European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364 S317
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.
EW0617
A violation of emotion regulation as a
central link in pathogenesis of
stress-induced hypertension
E. Pervichko ∗ inchenko Ostroumova
1 Lomonosov Moscow state university, faculty of psychology,
Moscow, Russia
2 Moscow State university of medicine and dentistry, faculty of
general medicine, Moscow, Russia
∗ Corresponding author.
Introduction 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”.
Objective 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:
44.9 ±3.1) took part in the study.
Results “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.
Conclusion 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.
EW0618
Parental styles and quality of life in
the families with adolescents
suffering from inflammatory bowel
diseases
D. Zmeskalova , J. Prasko ∗ Ociskova , E. Karaskova , V. Mihal ,
D. Kamaradova , K. Latalova
University hospital Olomouc, department of psychiatry, Olomouc,
Czech Republic
∗ Corresponding author.
Background Inflammatory bowel diseases (IBD) in adolescents
are chronic medical conditions with a substantial influence on the
well-being of the family members.
Methods 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).
Results 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.
Conclusions 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.
EW0619
Description of the prevalence of
psychiatric disturbances in patients
with refractory epilepsy
S. Ramos-Perdigues ∗, E. Bailles , A. Mane , L. Pintor
1 Psychiatry unit, Can Misses hospital, Ibiza, Spain
2 Department of experimental and health sciences, psychiatry,
university Pompeu Fabra, Barcelona, Spain
3 Institute of neuropsychiatry and addictions, Parc de Salut Mar and
Foundation IMIM, psychiatry, Barcelona, Spain
4 Epilepsy unit, hospital clinic of Barcelona, Psychiatry, Barcelona,
Spain
∗ Corresponding author.
Introduction 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.
Objectives To describe the psychiatric morbidity in a group of
patients with refractory-epilepsy.
Aims To provide evidence of the high morbidity and show the
prevalence of the different psychiatric disorders.
Methods 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.
Results 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