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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1898

EV914

Differences in psychiatrists’ and

psychologists’ classification of

trauma-related changes of

consciousness in PTSD

T. Schmidt

1 ,

, S.W. Uldall

2

, J. Carlsson

2

, P. Munk-Jørgensen

3

,

K. Andersen

4

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1899

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1900

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 (CFA

s

) 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