European Psychiatry - Volume 41 - April 2017

324 / 916

S320 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364
association between SMI and CVD has been quantified in a world
representative sample; we suggest prevention of CVD should be
warranted as standard care in SMI.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0625
Psychological and clinical factors
associated with emotional distress
related to type 2 diabetes mellitus
Z. Stankovic ∗ alic Jasovic
1 Clinical centre of Serbia, clinic for psychiatry, Belgrade, Serbia
2 Clinical centre of Serbia, school of medicine, university in Belgrade,
institute for endocrinology, diabetes and diseases of metabolism,
Belgrade, Serbia
3 Serbian medical society, academy of medical sciences, Belgrade,
Serbia
∗ Corresponding author.
Introduction Stress and coping with diabetes can affect the seve-
rity of disease directly, through pathophysiological processes or
indirectly, through the patient’s own perception of disease by dete-
riorating adherence to therapy and daily functioning.
Objectives To investigate emotional distress related to T2DM
according to demographic, clinical, psychological, metabolic and
anthropometric characteristics.
Methods Eighty-two in- and outpatients of both sexes (<65 years)
with endocrinologist-diagnosed T2DM, duration ≥5 years, trea-
ted with either oral therapy, insulin or both, were included in
this cross-sectional study. The Beck Depression Inventory (BDI)
was employed for assessment of severity of depressive symptoms.
The Mini Mental State Examination (MMSE) was used for assess-
ment of cognitive status. The Problem Areas in Diabetes (PAID)
(subscale related to emotional problems associated with T2DM)
was applied for assessment of emotional distress. Clinical cha-
racteristics of the illness were obtained from medical records.
Laboratory and anthropometric measures (Body mass index, Waist
circumference) were also performed. The level of significance in
statistical analyses (Student’s t-test, Pearson’s correlation) was
P = 0.05.
Results The PAID (emotional distress) subscore was significantly
higher in patients with psychiatric heredity ( P = 0.028) in relation
to these without (Student’s t-test). Considerable positive correla-
tion between PAID subscore and BDI score (r = 0.588) (P = 0.000),
and negative correlation between PAID subscore and MMSE score
(r = −0.201) (P = 0.050) were also found (Pearson’s correlation).
Conclusions Psychological factors: psychiatric heredity, higher
intensity of depression and poor cognitive functioning were signi-
ficantly associated with emotional distress related to the illness in
patients with type 2 diabetes mellitus.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0626
Clinico-pathological profile
evaluation in patients affected by
chronic inflammatory bowel diseases
F. Travagliati ∗ , E. Borrelli , S. Martinelli , L. Dattoli ,
D. Ferrarese , E. Gaetani , F. Scaldaferri , A. Gasbarrini ,
L. Janiri , G. Camardese
1 Universita’ Cattolica del Sacro Cuore, psychiatry, Roma RM, Italy
2 Universita’ Cattolica del Sacro Cuore, gastroenterology, Roma RM,
Italy
∗ Corresponding author.
Introduction Inflammatory bowel diseases (IBDs) have high
social impact. Aetiology is still unknown, however multifactorial
genesis is surely implicated. We tried to correlate IBDs and psy-
chological distress through evaluated psychometrical instruments
and subsequently to relate subjective influences with gastroenteric
clinical manifestation, defining new critical elements on which IBD
are based.
Methods In our study, we included 57 participants, selected
according to their diagnosis, between those attending our gas-
trointestinal ambulatory: 26 had Chron’s disease, while 31 had
ulcerative colitis. 78 people without gastroenteric or psychiatric
disorder were also included in the study as control group. Psycho-
metric questionnaires were administered to evaluate anxiety and
depressive symptoms, quality of live, self-efficacy and resilience
Results Levels of anxiety and depression were higher in patients
with IBDs than in the control group. STAI-Y highlighted higher state
anxiety and trait anxiety levels in first group. HADS showed higher
scores in ill patients, as well as CD-RISC showed a more impaired
resilience. EQ-VAS, PGWBI and GSE revealed significant differences
in health status, psychological wellness and self-efficacy between
the two groups.
Conclusions IBDs seem related to psychological diseases. Affec-
ted patients have higher anxiety and depression levels than general
population as well as lower self-efficacy and resilience. Those ele-
ments being strictly linked to physical discomfort contributes to
develop a loop in which patients get caught. Creating a model of
integrated cooperation between gastroenterologist and psychia-
trist during treatment of patients with IBDs seems fundamental
to grant at once all the professional figures each patient needs for
better care.
Fig. 1
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.