European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464 S407
a relaxation group during two months with good recovery after-
wards.
She is asymptomatic nowadays and has not been visited by any
other specialist.
Conclusions Women report more intense, numerous, frequent
bodily symptoms than men. This difference appears in samples of
medical patients and in community samples, whether or not gyne-
cologic and reproductive symptoms are excluded, and whether all
bodily symptoms or only those, which are medically unexplained
are examined.
Women may be more aware of and more attentive to weak or dif-
fuse bodily stimuli, which men do not perceive, and some studies
suggest that women have greater bodily vigilance and awareness.
This could result from the experiences of menstruation,
menopause, pregnancy, and lactation which all serve to repeatedly
call women’s attention to their anatomy and physiology and to
sensitize them to bodily changes.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0007
Nursing consultation and the care to
depression in elderly
C.M. Carvalho ∗, T.V. Cardoso Vernaglia , D. de Assis Correa Sória ,
T.D.J. Espirito Santo da Silva , S.R. Souza , R. Mello
Universidade Federal do Estado do Rio de Janeiro, Alfredo Pinto
School of Nursing, Rio de Janeiro, Brazil
∗ Corresponding author.
Depression is amajormental illness affecting the elderly. About 15%
of the elderly have some depressive symptoms and about 2% have
severe depression. This study was conducted in an Extension Pro-
gramof the Federal University of the State of Rio de Janeiro (UNIRIO)
and the aims are: to identify the prevalence of depression in the
elderly attended by the community center “Project Rebirth” in Rio
de Janeiro-RJ, and discuss strategies developed in consultation to
care the depression.
Methodology The elderly are registered in the program and
accompanied by a multidisciplinary team. In nursing consulta-
tions, whose base is in the realization of Nursing Process, there
is the application of the Geriatric Depression Scale named Yesav-
age – reduced version (GDS-15) held by students under the
supervision of the teacher. After classification of the patient
on the scale, they develop the care plan based in the Nurs-
ing Interventions Classification (NIC), and the nursing diagnoses
that have among their factors related to depression and its
symptoms.
Results and conclusions In addition to interventions carried out
in consultation, involving recovery of self-esteem, encouragement
of leisure and recreational activities, and supported self-care, the
program staff (psychologists, doctors, nurses and occupational
therapists) works in partnership in support group health educa-
tion, encouraging the integration of the elderly. The well-being and
self-esteem of the elderly, thus, reduce the triggers of depression,
with the integration of participants, students and professionals.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0008
Related factors of anxiety in elderly
assisted in nursing consultation
C.M. Carvalho ∗, T.V. Cardoso Vernaglia ,
D. de Assis Correa Soria , T.D.J. Espirito Santo da Silva ,
S.R. de Souza , R. Mello , G. Ribeiro Bitencourt , M. Gripp ,
M. Guimaraes , A. Goncalves , I. Felippe
1 Universidade Federal do Estado do Rio de Janeiro, Alfredo Pinto
School of Nursing, Rio de Janeiro, Brazil
2 Universidade Federal Fluminense, School of Nursing, Niteroi, Brazil
∗ Corresponding author.
Anxiety in elderly can be diagnosed based on a detailed history
and cognitive examination using various instruments. These instru-
ments aim to obtain information that supports both the syndromic
and etiological diagnosis and the planning and execution of thera-
peutic and rehabilitation measures to be used in each case. During
the nursing consultation with elderly people in the Federal Uni-
versity of State of Rio de Janeiro (UNIRIO), many patients with
cognitive impairment showed anxious behavior. The study objec-
tives to describe the factors related to the nursing diagnose anxiety
in elderly patients attended in the nursing consultation. The con-
sultations are based in the application of the nursing process. After
the symptoms analysis, the nursing diagnosis anxiety is comple-
mented with the related factors. The principals are death threat
(64%), stressors (19%) and not needs met (17%). The data found are
associatedwith cognitive impairment. Cognitive impairment in the
elderly can lead to anxiety, depression and hopelessness, according
to many studies.
Conclusions Working the cognitive needs, and reducing stressors
are appropriate strategies to reduce the anxiety. The care with the
health professionals is important to notice the related factors early
and improve the strategies.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0009
“Mom, there is a monster in the
closet”: The impact of early
attachment trauma (EAT) on the
development of anxiety disorders and
treatment possibilities
D. D’Hooghe (Clinician)
Traumacentre Belgium, Bruges, Belgium
Objectives In this workshop, I want to broaden the vision on
attachment trauma and highlight the importance to acknowledge
EAT as a hidden epidemic.
The significance of EAT in the development of anxiety symptoms
becomes more and more apparent.
Methods Recognizing the effect, that the quality of the attach-
ment relationship has on the development of a secure attachment
bond, is important to understand the factors underlying the devel-
opment of anxiety symptoms.
The availability, responsiveness, mentalizing possibilities. . . of the
parent create a secure base from which the child can explore and
develop.
The absence of those features in the child–parent relationship,
causes traumatic stress in the child and impacts his psychological
and neurological well-being.
Results Insecure attachment influences the neurobiology and
results in dissociative processes (hyper- and hypo-aroused)
expressed in different types of anxiety disorders.
Derived fromthe neurobiology there is a clear link between anxiety,
depression and aggression.
The internal working model (IWM), rises from insecure attach-
ment, influences adversely the child’s capability to regulate and
relate.
From an intergenerational point of view, an insecure attachment
style of the parent implements the absence of affect en stress regu-
lation capabilities and leave the child with the inability to regulate
his anxiety.
Conclusion There is a clear link between EAT and different types
of anxiety disorders.