European Psychiatry - Volume 41 - April 2017

725 / 916

25th European Congress of Psychiatry / European Psychiatry 41S (2017) S710–S771 S721
Objective To assess the prevalence of residual sleep disorders in
military personnel with PTSD.
Methods A cross-sectional study was conducted and included 25
military consultants meeting the criteria of DSM-5 for PTSD. Sleep
disorders were assessed using the insomnia severity index (ISI).
Results The mean score of the ISI was 14. Fourteen percent of the
participants (n = 21) reported difficulty falling asleep. All patients
reported difficulties staying asleep. Nightmares were reported by
48% of the sample (n = 12). All patients were under hydroxyzine at
dosages ranging from 25 to 50mg per day. More than half of the
sample (n = 18) was under a combination of benzodiazepine and
hydroxyzine. Seventy-one percent of patients (n = 15) considered
that their sleep difficulties significantly disrupted their daily lives.
Conclusion Insomnia is one of the most frequent and persistent
symptoms in PTSD patients. These sleep disorders can impede
remission and may be due in part to co-morbid depression.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0973
Assessment of chronic pain in military
patients with PTSD
E. Ben Zina ∗, M.W. Krir , H. Bel Hadj , A. Tajmout ,
C. Ben Cheikh , H. El Kefi , A. Omaya
1 Principal Military Hospital of Instruction of Tunis, Psychiatry,
Ariana, Tunisia
2 Principal Military Hospital of Instruction of Tunis, Psychiatry, Tunis,
Tunisia
∗ Corresponding author.
Introduction Patients with post-traumatic stress disorder (PTSD)
presents often with several concomitant physical and mental
health problems. Recent evidence suggests that pain is one of the
most commonly reported symptoms in patients with PTSD, regard-
less of the nature of their traumatic experience.
Aim of the study To evaluate chronic pain in patients with PTSD
in a Tunisian military sample.
Methods Transversal descriptive study of a sample of 22 patients
treated for PTSD in the Principal Military Hospital of Instruction of
Tunis during the period between August and October 2016.
The PTSD Checklist for DSM-5 (PCL-5), Hospital Anxiety and
Depression scale (HAD), and the Brief Pain Inventory Short Form
(BPI-SF) were administered for patients.
Results All the patients of the study were male. The mean age
of the sample was 29.6 years. Fifty percent presented with a co-
morbid major depression and 59.1% with chronic pain symptoms.
Locations of chronic pain were as follow: limb pain (69.23%), back
pain (38.46%), headache (30.76%) and torso pain (7.69%). Sequelae
from combat-related trauma were present in 31.8% of cases.
Conclusion The results of this study illustrate a high rate of
chronic pain symptoms among PTSD patients. This suggests that
closer attention should be given to the interaction of medical
problems, especially pain, with PTSD symptomatology in clinical
management and in future research.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0974
Self-esteem in military patients with
post-traumatic stress disorder
E. Ben Zina ∗, M.W. Krir , H. Bel Hadj , R. Lansari , H. El Kefi ,
C. Ben Cheikh , A. Omaya
Principal Military Hospital of Instruction of Tunis, Psychiatry, Ariana,
Tunisia
∗ Corresponding author.
Introduction Maintaining self-esteem is a fundamental human
motivation. Trauma may lower self-esteem, which contributes to
the development and maintenance of Post-Traumatic Stress Disor-
der (PTSD).
Objectives Assessment of self-esteem in Tunisian military
patients suffering from PTSD. Study of correlation between the
severity of the PTSD symptoms and the rate of self-esteem.
Methods Transversal descriptive study of a sample of 22 patients
treated for PTSD in the TunisianMilitary Hospital during the period
between August and October 2016.
The PTSD Cheklist for DSM-5 (PCL-5), Hospital Anxiety and Depres-
sion scale (HAD), and the Rosenberg Self-Esteem Scale were
administered for patients.
Results All the patients assessed were male. The mean age of the
sample was 29.6 years. Fifty percent of the patients presented with
a co-morbid major depression. Based on the score of the Rosenberg
Self-Esteem Scale, patients had a self-esteem, which was very low
in 45.45% of case, low in 45.45% of cases, average in 4.54% of cases
and high in 4.54% of cases. The results also showed that lower lev-
els of self-esteem are significantly correlated to the severity of the
PTSD symptoms as measured by the PCL-5 score.
Conclusions This study highlights the magnitude of self-esteem
deficiency among patients suffering from PTSD. It remains unclear
as to whether the relationship between trauma and depression is
consistently mediated by a negative cognitive schema, such as low
self-esteem, or whether trauma influences mood independently of
low self-esteem. Further studies are required.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0975
Post-traumatic stress spectrum and
adult autism subthreshold spectrum
in parents of children with epilepsy:
Correlations and gender differences
C. Carmassi , M. Corsi , C. Gesi , C.A. Bertelloni∗ edrinelli ,
G. Massimetti , A. Bonuccelli , A. Orsini , L. Dell’Osso
Azienda Ospedaliero, Universitaria Pisana, Department of Clinical
and Experimental Medicine, Pisa, Italy
∗ Corresponding author.
Introduction Data that assess the co-morbidity between post-
traumatic stress symptoms and autism spectrum are scarce.
Nevertheless, some authors suggested that subjects with autism
spectrum disorder (ASD), due to their difficulty in understand-
ing the codes of communication, empathy, expression, are lower
resilience to traumas.
Objectives The aimof this studywas to explore in a sample of par-
ents of childrenwith epilepsy, the presence of correlations between
the symptoms of post-traumatic stress and adult autismsubthresh-
old spectrum.
Methods Seventy-seven parents completed the Trauma and Loss
Spectrum Self-Report (TALS-SR), specifically modified for one’s son
epileptic disease, and 72 parents completed the AdAS Spectrum
(Adult Autism subthreshold Spectrum).
Results Eight subjects (11.1%) presented a total score ≥45 at
the AdAS Spectrum, corresponding to the satisfaction of a symp-
tomatic ASD criteria and indicative of the Adult Autism Spectrum
subthreshold. More specifically, a total score ≥ 45 was found in 7
(15.9%) of mothers and 1 (3.6%) of the fathers, with no statistically
significant differences between the two groups (P = 0.139).
Noteworthy correlations between TALS and AdAS, emerged only
in the subgroup of the fathers. In particular, a relevant number
of moderate to good correlations emerged between the Domain II
(reactions to the events of loss) of the TALS-SR and theAdASDomain
III (non verbal communication), Domain VI (restricted interests and
ruminations) and total score.