European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364 S361
movement desensitization and reprocessing (EMDR). In the cur-
rent case series, effectiveness of EMDR on three PCBD patients
will be indicated. Three patients applied to the clinic with similar
complaints based on different traumatic backgrounds; commonly,
all experienced death of a first-degree relative. Complaints of
the patients were over-thinking about the deceased, sleep dis-
turbances, self-blaming, social isolation, avoiding talks about lost
relative, and loss of interest in activities. After pre-interviews, they
were advised EMDR therapy. One session of EMDR was applied to
two of the patients, and two EMDR sessions were conducted on one
of them. After the sessions, the patients reported not feeling guilty
about the loss anymore, returning their normal routines, feeling
better, and showing decreased avoidance. Additionally, the scores
of scales (CAPS, BAI, BDI, and IES-R) significantly declined. EMDR
therapy can show successful results in a shorter time than other
treatment ways used for PCBD treatment
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Reference
Reference
[1] Solomon RM, Rando TA. Utilization of EMDR in the treatment
of grief and mourning. J EMDR Pract Res 2007;1(2):109–17,
EW0744
Confirmatory factor analysis of the
perinatal depression screening
scale-24
J. Azevedo ∗, S. Xavier , C. Marques , E. Bento , M. Marques ,
M.J. Soares , D. Mota , A. Macedo , A.T. Pereira
1 Faculty of medicine, university of Coimbra, department of
psychological medicine, Coimbra, Portugal
2 Coimbra hospital and universitary centre, psychiatric department,
Coimbra, Portugal
∗ Corresponding author.
Introduction Pereira et al. (2013) adapted to the antenatal period
and validated a shorter version of the original 35-items Postpartum
Depression Screening Scale (PDSS composed of 24 items, selec-
ted from the exploratory factor analysis matrix. In their study, the
researchers considered this version a useful alternative to evaluate
depressive symptoms in pregnancy, taking into account its reliabi-
lity, concurrent validity and satisfactory combinations of sensitivity
and specificity to screen for antenatal depression.
Aim To confirm the four dimensions’ structure of the PDSS-24
using confirmatory factor analysis.
Methods 616 women (mean age: 32.29± 4.466) in the second
trimester of pregnancy (mean weeks of gestation = 17.13 ± 4.929),
with uncomplicated pregnancies, completed the PDSS-24 while
waiting for their routine prenatal consultation at local healthmedi-
cal centers.
Results The 4-dimensional model of PDSS-24 presented good
fit ( 2
[242] = 893,275; RMSEA = 0.067, CFI = 0.934, TLI = 0.94,
PGFI = 0.717; P<.001). The PDSS-24 Cronbach’s alpha was =0.90;
all factors presented good/excellent reliability: Derealization and
failure (a = 0.87); Concentration difficulties and anxiety (a = 0.81),
Suicidal ideation (a = 0.94), and sleeping difficulties (a = 0.89).
Conclusion This further validation study emphasizes that PDSS-
24 in an adequate measure of antenatal depressive symptoms. To
better distinguish it from the version to use in the postpartum
(PDSS-21 fromnowon, wewill denominate it perinatal depres-
sion screening scale-24.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
References
[1] Beck CT, Gable RK. Postpartum depression screening scale
manual. Los Angeles: Western Psychological Services; 2002.
[2] Pereira AT, Bos S, Marques M, Maia B, Soares M, Valente
J, et al. Short forms of the postpartum depression scree-
ning scale: as accurate as the original form. Arch Women
Ment Health 2013;16(1):67–77,
EW0745
The effectiveness of first-time-mother
parent education for infant
interaction and sense of parenting
competence during the first year in
Taiwan
F.F. Chung ∗, G.H. Wan , H.E. Liu
1 Chang Gung university of science and technology, department of
nursing, Taoyuan City, Taiwan ROC
2 Chang Gung university, department of respiratory therapy,
Tao-Yuan, Taiwan ROC
3 Linkuo Chang Gung memorial hospital, department of
neurosurgery, Tao-Yuan, Taiwan ROC
4 Chang Gung university, school of nursing, Tao-Yuan, Taiwan ROC
∗ Corresponding author.
Background When newmothers do not understand how to inter-
act with their newborn babies, they would increase anxiety, even
decrease the quality of parent-infant interactions. Previous studies
indicate that the postpartum parenting education for first-time-
mothers can improve the quality of mother-infant interactions in
first two months. This study aimed to evaluate the long-term effec-
tiveness of parenting education for postpartum women during the
first year.
Methods The study recruited 81 healthy first-time-mother infant
dyads from the medical center in Taipei city. The experimental and
control groups received extra education by way of a 40-minute
videotape and normal postpartum care, respectively. Data from
around first week (T1), followed by the third (T2), sixth (T3), ninth
(T4), and twelfth (T5) month postpartum are collected. Assessment
scales such as the Edinburgh perinatal depression scale (EPDS), the
Chinese version of the parenting sense of competence scale (C-
PSOC), and the Nursing child assessment teaching scale (NCATS)
used for videotapedmother-infant interactionsmeasurement were
used in the study.
Results The analytical results show that the quality of mother-
infant interaction increased at T2, T3, T4, and T5 in the experimental
group No different change inmaternal sense of competency
was found in the experimental and control groups from T1 to T4.
However, a positive change in sense of parenting competency at
T5 was found in the experimental group No difference in
postpartum depression was found between the two groups
Conclusions The first-time-mothers parent education has long-
term effectiveness in the mother-infant dyad interaction quality.