European Psychiatry - Volume 41 - April 2017

206 / 916

S202 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S170–S237
Conclusions The present study describes the frequency of QTc
prolongation in real-world clinical practice. Before prescribing a
psychotropic drug, the physician should carefully assess its risks
and benefits to avoid this type of adverse reaction, particularly
when additional risk factors are present. The potential role of alco-
hol and substances on QTc length could be particularly useful in
emergency settings.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0282
Clinical features and diagnosis of
alcoholic hallucinosis
N. De Uribe-viloria ∗, A. Alonso Sanchez , M. De Lorenzo Calzon ,
M. Gomez Garcia , A. Alvarez Astorga , H. De La Red Gallego ,
R. Hernandez Anton , S. Gomez Sanchez , C. Noval Canga ,
G. Medina Ojeda , F. De Uribe Ladron De Cegama
Hospital Clinico Universitario De Valladolid, Psychiatry, Valladolid,
Spain
∗ Corresponding author.
Introduction Alcoholic hallucinosis is a rare complication of
chronic alcohol abuse, characterized by acoustic verbal hallucina-
tions and delusions, mainly of a menacing content, arising in clear
consciousness, that appear during or shortly after a period of heavy
alcohol consumption.
Objectives and aims To outline the key clinical features of alco-
holic hallucinosis in order to improve differential diagnosis with
other entities.
Methods We studied the evolution of an outpatient followed in
a Mental Health Centre of Valladolid and compared it with present
data about the condition, found in a bibliographic search of articles
no older than 10 years about the topic.
Results Partial insight about the experience, alongwith clear con-
sciousness, was key to discard other psychiatric diagnosis that also
present acoustic hallucinations. Neuroimagining and functional
tests in our patient showed moderate cognitive impairment and
cortical atrophy, which contradicts other studies which claim that
an acceptable level of cognition must be present in order to gain
the necessary insight to meet the diagnostic criteria.
Conclusions Alcoholic hallucinosis is a rare form of subacute
encephalopathy, secondary to an abrupt stop in a previously
chronic and heavy alcohol consumption. Its diagnosis is mainly
clinical, and neuroleptics are the most used drug, being abstinence
essential for an adequate evolution. The course is usually benign,
although the acoustic phenomena may not disappear completely.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0283
Resilience and psychological
correlates in a group of patients
affected by dual diagnosis
C. Delicato ∗ attoni , S. Di Marco , C. Vecchi , A. Venesia ,
P. Zeppegno , C. Gramaglia
Università degli Studi del Piemonte Orientale “A.Avogadro”,
Translational Medicine, Novara, Italy
∗ Corresponding author.
Introduction Although several authors found a strong association
between childhood trauma and substance abuse disorder, many
other suggest that specific personological aspects and resilience
may contribute to the development of this disease.
Objectives To compare the characteristics of psychiatric patients
with and without dual diagnosis assessing differences in psycho-
logical correlates, such as resilience, coping strategies, self-esteem,
temperament, character traits and childhood trauma.
Methods From November 2015 to May 2016, we recruited all
patients aged between 18 to 65 years referred to the Psychiatry
Ward of “Maggiore della Carità” Hospital in Novara, Italy. Diagno-
sis of psychiatric disorder was made according to DSM-5 diagnostic
criteria. Exclusion criteria were: inability to express a valid inform
consent, a personality disorder or mental retardation diagnosis.
We administered to each patient: Resilience Scale for Adult (RSA),
Brief Cope, Rosenberg Self-esteem Scale (RSES), Childhood Trauma
Questionnaire (CTQ), Temperament and Character Inventory (TCI).
Patients were subdivided for the analysis into two groups: dual
diagnosis and no dual diagnosis (or single diagnosis) group.
Results Data show that dual-diagnosis patients (n = 40) had lower
global levels of resilience (RSA) and cooperativeness (TCI). Higher
novelty seeking and reward dependence traits (TCI) were found as
well. Moreover, the lower Cope-Avoidance (Brief Cope) was statis-
tically different among patients with dual diagnosis compared to
single diagnosis ones.
Conclusions Identified differences between these two groups
could suggest targets to manage during the treatments in order
to optimise dual diagnosis patients’ outcomes.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0284
Recovery orientation as a key element
in addiction treatment: Preliminary
results of a patient’s survey
G. Eikmeier ∗, R. von Heugel , A. Lacroix , I. Molkentin ,
T. Rosenbrock , R. Böttcher , A. Paul , J. Nachtigall
Psychiatry, Klinikum Bremerhaven, Bremerhaven, Germany
∗ Corresponding author.
“Recovery” in addiction treatment goes far beyond abstinence,
but means a self-determined and meaningful life. Although this
approach has been implemented in a number of programs, only lit-
tle research has been carried out on this issue. Within the context
of focusing our treatment program for addictive disorders more
strongly according to recovery principles, we studied the base-
line situation with the Bremerhavener Questionnaire of Treatment
Satisfaction (BFPZ). Sixteen items cover different aspects of our
traditional qualified inpatient detoxification program as well as
recovery principles. Each item can be rated from 0 (strongly dis-
agree) to 3 (strongly agree). BetweenDecember 1st 2015 andMarch
31st 2016, all in house patients with a substance abuse treated
for more than 24 hours in the psychiatric department of Klinikum
Bremerhaven Reinkenheide were asked to fill in the questionnaire
(n = 201). Response rate was 35% (n = 70). Overall treatment sat-
isfaction was high (mean: 2,57 ±0.65). On the single item level,
aspects of empathy and openness were rated best (mean > 2.3),
while special aspects of personal recovery (choice, hope, life goals,
diversity of treatment options) were rated worst (mean < 2.3).
Eighty-nine percent of the patients wanted to stop their alcohol
consumption completely, 2% wanted to break their consumption
temporarily and 9% wanted to consume less. Thirty-four percent
were interested in additional therapy offers for controlled sub-
stance use. The results will be presented in detail and discussed
with regard to the implications for recovery-oriented addiction
treatment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.