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


an immediate gain in PROs over the treatment period, particularly

the psychiatric subgroup.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


A violation of emotion regulation as a

central link in pathogenesis of

stress-induced hypertension

E. Pervichko

1 ,

, Y . Z


1 , O.




Lomonosov Moscow state university, faculty of psychology,

Moscow, Russia


Moscow State university of medicine and dentistry, faculty of

general medicine, Moscow, Russia

Corresponding author.


Essential hypertension (EH) is one of the most

common diseases of the cardiovascular system. Today, scientists

discover more and more patients whose BP values during work

appear to be higher than those values during free time. This form

of EH is called “hypertension at work”.


To study the role emotion dysregulation in the patho-

genesis of EH.

Materials and methods

A projective study of emotion regulation

was undertaken with our modified version of Rosenzweig Picture-

Frustration Test (Zinchernko, Pervichko). At the second stage of the

study, the simulation of emotional stress with the aspiration level

modelling was carried out. The level of state anxiety, BP values and

levels of catecholamines, renin and angiotonin I were taken before

and after the experiment. Eighty-five patients with “hypertension

at work” (mean age: 45.9


2.8), 85 patients with “classical” EH

(mean age: 47.4


4.5 years) and 82 healthy subjects (mean age:



3.1) took part in the study.


“Hypertension at work” patients significantly more fre-

quently than patients from the second group and healthy subjects

are more prone to rumination, disasterization and repression of

their emotions. Theywill seldomemploy the strategy of subjective-

objective interactive transformations; their edibility to actualize

new meanings in traumatic situations is diminished. We showed

that emotion regulation strategies in “hypertension in the work”

patients were ineffective in overcoming the emotional tension and

created the conditions for chronization of high blood pressure, and

could be considerded as the central link in pathogenesis of stress-

induced hypertension.


The results contributes to enrich our understanding

of etiology and pathogenesis of EH.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Parental styles and quality of life in

the families with adolescents

suffering from inflammatory bowel


D. Zmeskalova , J. Prasko

, M.

Ociskova , E. Karaskova , V. Mihal ,

D. Kamaradova , K. Latalova

University hospital Olomouc, department of psychiatry, Olomouc,

Czech Republic

Corresponding author.


Inflammatory bowel diseases (IBD) in adolescents

are chronic medical conditions with a substantial influence on the

well-being of the family members.


Total of 27 adolescents suffered from IBD, and 39 heal-

thy adolescents completed questionnaires ADOR (parenting styles

assessed by teenagers), KidScreen-10 (quality of life), SAD (Scale

of Anxiety in Children), and CDI (Children’s Depression Inventory).

Their parents completed the Beck Anxiety Inventory (BAI), Beck

Depression Inventory (BDI-II), and Pediatrics Quality of Life Family

Impact Module (PedsQL).


The parental styles of mothers and fathers of IBD adoles-

cents and the parents of healthy controls were without statistically

significant differences except for the fathers’ positive parental style,

which was significantly higher in the fathers of controls. There

were no statistically significant differences between IBD children

and the healthy controls in the quality of life assessed. However,

the parents’ quality of life of ill children was statistically signifi-

cantly lower than of the parents of the controls. The mothers of IBD

adolescents were significantly more anxious and the fathers more

depressed than the parents of the healthy controls, but there was

no difference in the levels of anxiety or depression between IBD

adolescents and the controls. Positive parental style of parents of

IBD children positively correlated with the quality of life of ado-

lescents. Positive parental style of the fathers correlated negatively

with the state and trait children’s anxiety and negatively correlated

with severity of childhood depression.


The parents of the adolescents with IBD represent

important group for psychosocial support.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Description of the prevalence of

psychiatric disturbances in patients

with refractory epilepsy

S. Ramos-Perdigues

1 ,

, E. Bailles


, A. Mane


, L. Pintor



Psychiatry unit, Can Misses hospital, Ibiza, Spain


Department of experimental and health sciences, psychiatry,

university Pompeu Fabra, Barcelona, Spain


Institute of neuropsychiatry and addictions, Parc de Salut Mar and

Foundation IMIM, psychiatry, Barcelona, Spain


Epilepsy unit, hospital clinic of Barcelona, Psychiatry, Barcelona,


Corresponding author.


Psychiatric morbidity in epilepsy is high, with pre-

valence rates of up to 50%, being higher in treatment-refractory

cases. This co-morbidity worsen the quality of life. Psychiatric co-

morbidities are hampered by atypical presentations or disorders,

which do not appear in the DSM-IV or ICD.


To describe the psychiatric morbidity in a group of

patients with refractory-epilepsy.


To provide evidence of the high morbidity and show the

prevalence of the different psychiatric disorders.


We cross-sectional assessed psychiatric disturbances

in resistant-epileptic patients using SCID for DSM-IV and clinical

interview for epileptic specific psychiatric conditions. We grouped

psychiatric disturbances into six clusters:

– affective disorders;

– anxiety disorders;

– psychotic disorders;

– eating disorders;

– conduct disorder;

– substance use disorder.

We also considered epilepsy specific conditions as Interictal Psy-

chotic Disorder (IPI) and Interictal Dysphoric Disorder (IDD)

characterized by 3/8 symptoms: depressive mood, anergia, pain,

insomnia, fear, anxiety, irritability, and euphoric mood.


The sample consist on 153 patients, with a mean age of

37. In total, 42.5% were males. One or more axis I diagnoses was

seen in 38% of the patients. The most common condition was IDD

(27.1%), followed by affective disorders (22%), anxiety disorders