European Psychiatry - Volume 41 - April 2017

112 / 916

S108 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169
1 Faculty of Psychology, Department of Clinical Psychology, Bergen,
Norway
2 Faculty of Medicine, Institute of Clinical Medicine, Oslo, Norway
3 Solli District Psychiatric Centre DPS, Department of Comprehensive
Treatment Programs, Nesttun, Norway
4 Faculty of Psychology, Department of Psychosocial Science, Bergen,
Norway
∗ Corresponding author.
Introduction Seventy percent of patientswith panic disorder (PD)
have sleep impairment. Cognitive behavior therapy (CBT) effec-
tively treats PD, but the concomitant effect on sleep is understudied.
Physical exercise (PE) improves sleep, but this has not been inves-
tigated in patients with PD.
Objective To compare the effects of CBT or PE on sleep in PD-
patients, and to determine potential mechanisms of action.
Methods Thirty-six PD-patientswere randomized to either group
CBT for PD or regular PE. Sleepwas assessed pre/post with the Pitts-
burgh sleep quality index. Effects were investigated with repeated
measures ANOVA and t-tests. Expected mediators were added to
the general linear model to assess mediation.
Results The effect of time was significant, F(1.33) = 10.11,
P = 0.003, but not the interaction (Time ×group), F(1.33) = .48,
P = 0.49. Symptoms were significantly reduced from pre- to
post-treatment: PE, t(16) = 3.03, P = .008, and CBT, t(17) = 2.18,
P = 0.044. CBT-patients changed significantly (P < 0.05) on Sleep
quality, t (17) = 2.47 and Sleep disturbance, t(17) = 2.38. PE-
patients changed significantly on sleep duration, t(16) = 2.58
and sleep disturbance, t(16) = 2.58. A significant interaction
with change in fear of bodily symptoms, F(1.16) = 5.53, P = .032,
and with change in depression-level, F (1.16) = 12.13, P = 0.003
was only found for CBT. A significant interaction with change
in physical fitness, F(1.15) = 5.01, P = .041, was only found
for PE.
Conclusion Both interventions improve sleep in PD-patients, but
differently. The findings also suggest that these changes are related
to different mechanisms for PE and CBT.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0007
Explanatory and confirmatory factor
structure of beck anxiety inventory in
college sample
S. Kareemi ∗ . Alansari
Kuwait University, Faculty of Social Sciences, psychology, kifan,
Kuwait
∗ Corresponding author.
Introduction The Beck anxiety inventory (BAI) is a widely used
21-itemself-report inventory used to assess anxiety levels in adults
and adolescents in both clinical and non-clinical populations. The
values for each item are summed yielding an overall or total score
for all 21 symptoms that can range between 0 and 63 points. A total
score of 0–7 is interpreted as a “Minimal” level of anxiety; 8–15 as
“Mild”; 16–25 as “Moderate”, and; 26–63 as “Severe”. There is no
study until this date that examines the Explanatory and confirma-
tory factor structure factor structure of BAI in college student in
Kuwaiti.
Objectives The current study investigated the original four-factor
structure of the (BAI) in non-clinical sample of college students.
Methods Sample one consisted of 540 males and females
while sample two consisted of 600 males and females from
Kuwait University undergraduates. The Arabic version of BAI
was administered to participants. Explanatory factor analysis
based on sample one and conformity factor analysis based on
sample 2.
Results The results revealed four factor structures of BAI in
the two samples of Kuwaiti students. Which included neuro-
physiological, subjective, autonomic, and panic factors.
Conclusions The results of both confirmatory and exploratory fac-
tor analysis indicated that the original four-factor structures of the
BAI do provide the best fit for the college sample.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0008
Playing video games – Psychical threat
to adults?
M. To´s , E. Wilk , A. Myszczuk , A. Bratek , K. Krzysztof ∗
1 Medical University of Silesia, Department of Rehabilitation
Psychiatry, Katowice, Poland
2 Medical University of Silesia, Department of Psychiatry and
Psychotherapy, Katowice, Poland
∗ Corresponding author.
Background Video games become increasingly popular form of
spending free time, therefore they are often a research subject.
Researchers focus mainly on video games influence over children’s
psyche and their social interactions, although video games can also
have an impact on adult’s behaviour.
Objectives Incidence of social anxiety disorder and impulsiveness
among video game players and non-players.
Material and methods An anonymous online survey included 263
students of medical university of Silesia (112M and 151W). In
study group, 142 people (54%) declared to be players. Questionnaire
contained questions about playing time, Barratt Impulsiveness
Scale and Liebowitz Social Anxiety Scale. Statistical analyses were
performed using the statistical software package Statistica 12.
Results Using Liebowitz Scale in 168 (64.86%) all studied peo-
ple lack of phobia was found, moderate social phobia 39 (15.06%),
marked social phobia 26 (10.03%), severe social phobia 17(6.56%)
and very severe social phobia 9(3.47%). There was no statistical sig-
nificance between players and non-players (test Chi2 P = 0.6521).
Also in Barratt Scale statistical significance was not found in
attentional impulsiveness (test U M-W P= 0.3267) and in Motor
impulsiveness (test U M-W P = 0.3140). Statistical significance was
observed in Non-planning impulsiveness (players: 23.68 V non-
players: 22.02; test U M-W P = 0.0036).
Conclusions The study did not show clear influence adult’s video
games playing over social phobia and impulsiveness occurrence.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0009
Utilization unspecialized care of
patients with anxiety disorder
M. Marachev ∗, A. Avedisova
V. Serbsky Federal Medical Research Centre for Psychiatry and
Narcology- of the, Therapy of Mental & Behaviour Disorders,
Moscow, Russia
∗ Corresponding author.
Introduction The greatest social and economic burden is divided
between the three main anxiety disorders: social phobia (SF), gen-
eralized anxiety disorder (GAD) and panic disorder (PD).
Objectives To examine the pathways of patients with PD, SF and
GAD since the beginning of the first anxiety symptoms and before
the first course of a standardized treatment in a specialized mental
health facility.
Aims To evaluate the period of delay in seeking specialized care
and to identify themainways of seekingmedical/non-medical care.