European Psychiatry - Volume 41 - April 2017

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S406 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464
EV0003
The burnout’s prevalence among
Tunisian military consultants in
psychiatry
H. Belhadj ∗, W. Krir , C. Bencheikh , H. Elkefi , A. Oumaya
Military Hospital, Psychiatry, Tunis, Tunisia
∗ Corresponding author.
Introduction Burnout causes a considerable human cost. Army
employees are, in fact, particularly exposed to this risk.
Objective To determinate the prevalence of burnout syndrome
among military consultants in psychiatry and to study its socio-
familial repercussions.
Method A cross-sectional study was conducted in a military out-
patient clinic in Tunis and included 30 military patients with a
seniority of more than 15 years. Burnout and major depression
were assessed with the instrument Burnout Measure Short version
(BMS-10) and the Patient Health Questionnaire “PHQ-9”, respec-
tively.
Results Eighty percent of participants (n = 24) had a very high
degree of burnout exposure according to BMS-10. Twenty of these
(83.3%) had a moderate to severe depression. All married patients
(n = 22) having burnout syndrome reported a conjugopathy and a
tendency to physical and verbal aggressiveness against their chil-
dren.
Conclusion Military employees are particularly vulnerable to
burnout. Detecting burnout in time is therefore essential in order
to prevent its undeniable socio-familial repercussions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0004
Muscular strain as risk factor of
somatic symptom of mix anxiety and
depression
M. Bhadar ∗ sghar ukhtar
1 Sexual Health Institute Pakistan, Psychiatry, Lahore, Pakistan
2 Azm Center, Sexual Health, Sargodha, Pakistan
∗ Corresponding author.
Introduction Somatic symptoms in depression are not uncom-
mon. There is increased sicidality, poor prognosis, and increased
risk of relapse. Neurological and l muscloskeletal symptoms can be
explained on basis of increased muscular tension in the body.
Methods An internet search was made using key words muscular
tension, SSRIs depression, anxiety, somatic symptoms.
Results Ninety-eight percent patients reported at least one of
somatic symptoms. Forty-five percent reported six somatic symp-
tom. GIT symptoms in 67% patients. Fatigue in 78% % of patients.
Weakness in body parts 45% and headache in 43% to 65%. Chest
pain more common in male. Patient over 40 showed pain in limbs
or joints. Number of symptoms was directly related to severity of
depression.
Discussion Increased muscular tension is one component of mix
anxiety and depression. Main nerves and their branches pass in
between muscular bellies. When there is increased muscular tone,
it puts extra compression on major nerves and their branches. This
will cause dysesthesia in body parts. Stretching of muscles pro-
duce pain due to hypoxia. This produces headache, strain neck
and backache pain in chest. Fatigue is result of over consumption
of energy due to hypertonia. One of their side effect is of SSRIs
is muscular hypertonia which will not be very helpful for these
symptoms. Drugs like tricyclics, SNRI can have better results when
used alone, gabapentine, pregabline tinazidine used as adjunct
can alleviate symptoms. Non-pharmacological treatment includes
massage, relaxation technique, and warm water therapy.
Conclusion Somatic symptoms of mix anxiety and depression
should be important consideration in its treatment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0005
Relationship between personality
traits with language anxiety among
bilinguals
S. Bialayesh (MA in psychology) ∗ omayouni
M. Nasiri Kenari (MA in psychology)
Z. Shafian (MA in psychology)
1 Noor, Iran
2 Department of psychology, Bandargaz Branch, Islamic Azad
University, Bandargaz, Iran
3 Fereydonkenar, Iran
4 Tehran, Iran
∗ Corresponding author.
Language anxiety is a distinct complex of self-perception, beliefs,
feelings, and behaviors related to classroom language learning aris-
ing from the uniqueness of the language learning process. Effects
of foreign language anxiety are particularly evident in the for-
eign language classroom, and this anxiety is a strong indicator of
academic performance. So, the study aimed to investigate rela-
tionships between personality traits with language anxiety among
bilinguals. The research method was correlation. The population
was included all upper intermediate language learners and higher
levels in language institutes, that 250 learners were selected by
cluster sampling method, and responded to McCare & Costa’s
NEO personality traits (neuroticism, openness to new experience,
extroversion, agreeableness, and conscientiousness) and Horwitz’s
language anxiety inventory. The data were analysed by Pearson
correlation formula. The results showed that there is positive and
significant relationship between neuroticism and openness to new
experience with language anxiety, and positive and significant
relationship between extroversion, agreeableness, and conscien-
tiousness with language anxiety. Thus, it can be concluded that
personality traits have important impact on language anxiety.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0006
Gynecological symptoms in
somatization disorder
C.M. Calahorro ∗, M. Guerrero Jiménez , B.M. Girela Serrano
1 Hospital Universitario San Cecilio, Unidad de Salud Mental,
Granada, Spain
2 Santa Ana Hospital, Psychiatry, Motril – Granada, Spain
∗ Corresponding author.
Background Medically unexplained symptoms are common in
ambulatory medical patients. Such disorders are consistently more
prevalent in women than in men and occurs up to 10 times more
frequently in women.
Main objective To review published literature about gynecolog-
ical symptoms related to somatic disorder and which percentage
of these patients diagnosed as Somatoform Disorder are referred
from gynecologist consultations.
Methods We present the case of a 31-year-old woman diagnosed
of a somatic symptom disorder whose first consultation was gyne-
cological. She is referred to Mental Health Unit from Primary Care
Center because of having been referred to five different specialists
and been diagnosed as “functional somatic syndromes” in all cases.
She started a selective serotonin reuptake inhibitor, and attended