European Psychiatry - Volume 33 - March 2016

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S282 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
judgments and the course of subjectively experienced mental
health problems.
Keywords Health of the Nation Outcome Scales; Reliable
Change Index; Brief Symptom Inventory; Outcome monitoring;
Subjective perception
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW478
Properties of a coding system for
traumatic memories
V. Fernández-Lansac ∗, C. Soberón , M. Crespo ,
M. Gómez-Gutiérrez
Complutense university-psychology school, clinical psychology,
Madrid, Spain
∗ Corresponding author.
Introduction Narrative studies have focused on the language
used by the individuals to describe stressful or traumatic experi-
ences. Hence, linguistic procedures have been applied aiming to
obtain information about autobiographical memories and trauma
processing. However, there is a general lack of agreement about
how to measure narrative aspects. Software programs for this pur-
pose are limited, since they don’t capture the language context, and
systems based on judge’s rates are not free of subjective biases.
Objectives This study presents a coding systemdeveloped to ana-
lyze several language categories related to traumaticmemories and
psychological processes. Structural aspects (e.g., coherence) and
content dimensions of traumatic narratives (e.g., emotional or cog-
nitive processes) are measured. Each narrative aspect is coded by
raters using both dichotomous (presence/absence) and numerical
values (Likert scale).
Aims To propose a structured coding system for traumatic narra-
tives that considers the language context andmaximizes consensus
among different raters.
Methods Traumatic narratives from 50 traumatized women and
stressful narratives from 50 non-traumatized women have been
evaluated according the system developed. Three blind raters
coded each narrative.
Results Inter-rater reliability data are provided for the different
narrative categories. The agreement between raters is discussed for
both structural and content language domains.
Conclusions The analysis of the inter-rater reliability allows
exploring subjective biases in assessing different structural and
content language dimensions. This study advances in the devel-
opment of a procedure to analyze autobiographical narratives in a
valid and reliable way, with a special focus on traumatic and other
unpleasant memories.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW479
Pool-data of clinical cases of inhaled
loxapine (Adasuve)
E. Gil Luna ∗ orato Parcerisa , P. Roset Arisso , A. Boldeanu
Ferrer, Medical Department, Barcelona, Spain
∗ Corresponding author.
Introduction Agitation is a psychiatric emergency that requires
immediate assistance. Inhaled loxapine is a new option for
achieving rapid tranquillisation avoiding coercive measures and
over-sedation, which fits with patient’s preferences and increases
their satisfaction with treatment.
Objective Review the experience of use of inhaled loxapine in
clinical practice.
Methods We included data from all reports of case series with 10
or more patients published by European prescribers.
Results Ten posters were included that reported data on 116
patients, mostly diagnosed with psychotic or bipolar diseases.
Among the 60 patients that were evaluated using PANSS-EC, base-
line agitation intensity was above 20 in 45 of them (75%) and
between 15 and 32 in 15 (25%). Regarding patients evaluated with
the CGI-S scale, 17 patients had a score between 6 and 7 points
and 4 had scores between 4 and 5. All patients were able to prop-
erly inhalate the drug. In some patients agitation receded as early as
2 minutes, and almost all of them were controlled within 10 min-
utes. Only 6 patients required the 2nd dose of loxapine within 24
hours. When patients were asked for, they showed a preference for
inhaled administration instead of intramuscular one, manifested
high levels of satisfaction with inhaled treatment, and in one report
inhaled loxapine was stated to contribute to avoid mechanical
restraint. Inhaled loxapine was well tolerated and no over-sedation
was reported or any EPS, just a case of mild orthostatic hypotension.
Conclusion This pool-data review of inhaled loxapine in real
world clinical practice shows that it is an effective treatment, with
a very rapid response, easy to administer and well tolerated, with
a good acceptance from patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW480
Validation of the self-compassion
scale in a community sample of
Portuguese pregnant women
E. Bento , S. Xavier , J. Azevedo , M. Marques , V. Freitas ,
M.J. Soares , M.J. Martins ∗, A. Xavier , P. Castilho ,
S. Morais , A. Macedo , A.T. Pereira
1 University of Coimbra, department of psychological medicine,
Coimbra, Portugal
2 Coimbra hospital and university centre, psychiatry, Coimbra,
Portugal
3 Faculty of psychology and educational sciences, CINEICC, Coimbra,
Portugal
4 University of Coimbra, faculty of psychology and educational
sciences, Coimbra, Portugal
∗ Corresponding author.
Introduction In recent years, researchers and clinicians have
shown an increasing interest in self-compassion. Indeed, several
studies have suggested that self-compassion is a positive factor
for mental and physical health. The Self-Compassion Scale (SCS;
Neff, 2003) has been widely used to assess six dimensions of
self-compassion (self-kindness, self-judgment, common human-
ity, isolation, mindfulness and over-identification) among diverse
populations. Recently, it has also been used in perinatal samples but
its psychometric properties in pregnant women is still unexplored.
Objective This study aims was to investigate the reliability and
the validity of the SCS using Confirmatory Factor Analysis in a sam-
ple of Portuguese pregnant women.
Methods Participants were 417 pregnant women with a mean
age of 33 years old (SD = 4.74) in their second trimester of
pregnancy (M= 17.26, SD = 4.78, weeks of gestation). Participants
completed the Portuguese version of the SCS while waiting for the
routine prenatal consultation in Maternity Hospital, Portugal.
Results Awas tested and results showed that the six-factormodel
had a good fit to the data (TLI = 0.93, CFI = 0.94, RMSEA = 0.06). The
total SCS presented a good internal reliability ( = 0.91) and their
subscales showed Cronbach’s alphas ranging between adequate
( = 0.77) and good ( = 0.87).
Conclusions Overall, these findings suggest that the Portuguese
version of the SCS is a valid and reliable measure to assess