European Psychiatry - Volume 41 - April 2017

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25th European congress of psychiatry / European Psychiatry 41S (2017) S365–S404 S393
Aim(s) The aim of this study is to compare PG to impulsivity
in a group of Italian outpatients, in order to further explore their
appealing relation and to sensitize local public institutions about
this problem that is of growing concern amongst our population.
Methods Fifty outpatients were recruited at the psychiatric out-
patient ward of the University of Pisa. All of them had a diagnosis
of PG, assessed throughout the structured clinical interview for
DSM-5 (SCID-5). The sample was compared with a similar group
of healthy control subjects. South Oaks Gambling Screen (SOGS)
scale and Barrat Impulsivity Scale (BIS-11) questionnaires were
used to assess respectively the severity of PG and impulsivity traits
of personality.
Results PG patients reported significantly higher total score in
BIS-11 than control subjects. In particular, the “motor impulsiv-
ity” and “cognitive complexity” scores were significantly higher
in PG patients, as well as “motor” and “non-planning” impulsivity
subscale scores. A positive and significant correlation was found
between BIS-11 and SOGS total scores.
Conclusions These results corroborate the existence of thewidely
described association between impulsivity and PG. Also they sup-
port the notion that impulsivitymay represent a core element of PG
and, perhaps, to a typical personality trait, that may be particularly
related to the development of addictive and impulsive behaviors.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0832
Psychosis – Different presentation for
designer drugs compared to cannabis
abusers?
F. Dumitrescu
Alexandru Obregia Psychiatric Hospital, S XVI, Bucharest, Romania
Introduction “Bath salts” target the endocannabinoid system in
a similar manner to cannabis. In the case of designer drug misuse,
subjects seem to be at higher risk of psychotic symptoms.
Aims To investigate the nature and frequency of psychotic symp-
toms associated with cannabis and/or bath salts misuse in a male
inpatient population.
Method The files of 107 patients admitted to the department
of addictions, “Al. Obregia” Psychiatric Hospital Bucharest July
2015–July 2016 were reviewed. Cases had a diagnosis of psychotic
disorder with recorded cannabis/bath salts abuse.
Results Mean age was 26.65 years old (STDV = 5.9). Mean dura-
tion of use was of 83.94 months – cannabis; 60.48 months – bath
salts and 33.75 months – both substances (BS). Sixty-three patients
(73.3%) presented disorganised behaviour; 55.8% (n = 48) formal
thought disorder; 45% (n = 39) paranoid delusions. A strong positive
association between the length of use of cannabis and disorgan-
ised behaviour (n = 33; r = 0.05; P < 0.05) was found. Grandiose
ideationwas frequent in cannabis users. (X2 = 4.1;n = 0.03; P < 0.05).
Multidrug abuse was associated with increased formal thought
disorders compared to subjects with cannabis abuse (X2 = 10.9;
n = 0.001; P < 0.05). Negative symptoms were more frequent with
bath salts users than with users of both substances (X2 = 13.4;
X2 = 23.21; X2 = 16.8; P < 0.05).
Conclusion Positive psychotic symptoms were associated with
cannabis and BS abuse, while bath salts promoted negative symp-
toms.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW0833
A multidisciplinary team (MDT)
approach to managing
alcohol-dependent patients with
comorbid depression in an acute
hospital setting
L. Owens ∗, K. Patterson , G. King , P. Richardson
1 The Royal Liverpool University Hospital, Hepatology, Liverpool,
United Kingdom
2 Royal Liverpool & Broadgreen university Hospital Trust,
Hepatology, Liverpool, United Kingdom
3 Royal Liverpool & Broadgreen University Hospital Trust, Alcohol
Services, Liverpool, United Kingdom
∗ Corresponding author.
Introduction Alcohol-dependent patients have a significantly
increased risk of depression, contributing a cycle of relapse and
attendance at acute hospital services seeking help. Care is often
focused on the alcohol dependence treatment with little consider-
ation of concomitant psychiatric disorders.
Aim To help bridge this gap in care planning and aim toward
multidisciplinary long-term support.
Method We collected data on all patients referred to our alco-
hol complex patient MDT. We investigated the range of disciplines
involved in patient care. We spoke to our patients about why they
had chosen to attend hospital. We then developed a referral sys-
tem to our alcohol MDT where a bespoke pathways of care was
developed with all current and future care providers.
Results Our patients were often being cared for by multiple ser-
vices, however much of this work was happening in isolation and
was at times conflicting. Importantly, the patients were unclear
where to go for what, and were utilizing the ED as a fail-safe when
they were troubled.
Of 15 patients referred to MDT, 7 (50%) had a diagnosis of depres-
sion (DSM-IV). These patients had an average of 5.1 hospital
attendances and 2.2 hospital admissions in the 3 months prior
to MDT. At 3 months post-MDT, we were able to demonstrate a
reduction in hospital admissions and attendances (average 2.2 &
1.4, respectively).
Conclusions An MDT for alcohol-dependent patients with
depression facilitates effective and collaborative working for the
benefit of patients and services.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0834
Fenethylline (Captagon) abuse: Case
report and literature review
M. Preve ∗, S. Casigliani , M. Godio , N.E. Suardi , R. Traber ,
R.A. Colombo
Sociopsychiatric Organization, Psychiatric Clinic, Mendrisio,
Switzerland
∗ Corresponding author.
Introduction Novel psychoactive drugs (NPS) has rapidly increase
in the last years in the drug market as a recreational use.
Fenethylline is a theophylline, an amphetamine-like drug, hav-
ing stimulant effects similar to those of other amphetamine-type
derivatives. Fenethylline was used as medicament for hyperactiv-
ity disorders in children, narcolepsy and depression, but it has also
been used as a drug of abuse under the common name of ‘captagon’.
The purpose of this report is to review the clinical evidence for the
potential of abuse of fenethylline. We propose a case report and
literature review.
Method We conducted a systematic review of the literature with
the principal database (PubMed, Enbase, PsychInfo) andwe present
a case report.