European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364 S357
e-Poster Walk: Posttraumatic stress disorder;
Women, gender and mental health
EW0731
The prevalence of post-traumatic
stress disorder (PTSD) in Korean
parents lost their children by the
tragic sinking of ferry Sewol
S.J. Kim
Ajou university school of medicine, department of psychiatry, Suwon,
Republic of Korea
A South Korean passenger ferry, the Sewol, carrying 476 people,
capsized and sank in 2014 resulting in 295 deaths and 9 mis-
sing. Most were high-school students on a school trip (246 deaths,
83.4%) and many parents who lost their children had suffered from
a wide range of mental and physical health consequences. This
research examines the extent and intensity of ongoing psycho-
logical distress and PTSD symptoms among the parents 2 years
after the disaster. The 141 parents of the high-school victims agree
with research participation were surveyed using a questionnaire
on sociodemographic data. We conducted the structured clinical
interview including PTSD and suicide assessment for them. Among
the 141 subjects, 56.0% (n = 79) meet the PTSD diagnostic criteria,
suggesting that, after two full years, more than a half of them are
still suffering from chronic psychological pains. This result is higher
than any other PTSD study about indirect victims. In particular,
42.6% (n = 60) reported suicidal ideation and 4.3% ( n = 6) actually
attempted suicide but failed. These figures are on the order of 10
to 100 times higher than the national prevalence. This research is
characterized by homogeneity of the subjects in that they were all
the parents of young adolescent victims. After two years of trauma-
tic experiences, more than a half of the interviewed parents who
lost their children are still suffering from the PTSD. These findings
suggest that post-disaster PTSD can be larger and last longer when
the relationship was more intimate and the death of the victimwas
less expected.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EW0732
The effect of the mental health
improvement programs in firefighters
T.Y. Choi ∗, J. Kim , J. Lee , S. Chang , S. Jung
1 Catholic university, Daegu school of medicine, psychiatry, Daegu,
Republic of Korea
2 Kyungpook national university school of medicine, psychiatry,
Daegu, Republic of Korea
3 Keimyung university school of medicine, psychiatry, Daegu,
Republic of Korea
∗ Corresponding author.
Objectives The purpose of this study was to investigate the effec-
tiveness of the mental health improvement programs in Korean
firefighters through cooperation with the urban fire station. And
we assessed the firefighter’s degree of traumatic events and psy-
chopathologies including depression, anxiety, suicidal ideation and
insomnia.
Methods Amental health improvement programwas provided to
502 firefighters working at Daegu, Gumi and Ulsan during 8-week
period. The program included not only an evaluation and treatment
of psychiatric symptoms through counseling but also a psychoedu-
cation for mental health awareness. The validated Questionnaires
to measure psychiatric symptoms were used; symptoms included
depression, anxiety, suicidal thoughts and insomnia. Subjects were
divided to two groups; PTSD high-risk group and non-high risk
group. Psychopathological levels were compared before and after
the program.
Results PTSD high-risk group included 57 subjects (11.35%) and
non-high risk group included 445 subjects (88.65%). Before the pro-
gram, PTSD high-risk group showed higher depression, anxiety,
insomnia scores statistically significant. Multiple logistic regres-
sion analysis with PTSD high-risk group as a dependent variable
showed depression as a factor for firefighters to become PTSD high-
risk group compared to those not depressed. Insomnia turned out
to be another variant. The program resulted in significant decrease
total scores of BDI and ISI for PTSD high-risk group.
Conclusions The results on this study showed that higher levels
of depression and insomnia especially influenced themanifestation
of PTSD in firefighters. The evaluation and management of psycho-
pathologies including depression, insomnia with traumatic events
for firefighters can be helpful.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0733
Perinatal dissociation during
premature childbirth: A comparative
study
S. Ellouze , J. Aloulou , A. Ben Thabet , N. Halouani ∗,
A. Gargouri , O. Amami
1 Hedi Chaker university hospital, psychiatry “B”, Sfax, Tunisia
2 Hedi Chaker university hospital, neonatology department, Sfax,
Tunisia
∗ Corresponding author.
Premature childbirth is sometimes perceived as a painful and
traumatic experience, in which mothers can manifest dissocia-
tive symptoms. Our study aims to evaluate dissociative symptoms
during premature childbirth compared with full-term delivery
and to identify predictors of perinatal dissociation. We conduc-
ted a cross-sectional, descriptive and analytical study, including
97 mothers of premature infants who presented to the outpa-
tient unit of neonatology at the UH Hedi Chaker of Sfax in Tunisia.
For each mother, we collected sociodemographic and obstetric
data. We used the peritraumatic dissociative experiences question-
naire (PDEQ) for screening dissociative symptoms during labor.
We assessed severity of prematurity by the perinatal risk inven-
tory (PERI). Responses were compared with a control group of 80
mothers of full-terminfants. Average age ofmotherswas 30.2 years.
Average gestational age was 32.82 weeks. Pregnancies were single
(83.5%) or twins. 77.3% of mothers gave birth by caesarean sec-
tion. Prematurity was unexpected by 56.7% of them. According to
the PERI, 47.4% of newborns were considered as high-risk pre-
term infants (PERI ≥ 4). The average score of PDEQ was 16. The
prevalence of perinatal dissociation for this sample (20.6%) was
significantly higher compared with the control group (P = 0.014).
It was also correlated to unexpected prematurity (P < 0.001) and a
PERI score≥ 4 (P = 0,023). Our results show that perinatal dissocia-
tion is more frequently occurring in preterm childbirth, especially
when prematurity is severe and unexpected. Early interventions
providing adequate information and support during delivery for
mothers at risk of developing perinatal dissociation can alleviate
such distress and prevent the development of subsequent post-
traumatic stress disorder.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.