), fear of physical sensations (Body Sensations
Questionnaire [BSQ]), frequency of catastrophic thoughts (Agora-
phobic Cognitions Questionnaire [ACQ]) and level of experiential
avoidance (Acceptance and Action Questionnaire-II [AAQ-II]).
Results The mean scores for all variables studied decreased in the
post-evaluation. Means in post-evaluationwere significantly lower
(t Student, a = 0.10) in three of the four variables studied: sever-
ity of the condition (P = 0.001), frequency of catastrophic thoughts
(P = 0.038) and level experiential avoidance (P= 0.073). In other
words, patients had fewer panic attacks after treatment, and those
who had were less intense, they had less catastrophic thoughts
about consequences of anxiety, and theywere better to accept their
feelings and thoughts.
Conclusions Although it is necessary to continue the study with
a larger sample, these preliminary results support the use of ACT in
group format in the treatment of panic disorder and agoraphobia.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW466
Shifting focus approach: An
alternative to classical CBT therapy for
relapse prevention among opioid
detoxified patients
A. Rady ∗, T. Moukoukheya , E. Shawky
1 Alexandria university school of medicine, psychiatry, Alexandria,
Egypt
2 Mamoura psychiatric hospital, psychiatry, Alexandria, Egypt
∗ Corresponding author.
Aim Most current psychotherapeutic approaches are self-
focused in terms of focusing attention on how one thinks, feels,
behaves or maintains, in one way or another, a pathological chain
reactions. The aim of current is to challenge such focus by shifting
the focus of attention to serving others rather than analyzing one’s
self.
Method Sixty patients were recruited after heroin detoxification,
all have been subject to psycho-education about addictive behavior,
craving process and risks of relapse. Half of them (group A; n = 30)
were subject to weekly basis classical CBT group sessions while the
other half (group B; n = 30) were subject to shifting focus approach
where they were encouraged to serve on voluntary nonprofit basis
at Alexandria university hospitals with weekly group support ses-
sions to share experiences and encourage action. Patients in both
arms were followed for 3 months and evaluated in terms of absti-
nence rate and quality of life.
Results Both groupswere balanced in terms of age, marital status,
age of onset of abuse, number of previous detoxification, criminal