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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364

AA is valid for alcohol withdrawal syndrome diagnosis and plays

situation relapsing role in alcoholizing prolongation.


Alcoholic anorexia is starting to declare even at early

stages of alcoholic addiction formation. It is more illustrative in

periodically recurrent and exaggerating drinking boutswhen dyna-

mic intestinal obstruction risk is high. Findings obtained ground

alcoholic anorexia attribution to urgent conditions with necessary

integrated relieving therapy and secondary prevention.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Evaluation of the cardiovascular

disease risk of the psychiatric

inpatients of a university hospital by

using Framingham risk score

P. Tas Durmus

, R. Kose Cınar , M.B. Sonmez , Y. Gorgulu ,

N. Ozkan

Trakya university school of medicine, psychiatry, Edirne, Turkey

Corresponding author.


According to literature, the patients with severe

mental disorder have higher cardiovascular disease risk than the

normal population.


The current study based on the assumption that eleva-

ted inflammatorymarkers may be related to cardiovascular disease

risk in psychiatric patient population.


This study is aimed to define the relation between the

inflammatory reactant, C-reactive protein levels and 10-year risk of

coronary heart disease according to Framingham risk score (FRS).


A total of 204 patients (106 female–98 male) who

admitted to the psychiatric service between March and Novem-

ber 2015 and diagnosed with major depression, bipolar disorder

and psychotic disorder were included in the study. Participants

were evaluated by their gender, age, body mass index, waist cir-

cumference, high density lipoprotein levels, total cholesterol levels,

systolic and diastolic blood pressures, diabetes comorbidity and

CRP levels.


Ten-year risk of cardiovascular disease was found signi-

ficantly higher at males than females (


< 0.001). There was

no correlation between the FRS and the CRP levels which is

an acute phase reactant and a contributer of atherogenesis



= 0.763). However, mean values of CRP levels were determined

as 0.59


0.07mg/dL for females and 0.56


0.07mg/dL for males.

These levels are both high compared to the normal value which is

up to 0.34mg/dL. There was also a remarkable correlation between

FRS scores and waist circumference (


= 0.012).


Framingham risk score can be used to detect car-

diovascular disease risk and can be helpful in management of

pharmacotherapy of the high-risk population.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Co-morbidity of psychiatric/physical

disorders with alcohol

abuse/dependence in a sample of

clients of the emergency department

of the psychiatric hospital of


D. Tsaklakidou

1 ,

, I. Rizavas


, V. Efstathiou


, C. Christodoulou



A. Papadopoulou


, A. Douzenis



“Attikon” university general hospital, 2nd department of psychiatry,

Athens, Greece


“Dafni” psychiatric hospital of Attica, emergency department,

Athens, Greece

Corresponding author.


Increased coexistence of psychiatric symptoms in

patients with alcohol abuse/addiction is highlighted in the litera-

ture. Equally high is the coexistence of physical illnesses due to the

harmful effects of alcohol.


To record the profile and the characteristics of individuals

with psychiatric/somatic co-morbidity who attend the psychiatric

emergency department/(PED) of the largest psychiatric hospital in



A total of 1058 individuals, with a mean age

of 44.4 years, were identified having alcohol problems in a five-

year time period (2010–2015) in the context of the PED, while

the majority of them was found to have psychiatric co-morbidity.

The most common diagnosis was psychotic syndromes (24.2%), fol-

lowed by affective (23.8%), personality (12.5%), and somatoform

and anxiety disorders (6.3%). About 3% of the sample presented

acute alcohol poisoning or severe withdrawal symptoms, coexis-

tence with severe somatic disease and organic mental disorders.

More than a third (37%) of them had to be hospitalized, while

the involuntary hospitalization rates (21%) were higher than the

voluntary ones (16%). Finally, 13.65% suffered from co-morbid

somatic diseases with need of immediate emergency and hospital



The abuse and/or dependence of alcohol are

largely associated with the coexistence of psychiatric and

physical diseases. The psychiatric and physical co-morbidity,

as regards attendance and hospitalization–involuntary and

voluntary–, present a higher rate in men (86%) and mainly affects

people of productive age. Additional data are needed to explore

detailed factors that could contribute to a better design of more

appropriate services for patients with alcohol use disorders.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


The eating disorders iceberg:

Emotional deregulation and

impulsivity lay below

S. Valente

, G. Di Girolamo , F. Cerrato , L. Vannucci ,

D. De Ronchi , A.R. Atti

Psychiatry, istituto di psichiatria, Bologna, Italy

Corresponding author.


Eating disorders (ED) and personality disorders (PD)

are often interplayed in every-day clinical practice. Less is known

on patient’s emotional deregulation and impulsivity.


To investigate whether clinical features of ED and PD

correspond to a specific impulsivity and emotional background



ED, PD, impulsivity and emotional regulation.


A group of outpatients with ED (


= 39) was compared

to a group of healthy controls (


= 40) by means of semi-structured

interviews and standardized questionnaires (BIS-11, DERS, Eat-26,

SCID-II and STAI), in order to evaluate association between clini-

cal features (ED and PD) and altered impulsivity or/and emotion



Seventy-five percent of ED cases matched also diagnostic

criteria for PD. Cluster B diagnoses occurred more frequently in

Bulimia Nervosa (BN) and Binge eating disorders (BED) whereas

Cluster C PD was strongly associated with restrictive anorexia (AN-

R) (


< 0.001). BIS-11 scores were significantly higher in cluster B as

compared to cluster C PD (


= 0.019). People with PD have a signi-

ficantly higher DERS score compared to people without (


< 0.001).

Mean DERS scores were similar in BN, BED and AN Binge purging

(AN-BP) but lower in AN-R (


< 0.001).