European Psychiatry - Volume 41 - April 2017

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S360 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364
2 Health centre Zivinice, family medicine, Tuzla, Bosnia, Herzegovina
∗ Corresponding author.
The aim of this study was to analyse frequency of embitterment
in war veterans with Posttraumatic stress disorder (PTSD) as well
as the potential impact of embitterment on the development of
chronic PTSD.
Patients and methods It was analyzed 174 subjects (from Health
Center Zivinice/mental health center) through a survey conducted
in the period fromMarch 2015 to June 2016, of which 87 war vete-
rans with PTSD and control subjects 87 war veterans without PTSD.
The primary outcome measure was the post-traumatic embit-
terment disorder self-rating scale (PTED Scale) who contains 19
items designed to assess features of embitterment reactions to
negative life events. Secondary efficacy measures included the
clinician-administered PTSD scale–V (CAPS), the PTSD checklist
(PCL), the combat exposure scale (CES), the Hamilton depression
rating scale (HAM-D), the Hamilton anxiety rating scale (HAM-A)
and the World health organization quality of life scale (WHOQOL-
Bref). All subjects were male. The average age of patients in the
group war veterans with PTSD was 52.78 ±5.99. In the control
group, average age was 51.42 ± 5.98. Statistical data were analyzed
in SPSS statistical program.
Results Comparing the results, t-tests revealed significant dif-
ference between group veterans with PTSD and control group
(t = −21,21, P < 0.0001). War veterans group with PTSD (X = 51.41,
SD = 8,91), control group (X = 14.39, SD = 13.61).
Conclusion Embitterment is frequent in war veterans with PTSD.
Keywords Embitterment; Posttraumatic embitterment
disorder; Posttraumatic stress disorder; War veterans; Bitterness
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0741
The role of personal value preferences
in predicting army stress
E. Tartakovsky ∗, N. Rofe
1 Tel-Aviv university, social work, Tel-Aviv, Israel
2 IDF, mental health, Tel-Aviv, Israel
∗ Corresponding author.
Background The military is a stressful environment, and many
service persons experience army stress. Therefore, it is important
to understand the factors affecting army stress and stress resiliency.
Objective The present study examines the connections between
personal value preferences and army stress, applying the value
congruency paradigm.
Method Male soldiers serving in three combat units in the Israeli
Defense Forces participated in the study ( n = 257).
Results The results obtained demonstrated that personal value
preferences explained a significant proportion of the variance in
army stress beyond the socio-demographic variables. A lower stress
level was associatedwith a higher preference for the values of socie-
tal security, conformity, achievement, and universalism, and with
a lower preference for the face and personal security values.
Conclusions The research promotes our understanding of the
relationships between general motivational goals expressed in
personal value preferences and stress in the military context. In
addition, the results obtained indicate the possible relevance of
using values for selecting and preparing recruits who will most
likely adjust well to the army framework. Finally, some value-
oriented interventions that may be used for promoting the soldiers’
psychological adjustment during their army service are suggested.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0742
Is autonoetic recollection of threat in
PTSD related to impaired inhibitory
skills?
A.C. Tudorache ∗, W. El-Hage , G. Tapia , N. Goutaudier ,
S. Kalenzaga , N. Jaafari , D. Clarys
1 UMR-CNRS 7295 « centre de recherches sur la cognition et
l’apprentissage », université de Poitiers, psychology, Poitiers, France
2 Inserm UMR 930 « imagerie et cerveau », université
Franc¸ ois-Rabelais de Tours, psychiatry, Tours, France
3 EA4139, « laboratoire psychologie, santé et qualité de vie »,
université Bordeaux Segalen, psychology, Bordeaux, France
4 Unité de recherche clinique intersectorielle en psychiatrie a
vocation regionale Pierre Deniker, centre hospitalier Henri-Laborit,
psychiatry, Poitiers, France
∗ Corresponding author.
Introduction Intrusive traumatic reminiscences are among the
most distressing and salient characteristics of post-traumatic stress
disorder (PTSD). Associatedwith involuntary onsets, emotional dis-
turbances and consciousness-related impairments, such symptoms
suggest that memory functioning could be impaired in PTSD. While
there is a growing body of research on experimental assessments
of memory in patients with PTSD, inconsistent results remain.
Objective Using an experimental methodology, this study aims
to measure memory in PTSD in consideration of central fea-
tures of intrusive symptoms, especially emotional, inhibitory and
consciousness-related memory impairments.
Method 34 patients diagnosedwith PTSDwere comparedwith 37
non-PTSD controls on an item-cued directed forgetting paradigm
for emotional words combinedwith a remember/know recognition
procedure.
Results Results confirmed prior findings of an increased and
peculiarly conscious recognition of trauma-related words in PTSD.
Interestingly, our results showed that, despite general memory
inhibitory deficits, PTSD patients, if requested, presented a preser-
ved ability to inhibit this improved recollection of trauma-related
words.
Conclusion While our findings highlight a biased memory func-
tioning in favour of threatening stimuli in PTSD, inhibitory deficits
for such information was not reported to play a role on this
effect. Conversely, it seems that instead of inhibitory deficits,
patients presented a preferential treatment of threat concordant
with vigilant-avoidant models of information processing. Focusing
on memory impairment in treatment for PTSD appears of prime
importance. Our findings regarding preserved inhibitory skills for
threat memories in the disorder could be an interesting clue for
therapeutic interventions on intrusive symptoms.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0743
A case series: Efficacy of short term
EMDR on patients with persistent
complex bereavement disorder
(PCBD)
F.D. Usta , A.B. Yasar ∗, A.E. Abamor , M. Caliskan
1 Uskudar university, clinical psychology MsC, Istanbul, Turkey
2 Haydarpasa Numune Egitim Hastanesi, psychiatry, Istanbul, Turkey
3 Istanbul Sehir university, psychology, Istanbul, Turkey
∗ Corresponding author.
Grief is a normal response to loss of someone to whom a bond
was formed; however, prolonged grief is considered pathologi-
cal. Persistent complex bereavement disorder (PCBD) is defined
as a persistent longing for the deceased over 12 months. Several
treatment ways have been used for traumatic loss including eye