European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S641
Methods A self-reported questioner of 147 immigrants’ workers
and 126 Israeli’ local workers was collected. The study participants
agreed to undergo assessments of their PTS and death anxiety levels
after the Gaza war as well as internal resources and social support.
Results The study SEM design indicated that the Philippine work
immigrants had experienced higher levels of PTS and death anxiety
than the local workers did. Internal resources and social support
were found to be associated with lower levels of PTS and higher
levels of death anxiety within the entire sample.
Conclusion The study emphasizes the importance of internal and
external resources and coping strategies in the reduction of PTS
severity while broadening an understanding of the death anxiety
in the context of wars and military events.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV914
Differences in psychiatrists’ and
psychologists’ classification of
trauma-related changes of
consciousness in PTSD
T. Schmidt ∗, S.W. Uldall , J. Carlsson , P. Munk-Jørgensen ,
K. Andersen
1 Psychiatric hospital and university of Southern Denmark, research
unit of psychiatry, Odense, Denmark
2 Mental health centre ballerup, competence centre for transcultural
psychiatry, Ballerup, Denmark
3 Psychiatric hospital and university of Southern Denmark,
psychiatric research academy Odense, Odense, Denmark
4 Psychiatric hospital and university of Southern Denmark, research
unit of psychiatry Odense, Odense, Denmark
∗ Corresponding author.
Introduction Mental trauma may precede persistent changes in
a person’s mental health in the form of psychosis and dissocia-
tion. Presently, there are no subtypes to the diagnosis of PTSD. A
psychotic subtype of PTSD has been proposed, and studies show
that these patients differ as well in symptoms as biologically from
patients with non-psychotic PTSD. Dissociation and psychosis are
generally viewed as different phenomena. Where dissociation is
understood as a disintegration of the mind, psychosis is viewed as
a neurodegenerative disorder on a mainly biological/genetic basis.
The delineation of psychotic and dissociative symptoms is not clear
however.
Objectives Our objective is to clarify, whether psychologists and
psychiatrists describe trauma-related changes of consciousness
(TCC) differently as dissociative or psychotic. Furthermore, wewish
to compare scientific journals, and look for differences in how psy-
chiatrists’ and psychologists’ make use of the terms dissociation
and psychosis in relation to TCC.
Aims We aim to investigate whether TCC are interpreted differ-
ently among psychiatrists and psychologists.
Methods This study is a systematic critical review of the litera-
ture. The databases PubMed, Embase and PsychInfo will be used.
Articles involving PTSD with TCC will be included. Studies will be
classified as viewing TCC’s as either psychotic or dissociative, based
on the terms the authors use to describe the observed phenomena.
Results The results will be presented at the EPA in March 2016
in Madrid.
Conclusion The study will reveal differences in how psychiatrists
and psychologists classify TCC’s in PTSD.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV915
The psychological and psychiatric
services in emergencies
S. Shport
V.P. national research center for social and forensic psychiatry,
administration, Moscow, Russia
The department of psychological and psychiatric care in emergen-
cies is functioning more than 20 years. The department organized
emergency care in 22 emergency situations for last 10 years. There
are air crashes, fire, acts of terrorism, natural disasters, techno-
logical disasters, accidents in transport, military operations. In air
crashes is an important work with families, assisting in the formal
procedures (identification of dead bodies), social issues. Support
of the psychiatrist is necessary at all stages of the identification
dead bodies and completion of the different forms. In case of fire
are emergency concerns relatives of victims and injured in clin-
ics. Burns is the cause of intoxication and changing the behavior of
patients. The main help is an ensure bed rest and medication help
to correct the behavior. Specialized help is diverse in the terrorist
attacks. Psychiatrists serve as a link between the injured and rel-
atives. Psychiatrists help investigators during questioning injured.
Help is organized in hospitals, ambulances, telephone and interac-
tion with the media. Natural disasters are of special character. They
are always sudden and incorrect organization help can bring a lot
of casualties. Psychiatrists decide health issues and are in involved
social issues injured. Helping to refugees is a special character.
Medical care is complicated. They are citizens of another country.
Organization of psychological and psychiatric care to the popula-
tion in emergency situations involves the creation of psychological
and psychiatric services, which provide the necessary measures at
the federal, regional and local levels and in epicenter of emergency.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV916
Dimensions of DSM-5 posttraumatic
stress disorder (PTSD) symptoms
C. Soberón∗, M. Crespo , M. Gómez-Gutiérrez ,
V. Fernández-Lansac
Complutense university, clinical psychology, Madrid, Spain
∗ Corresponding author.
Introduction Despite the four factor model of PTSD proposed in
the DSM-5 (APA, 2013) has received a better empirical support than
three factor model of DSM-IV (APA, 1994), some alternative mod-
els proposed can provide a better representation of PTSD’s latent
structure.
Objective The current study tested the fit of sevenmodels, includ-
ing the 3-factor DSM-IV model (APA, 1994), the 4-factor DSM-5
model (APA, 2000), the 4-factor dysphoria model (Simms, Watson
& Doebbeling, 2002), the 5-factor dysphoric arousal model (Elhai
et al., 2012), the 6-factor anhedonia model (Liu et al., 2014), the
6-factor externalizing behaviors model (Tsai et al., 2014) and the
7-factor hybrid model (Armour et al., 2015) that combines key fea-
tures of the anhedonia and externalizing behaviors models.
Aim It expected that the 7-factor hybrid model (Armour et al.,
2015) would be the best fitting model.
Methods PTSD symptoms were assessed using the Global Assess-
ment of Posttraumatic Stress Disorder (EGEP-5; Crespo, Gómez &
Soberón, 2016) in a sample of 165 victims of different traumatic
events. Confirmatory Factor Analysis (CFAs) were conducted on
each of the seven models using Maximum Likelihood (ML) esti-
mation method.
Results All the models tested (except for DSM-IV model) yielded
an adequate fit to the data. However, 7-factor hybrid model