European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S170–S237 S235
bond being considered a fundamental developmental experience.
The objective of the present preliminary study was to assess
whether there are significant correlations between attachment
styles and GH levels in a sample of subjects with non-organic FTT.
Methods We enrolled 27 children (mean age: 9.49± 2.63) with
non-organic FTT. Perceived attachment security was assessed
through the Security Scale (SS) and its subscales focused
on maternal and paternal security. Pearson partial correla-
tion was used to test associations between GH levels and SS
measures adjusting for confounding factors (i.e. age, gender
and BMI).
Results Across all subjects, GH was significantly positively cor-
related with general security (r= 0.425; P = 0.038) and maternal
security (SSM) (r = –0.451; P= 0.027) and not significantly corre-
lated with paternal security (SSP) (r = 0.237; P = 0.264).
Discussion These findings preliminarily suggest that perceived
attachment securitymay play a role in the etiopathogenesis of non-
organic GH deficiencies and add to the accumulating evidence that
attachment styles are associated with specific psychoendocrine
underpinnings.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0380
Features of coronary heart disease
course in patients with depressive
disorders
N. Garganeeva ∗, M. Belokrylova
1 Federal State Budgetary Educational Institution of High Education
“Siberian State Medical University” of Ministry of Healthcare of
Russian Federation, General Medical Practice and Polyclinic Therapy
Department, Tomsk, Russia
2 Mental Health Research Institute, Tomsk National Research Medical
Center, Russian Academy of Sciences, Borderline States Department,
Tomsk, Russia
3 Federal State Budgetary Educational Institution of High Education
“Siberian State Medical University” of Ministry of Healthcare of
Russian Federation, Psychiatry, Addiction Psychiatry and Psychiatry
Department, Tomsk, Russia
∗ Corresponding author.
Multifactor risk for coronary heart disease (CHD) development is
associated with susceptibility and depressive reaction to stressful
situations that causes search for ways of optimization of integrative
assistance to CHD patients with depressive disorders.
Objective To carry out comparative analysis of dynamics of men-
tal and physical state in CHD pateints.
Material and methods Two hundred and eighty (57.74 ±
5.59 years) CHD patients with grade II–III angina pectoris were
examined. Psychopathological method, Center of Epidemiological
Studies-Depression scale (CES-D) were used.
Results Ninety patients (32.1%) had depressive disorders within
depressive episode, dysthymia, adjustment disorder. The level of
depression according to CES-Dvaried from19 to 28 points. Compar-
ative analysis of two groups of patients showed that CHD patients
with depression had more severe grade III angina (22.1% vs. 11.6%;
P = 0.036) more frequently. Differences regarding frequency of arte-
rial hypertension (AH) (91.1% vs. 63.2%; P = 0.0002), type 2 diabetes
mellitus (DM) (26.8% vs. 17.5%; P= 0.038), obesity (30.7 ± 3.9 vs.
29.5 ±4.5; P = 0.015), arrhythmias (34.4% vs. 25.2%; P= 0.015); cases
of myocardial infarction (47.8% vs. 17.9%; P= 0.0001) were revealed.
Among patients with depressive disorders persons with experi-
ence of surgical myocardial revascularization (P= 0.004), degree
II–III of disability (23.3% vs. 11.6%; P = 0.0118) were present more
frequently. Patients with depression were characterized by low
economic status (64.4% vs. 23.7%; P= 0.0001); absence of social
support (34.4% vs. 12.6%; P = 0.0001); frequent stress situations in
personal history (71.1% vs. 32.6%; P = 0.0002).
Conclusions Depressive disorders caused by psychosocial stress
influence negatively CHD course that requires complex approach
to therapy of comorbid pathology.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0381
The relationship between coping
strategies and sociodemographic
characteristics, shame and anxiety in
families of children or adolescences
with inflammatory bowel diseases:
A cross sectional study
M. Gouva ∗, K. Katsanos , A. Tsoutsi , E. Dragioti ,
E. Kotrotsiou
1 Technological Educational Institute of Epirus, Research Laboratory
Psychology of Patients Families and Health Professionals, Ioannina,
Greece
2 University of Ioannina, Medicine, Ioannina, Greece
3 Linköping University, Department of Medical and Health Sciences,
Faculty of Health Sciences, Pain and Rehabilitation Center,
Anesthetics, Operations and Specialty Surgery Center, Linköping,
Sweden
4 Technological Educational Institute of Thessaly, Research
Laboratory of Care, Larisa, Greece
∗ Corresponding author.
Introduction Ulcerative colitis and Crohn’s disease is character-
ized from a complicated therapeutic management, with bodily and
psychological impact to the family.
Objectives This study examined the coping strategies among
families with a child or adolescent with IBD.
Aim The aim was to investigate possible sex differences with
respect to coping strategies of the parents would correlated to
overall coping strategies.
Method The participantswere biological parents of patients diag-
nosed with IBD. The total sample included 61 parents with a mean
age 46.2 (SD = 7.4). The parents completed:
– the Family Crisis Oriented Personal Scales;
– the Other As Shamer Scale;
– the Experiences of Shame Scale (ESS);
– questionnaire concerning socio-demographic information.
Results Mother reported higher levels of social support, accept
help, passive appraisal, and overall strategies compared to fathers.
The strongest difference was found in accept help (P < 0.001). The
feelings of shame of the mothers and fathers of the IBD fami-
lies were very similar, without statistically significant differences
between the groups. The results of the MLR, after controlling for
adolescents age, sex and illness duration, revealed that the older
age, being a mother, being married and being employment had
direct positive associationswith the overall coping strategies, while
ESS had direct negative associations with the overall coping strate-
gies. The model with all seven predictors explained 68% of the total
variance (R2 = 0.68, F = 6.409, P < 0.001).
Conclusions Our findings provide more detailed information on
the coping strategies of Greek families with a child or adolescence
with IBD.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.