European Psychiatry - Volume 41 - April 2017

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S314 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.
Conclusions 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.
EW0608
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.
Introduction According to literature, the patients with severe
mental disorder have higher cardiovascular disease risk than the
normal population.
Objectives The current study based on the assumption that eleva-
ted inflammatorymarkers may be related to cardiovascular disease
risk in psychiatric patient population.
Aims 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).
Methods 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.
Results Ten-year risk of cardiovascular disease was found signi-
ficantly higher at males than females (P < 0.001). There was
no correlation between the FRS and the CRP levels which is
an acute phase reactant and a contributer of atherogenesis
(P = 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 (P = 0.012).
Conclusions 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.
EW0609
Co-morbidity of psychiatric/physical
disorders with alcohol
abuse/dependence in a sample of
clients of the emergency department
of the psychiatric hospital of
Attica–Greece
D. Tsaklakidou ∗, I. Rizavas , V. Efstathiou , C. Christodoulou ,
A. Papadopoulou , A. Douzenis
1 “Attikon” university general hospital, 2nd department of psychiatry,
Athens, Greece
2 “Dafni” psychiatric hospital of Attica, emergency department,
Athens, Greece
∗ Corresponding author.
Introduction 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.
Aims 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
Greece.
Methods/Results 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
care.
Conclusions 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.
EW0610
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.
Introduction 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.
Aims To investigate whether clinical features of ED and PD
correspond to a specific impulsivity and emotional background
pattern.
Objective ED, PD, impulsivity and emotional regulation.
Methods A group of outpatients with ED (n = 39) was compared
to a group of healthy controls (n = 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
regulation.
Results 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) (P < 0.001). BIS-11 scores were significantly higher in cluster B as
compared to cluster C PD (P = 0.019). People with PD have a signi-
ficantly higher DERS score compared to people without (P < 0.001).
Mean DERS scores were similar in BN, BED and AN Binge purging
(AN-BP) but lower in AN-R ( P < 0.001).