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



ED is an iceberg top, of a three-step ladder. The inter-

mediate step is built of personality traits and disorders forging the

variety of ED clinical expressions. The hidden base of iceberg is

represented by both the emotional (de)regulation and the level

of impulsivity. Therapies focused on the base of this iceberg are

needed for a clinical resolution of eating symptoms.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Benefits of antidepressant treatment

after a stroke

O. Zerriaa

, O. Moula , S. Ben Saadi , I. Jelalia , R. Ghachem

Razi hospital, B, Mannouba, Tunisia

Corresponding author.


Stroke is an important cause of morbidity and is

responsible for 9% of all deaths worldwide. The most frequent

neuropsychiatric consequence of stroke is post-stroke depression

(PSD). It has been shown to be associated with both impaired reco-

very and increased mortality. The aim of our study is to determine

the benefits of antidepressant prescription after a stroke.


The databases from




were reviewed

for articles related to post-stroke depression (PSD), antidepressant

treatment and stroke, post-stroke depression and functional reco-

very, stroke related impairment.


Antidepressant drugs have been shown to be effective

in treating PSD in six double blind randomized studies. Patients

treated with antidepressants had better recovery from disability

than patients who did not receive antidepressant therapy: it was

proved that antidepressant drugs cause an improvement in cogni-

tive skills and functional recovery in PSD patients. In patients with

ischemic stroke and moderate to severe motor deficit, the early

prescription of fluoxetine with physiotherapy enhanced motor

recovery after 3 months. Some studies showed that PSD can be

effectively prevented: nortriptyline, fluoxetine, milnacipran and

sertraline appeared to be efficacious in preventing depression after

stroke and are to use without significant adverse effects in stroke



Antidepressant treatment plays an increasing role in

the management of patients with acute stroke. Therefore, early ini-

tiation of antidepressant therapy, in non-depressed stroke patients,

may reduce the odds for development of PSD, and improve cogni-

tive and functional recovery.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

e-Poster Walk: Consultation liaison psychiatry

and psychosomatics - Part 2


Polypharmacy among elderly


I. Leal

1 ,

, P . O


2 , R. V


1 , C. A




Hospital de la Princesa, psychiatry, Madrid, Spain


Universidad Autonoma Madrid, psychiatry, Madrid, Spain

Corresponding author.


Potentially inappropriate prescribing, is highly pre-

valent among older patients hospitalized with major psychiatric

illness. Inappropriate use of psychotropic medications in elderly

patients has become a focus of concern.


To determine the prevalence of potentially inappro-

priate prescribing including potentially inappropriate medications

(PIMs) and potential prescription omissions (PPOs), accor-

ding to STOPP-START, Beers and PRISCUS criteria applied by





To identify potentially IP, PPo and the prevalence of

contraindications, interactions and precautions in older patients

hospitalized with major psychiatric illness.


Retrospective cross-sectional study with patients over

65 discharged from the Psychiatric acute unit of the university

hospital of La Princesa (Madrid) between January 2013 and Octo-

ber 2015 was conducted. The CheckTheMeds


program was used

to identify IP.


A total of 104 elders–74 females and 30 males–were

included, with a mean age of 76 years (range: 65–91). An average of

5.73 (range: 1–16) was prescribed drugs at discharge. The Ip results

STOPP 81.73% (


= 85), START 43.26% (


= 45), Beers 94.23% (


= 98)

y PRISCUS 40.38% (


= 42). Contraindications were described in

the 21.15% of the patients, precautions in 83.65% and interactions

in 83.65%. Psychotropic drugs were the most often inappropriate

prescribed medicaments.


Prescribing omissions are twice as prevalent as IP in

the elderly. Currently, inappropriate prescription of psychotropic

agents is very common for the elderly. Application of such screening

tools to prescribing decisions may reduce unnecessary medication,

related adverse events, healthcare utilization and cost and non-

pharmacological interventions, should be thoroughly explored.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


To the question of the role of

consultation liaison psychiatry in

diagnostics of psychosomatic


V. Lebedeva

, O. Pavlova , E. Yurovskaya

Mental health research institute, Tomsk national research medical

center of RAS, Clinic, Tomsk, Russia

Corresponding author.


Relevance of consultation liaison psychiatry is

conditioned by trend of steady rise of psychosomatic disorders and

insufficient development of supplied forms andmethods ofmedical

care to patients with this pathology.


To study incidence rate of psychosomatic disorders in pri-

mary health care, to develop algorithm of medical care.

Material and methods

A total of 2010 patients of the primary

health care unit were examined. Methods used: clinical-

psychopathological, clinical-dynamic, questionnaire screening,

statistical (factor analysis).


Mental disorders, co-morbid with physical pathology,

constituted 3.9% of the contingent with predominance of psycho-

somatic disorders–15.6 per 10,000 of the population. Respective

from clinical-dynamic structure of psychosomatic disorders three

groups of patients were distinguished: in need for consultation

by a psychiatrist (22.9%); for course treatment by psychiatrist

and subsequent observation by physicians (28%); and for syste-

matic therapy and observation by psychiatrist (49.1%). Patients

with psychosomatic disorders addressed general medicine net-

work 1–2 years after onset of mental disorder and 6.4


1.2 years

after diagnostics of somatic pathology. Patients had predomi-

nantly cardiovascular (37.7%;


< 0.05), respiratory (20.5%), and

gastrointestinal diseases (20.9%). Exacerbation of psychosomatic

disorder was reliably interrelated with psychotraumatic situation

and exacerbation of physical pathology. Introduced algorithm of

psychiatric consultation consisted of: