European Psychiatry - Volume 41 - April 2017

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S680 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S645–S709
EV0846
Factors associated with job
satisfaction among physicians in a
university hospital
C. Derbel ∗, A. Braham , A. Souilem , A. Ben Romdhane , R. gallala ,
S. Ben Nasr , A.S. Bannour , B. Ben Hadj Ali
CHU Farhat Hached, Psychiatry, Sousse, Tunisia
∗ Corresponding author.
Introduction Several professional and personal factors determine
the degree of job satisfaction (JS) which is a necessary condition
to ensure good quality work, especially for physicians working in
university hospitals (UH).
Aims To determine the degree of JS in a population of physicians
working in UH and to determine the factors associated with the JS.
Method Cross-sectional, descriptive and analytical study involv-
ing 96 physicians with different grades in Farhat Hached University
Hospital, Sousse, Tunisia. We used Job Satisfaction Scale (JSS) to
assess the degree of JS, Hospital Anxiety And Depression Scale to
assess anxiety and depression, Maslach Burnout Inventory to deter-
mine burnout (BT).
Results The average age was 28.15± 4.10 years. Doctors with
medical specialty were the majority (65.6%). Most doctors were
dissatisfied with their work (67.7%). The socio-demographic fac-
tor associated with ST was the young age (P = 0.00). Occupational
factors associated with JS were: shorter time worked in the depart-
ment (P= 0.02), lack of outpatient day (P= 0.01), a lower number of
outpatient day (P = 0.02), dissatisfactionwith thework schedule (P=
0.004), lack of safety (P = 0.00), salary (P = 0.00), non-operating skills
(P = 0.00), the distribution of tasks (P = 0.00), the conditions of the
guards (P= 0.00), ignorance of the laws governing the department
(P = 0.00), BT (P = 0.01) and depression (P = 0.00).
Conclusion The majority of our subjects were dissatisfied with
their work. Several factors, especially the professional ones con-
tribute to this state. It is necessary to take steps on these factors to
improve the performance of doctorsworking inuniversity hospitals
to provide better care for patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0847
Oxytocine and early and current
trauma: A systematic review and
meta-analysis
M. Donadon ∗, R. Martin Santos , F. De Lima Osório
1 Medical School at Ribeirao Preto, Neuroscience and Behavior,
Ribeirao Preto, Brazil
2 Universidade Autonoma de Barcelona, Universidade Autonoma de
Barcelona, Barcelona, Spain
3 Faculdade de Medicina de Ribeirão Preto, Neurosciências e Ciências
do comportamento, Ribeirão Preto, Brazil
∗ Corresponding author.
Introduction Oxytocin has been related to traumas and sociabil-
ity.
Objective To do a systematic review on the relationship between
oxytocin and early (ET), current trauma (CT) and PTSD.
Methods The Pubmed, Psycinfo, Web of Science, Lilacs and
Scielo database were researched until to April 2016, using the
keywords: oxytocin, early trauma, childhood maltreatment, emo-
tional trauma, emotional stress, neglect, adversity, sexual abuse,
emotional abuse, physical abuse and PTSD, and Boolean operators.
We used a priori protocol based on PRISMA to select observational
and quasi/experimental studies in both gender subjects, who
suffer ET, CT, or PSTD. A full review was done, and meta-analysis
was carried out when possible to estimate the strength of the
association. Strobe, trend and consort statements were used for
qualitative assessment.
Results Twenty-eight studies where included:15 observational,
3 quasi/experimental and 10 RCT. Quality assessment was 60–70%.
Due heterogeneity between studies we analysed them in four
groups. Meta/analysis of studies of oxytocin endogenous con-
centration showed a negative correlation with ET (r = -0.35;
95%CI = -0.46/–0.22). Association studies of genetic polymorphism
of oxytocin gene receptor (rs53576) showed that subjects with
ET, CT and GG genotype had higher vulnerability to develop later
psychopathology (P < 0.05). Quasi/experimental studies measuring
pre/post oxytocin concentration after a stress reactivity test
in subject with ET, CT or PTSD showed any significant results.
Finally, RCT studies showed that acute administration of oxytocin
increased the levels of anxiety and flashback in subjects with CT;
and decreased in PTSD or ET. These results were in parallel with
brain and connectivity activation.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0848
Political abuse and forensic psychiatry
in communist Romania
S. Hostiuc , O. Buda , E. Drima ∗
1 Carol Davila University of Medicine and Pharmacy, Legal Medicine
and Bioethics, Bucharest, Romania
2 Carol Davila University of Medicine and Pharmacy, History of
Medicine, Bucharest, Romania
3 Clinical Hospital Of Psychiatry “Elisabeta Doamna”, Psychiatry,
Galati, Romania
∗ Corresponding author.
Psychiatry was often used for political reasons in the second half
of the 20th century, especially in the former communist countries.
According to the global initiative on psychiatry, political abuse of
psychiatry is defined as the incorrect usage of diagnoses, treat-
ments, or psychiatry admissions in order to limits fundamental
rights of persons or population groups in certain countries. Most
studies regarding political abuse as a repressive measure analysed
it in either USSR or China. Romania is one of the countries from
the former communist block in which psychiatry was proven to
be used as a form of repression against political dissidents. One
of the psychiatry “tools” used against political dissidents was the
widespread usage of mandatory, non-voluntary admissions. They
were seen as preventive measures, whose purpose was to prevent
an individual to act antisocially. The purpose of this article is to ana-
lyse the characteristics of the patients that were non-voluntarily
admitted in psychiatry hospitals, based on studies published by
the forensic psychiatry researchers in the communist period. The
main conclusions of this study are: (1) the presence of a dis-
proportionate number of patients admitted with schizophrenia,
especially the paranoid type; (2) patients that performed acts
against the state were more often diagnosed with schizophrenia;
(3) patients that performed acts against the state were more often
considered to have no judicial responsibility; (4) the non-voluntary
admission/treatment were more often removed for crimes against
persons, and less often in crimes against the state.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.