European Psychiatry - Volume 41 - April 2017

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S396 25th European congress of psychiatry / European Psychiatry 41S (2017) S365–S404
Methods Clinical-psychopathological, clinical-laboratory, con-
sulting of specialists, methods of psychological investigation
(CIWA; CAН; SF-36) at day 1, 7 and 14 of treatment.
Results AWS quantification score on admission was 41. Further
therapeutic regress of all AWS components was registered. At day 1
the patient’s condition started improving, clinical score was 32; at
day 3 – 17; day 5 – the score was 13, insignificant tremor remained.
At day 7 of treatment, practically complete relieving effect of the
therapy was ascertained. With CAН method at day 7 of the treat-
ment, an increase of figures in all scales was registered: state of
health 2.7, activity 2.4, mood 2.5. SF-36 method: at day 1 – the
score was 24, day 7 – 32, day 14 – 49.
Conclusions Thus, the developed by us method of integrated
treatment with inclusion of Cocarnit for withdrawal state in alcohol
addicts allows to stop acute signs of pathology within 3–5 days.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0841
Attachment disorders in alcohol and
gambling addicted patients:
Preliminary evaluations
R. Testa ∗, P. Grandinetti , M. Pascucci , A. Bruschi ,
P. Parente , G. Pozzi , L. Janiri
1 Catholic University of Sacred Heart, Institute of Psychiatry,
Department of Neurosciences, Roma, Italy
2 AUSL, Department of Mental Health, Modena, Italy
3 Institute of Psychiatry, University of Foggia, Department of Clinical
and Experimental Medicine, Foggia, Italy
4 Section of Hygiene, Catholic University of the Sacred Heart,
Department of Public Health, Rome, Italy
∗ Corresponding author.
Introduction The addictive behaviors can be seen as attachment
disorders. In literature studies about the relationship between
attachment styles and addictions are few. However, in addicted
patients the identification of secure or insecure attachment styles
seems to have serious implications for the therapeutic alliance and
the treatment.
Objectives To study the relationships between different attach-
ment styles and types of addiction (chemical or behavioral).
Aims To examine the role of attachment styles in patients with
alcohol dependence (AD) or pathological gambling (PG).
Materials We recruited 29 with AD and 33 with GP according
to DSM-IV-TR criteria; all patients were abstinent from addic-
tive behaviors at least since one month, the experiences in close
relationships (ECR) was administered for the study of attachment
styles.
Results PG compared to AD has higher raw scores both anxi-
ety factor (P < 0.001) and avoidance factor (P = 0.003) at ECR. ECR
ambivalent correlates with the diagnosis of PG (P= 0.010); ECR
avoidant correlates with AD (P = 0.006); ECR anxiety shows a trend
of correlation with the diagnosis of AD (P = 0.052). The subjects
showed the following attachment styles
Conclusions This is the first study that compares the attachment
styles of patients AD and PG. We found differences in attachment
styles of the two types of addiction, confirming the need of differ-
ent approaches and then different types of treatment. Our findings
need to be replicated in larger groups, also widening the target of
other addictions.
Table 1
Secure Ambivalent Anxious Avoidant
PG 2 27 – 4
AD 1 13 6 9
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0842
Attachment styles and severity of
pathological gambling: Preliminary
evaluations
R. Testa ∗ randinetti Pascucci Bruschi
P. Parente , G. Pozzi , L. Janiri
1 Catholic University of Sacred Heart, Institute of Psychiatry,
Department of Neurosciences, Rome, Italy
2 AUSL, Modena, Department of Mental Health, Modena, Italy
3 Institute of Psychiatry, University of Foggia, Department of Clinical
and Experimental Medicine, Foggia, Italy
4 Section of Hygiene, Catholic University of the Sacred Heart,
Department of Public Health, Rome, Italy
∗ Corresponding author.
Introduction The addictive behaviors can be seen as attachment
disorders. To our knowledge, the literature on the relationship
between pathological gambling (PG) and attachment styles is still
poorly represented. However, in addicted patients, the identifica-
tion of secure or insecure attachment styles seems to have serious
implications for the therapeutic alliance and the treatment.
Objectives To examine the clinical role of attachment styles in the
PG patients.
Aims To study the relationships between the different attach-
ment styles and PG and the severity of PG.
Materials We recruited 33 patients with GP according to DSM-
IV-TR criteria; all patients were abstinent from addictive behaviors
at least since one month, the experiences in close relationships
(ECR) was administered to investigate attachment styles, the
South Oaks Gambling Screen (SOGS) to investigate the severity of
gambling.
Results The subjects showed the following attachment styles
Ambivalent attachment style correlates with high scores
to the SOGS ( P< 0.001), and with a shorter period of abstinence
fromPG (P= 0.022). Patientswith ambivalent attachment style have
increased severity of PG at SOGS, correlating with higher raw score
on the anxiety factor of ECR and lower rawscore on avoidance factor
(for both P = 0.036).
Conclusions Patients showed ambivalent attachment, and anxi-
ety factor correlates with a greater severity of PG. Attachment style
could be a severity index of PG. Our findings need to be replicated
in larger groups, also widening the target of other addictions both
chemical and behavioral.
Table 1
Secure
attachment
Ambivalent
attachment
Anxiety
attachment
Avoidant
attachment
PG 2 27 – 4
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0843
Incidence of Internet addiction in
adult attention deficit hyperactivity
disorder
B. Tuzun Mutluer ∗, T.G. Yener Orum , S. Sertcelik
1 Bakirkoy Prof. Dr. Mazhar Osman Training and Research Hospital
for Psychiatry, Psychiatry, Istanbul, Turkey