European Psychiatry - Volume 41 - April 2017

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S726 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S710–S771
– pathological reactions (F43.0);
– neurotic disturbances (F45);
– psychotic disturbances (F44);
– PTSD (F43.1);
– chronic personality changes (F62.0).
The system of complex assistant was provided. Step 1: emergency
psychological assistance. It is carried out on the basis of crisis inter-
vention, that is defined as the emergency and urgent medical and
psychological first aid, aimed at the return of the victim to the
adaptive level of functioning, preventing progredient development
of mental disorders, reducing the negative impact of a traumatic
event. Step 2: medical and psychological support. The purpose
is the relief of mental and behavioral disorders, prevention (sec-
ondary and tertiary), psychological maladjustment, progressive
course of mental disorders, with the purpose, rational, suggestive,
cognitive-behavioral (CBT), and others. The aim of psychotherapy
is to support the patient’s assistance, processing traumatic material
revaluation of the crisis, a change of attitude, increased self-esteem,
develop realistic perspectives and active life position. It is impor-
tant to restore a sense of competence and design future in which
you can use a good past experiences. Step 3: the primary goal of
treatment is relief of anxiety and fear, stress, adaptation to the
human life and activity in conditions of continuing psychogenic.
The most effective method of psychotherapy in these cases is CBT.
Step 4: supportive. All steps developed by multimodal model of
psychotherapy.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV0990
Psychotherapies for complex trauma:
A combination between EMDR and
mindfulness
H. Tounsi , P. Pacioselli , L. Riou , C. Gouret , L. Gross , A. Quaderi ,
J. Palazzolo ∗
Université de Nice, Psychology, Nice, France
∗ Corresponding author.
Faced with the effects of trauma, new psychotherapies are emerg-
ing in France, converging especially around awareness, experience
and emotion. The hypothesis put forward here concerns the com-
plementarities of the two following approaches: Mindfulness, part
of a behavioural and cognitive context. EMDR that uses neuro-
science through its ABS. The implementation of a protocol based
on EMDR and mindfulness, has shown convincing results on the
demented elderly person suffering from complex PTSD. The pro-
tocol begins with a session devoted to anamnesis and symptoms
evaluation. The second phase consists of desensitization and cog-
nitive restructuring. The principal foundations rely on EMDR but
also include mindfulness exercises to reduce anxiety due to the
effects of therapy or otherwise allow the possibility to bring new
material when it seems to encounter a deadlock. The third phase
is the consolidation of therapeutic benefits. For this, ABS are based
on the patient’s resources and meditation exercises are performed
in order to amplify the restructuration. The combination of these
two therapies could allow to potentiate their respective effects.
The single case study that we conducted allowed us to observe
encouraging results: reduction of symptoms of revival, autonomic
hyper-activation and avoidance. Effects were also observed for
co-morbid symptoms namely depression, anxiety and psychotic
manifestations. The combination of these two approaches seems
profitable and requires replication.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0991
Augmentation effects of eye
movement desensitization and
reprocessing (EMDR) intervention in
pharmacotherapy-resistant PTSD
J.E. Park ∗, D. Kim , H. Bae , W.H. Kim , D. Roh , W. Kim
1 Keyo Hospital, Department of Psychiatry, Uiwang, Republic of Korea
2 Hanyang University, Department of Psychiatry and Mental Health
Research Institute, Seoul, Republic of Korea
3 Industrial Mental Health Research Institute, Gangbuk Samsung
Hospital, Department of Psychiatry, Seoul, Republic of Korea
4 Inha University Hospital, Department of Psychiatry, Incheon,
Republic of Korea
5 Chuncheon Sacred Heart Hospital, Hallym University College of
Medicine, Department of Psychiatry, Chuncheon, Republic of Korea
6 Inje University Seoul Paik Hospital, Department of Psychiatry, Seoul,
Republic of Korea
∗ Corresponding author.
Aim Both trauma-focused cognitive behaviour therapy and
antidepressant medication are regarded as the first line treatments
for post-traumatic stress disorder (PTSD). However, little is known
about sequential or combined efficacy of these two different treat-
ment options. This prospective study examined the add-on efficacy
of eyemovement desensitization and reprocessing (EMDR) therapy
among adult civilians with PTSDwho continued to be symptomatic
after antidepressant treatment.
Method Adult patients with PTSD at a specialized trauma clinic
who received treatment doses of antidepressants for more than 12
weeks were recruited; definition of symptomatic PTSD was a total
score > 40 on the Clinician-administered PTSD Scale (CAPS). The
CAPS and the global improvement from Clinical Global Impression
(CGI) were rated prior to EMDR, after termination and six months
follow-up.
Results A total of 15 patients underwent an average of six ses-
sions of EMDR and 7 (47%) of 15 no longer met the criteria for PTSD
and 10 (67%) were given status of very much or much improved.
The CAPS scores and significantly decreased after EMDR therapy
(paired t = 7.38, df= 14, P < 0.0001).
Conclusion These results indicate that EMDR or trauma-focused
CBT can be successfully added to those who failed to improve after
initial pharmacotherapy for PTSD. Further studies are needed to
explore the best sequence or components of therapies in the treat-
ment of PTSD.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0992
Impact on new onset stress and
post-traumatic stress disorder (PTSD)
in relatives of patients admitted to an
intensive care unit evaluated by
diaries study
K. Sundararajan
Royal Adelaide Hospital, Intensive Care Unit, Adelaide, Australia
Introduction ICU diary is effective in aiding psychological recov-
ery and reducing the incidence of new onset PTSD in patients three
months after ICU discharge. The impact of ICU diaries on PTSD
in relatives of critically ill patients in Australia has not been fully
elucidated.
Aims and objectives To determine the impact of ICU diaries on the
incidence of PTSD, stress and family satisfaction in the relatives of
critically ill patients.
Methods One hundred and eight consecutive patients, stay-
ing > 48 hours in a tertiary ICU were identified. A survey using