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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.581

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

1 ,

, J. Morris-Smith

2

, S. Morgan

2

, S. Oakley

2

,

ˇS. ˇSabanovi´c

3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.582

EW465

Effect of an acceptance and

commitment group therapy in the

treatment of panic disorder and

agoraphobia. A preliminary study

L. Leon-quismondo

1 ,

, F. Lopez-rios

2

, E. Rodriguez-pedraza

1

,

A. Fernandez-liria

1

, G. Lahera

3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.583

EW466

Shifting focus approach: An

alternative to classical CBT therapy for

relapse prevention among opioid

detoxified patients

A. Rady

1 ,

, T. Moukoukheya

1

, E. Shawky

2

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