European Psychiatry - Volume 41 - April 2017

415 / 916

25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464 S411
representative sample of Egyptian school students (prep, middle
and secondary students), and the correlation between adolescence
and socio psychological factors that lead to anxiety disorders in
adolescents.
Methods The study included 1200 student (600 from rural area,
and 600 from urban area), their age ranged from 12–18 years mwe
used GHQ (28 items with cut point 14), the anxiety scale and SCID
I.
Results The positive clinical cases represent 20.6%, depression is
the most prevalent 23.8%, anxiety was (6.69%), body dysmorphic
disorder (15.2%), adjustment disorder (13.8%); GAD (9.2%); obses-
sion (7.4%)
Conclusions Findings demonstrate the clinical significance socio
demographic factors related to GAD among adolescent youth, and
highlighting on the paternal relations.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV0020
Evaluation of psychological interview
before prominent ear reconstruction:
Three cases report
K.S. Karatas∗, A.C. Ercan , A. Murat , S. Polat , C. Hocaoglu ,
B. Bahceci
Recep Tayyip Erdogan University Training and Research Hospital,
Psychiatry, Rize, Turkey
∗ Corresponding author.
Medical and mental health professionals have long been inter-
ested in understanding both the motivations for seeking a change
in physical appearance as well as the psychological outcomes of
cosmetic surgery. By time to time researchers began to incorpo-
rate standardized psychometric tests and psychiatric evaluation
into their studies. Psychiatrists have studied the personality char-
acteristics and psychological state of these patients with the hope
of identifying patients who may be psychologically inappropri-
ate for surgery or those who are likely to be dissatisfied with a
technically successful surgical outcome. There were some degree
of congruence in the factors that appeared to be associated with
poor outcome, demographic factors like being male, younger age,
psychological/psychiatric factors such as history of depression or
anxiety, dysmorphophobia, personality disorder as narcissistic or
borderline, previous surgical procedure withwhich the patient was
dissatisfied and minimal deformity. As a cosmetic surgery, promi-
nent ear deformity is themost common abnormality of the external
ear. We have used both clinical interview and psychometric assess-
ments in three cases who want to go surgery because of their
prominent ear. Two of the cases have used cyanoacrylate adhesive
to their postauricular skin for camouflage of their prominent ear
deformity. We have evaluated the patients’ psychiatric state with
psychosocial viewpoint of the deformity.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0021
A mixed approach: Posttraumatic
obsessive compulsive disorder
R. Landera Rodríguez ∗, M. Gómez Revuelta , M. Juncal Ruíz ,
O. Porta Olivares , R. Martín Gutiérrez , L. Sánchez Blanco ,
D. Abejas Díez , G. Pardo de Santayana Jenaro ,
M. Fernández Rodríguez , L.A. Giraldo Vegas
1 Hospital Universitario Marqués de Valdecilla, Psychiatry,
Santander, Spain
2 Hospital Universitario de Álava-Sede Santiago, Psychiatry,
Vitoria-Gasteiz, Spain
3 Hospital Universitario Marqués de Valdecilla, General Medicine,
Santander, Spain
∗ Corresponding author.
Introduction Several studies along the last two decades provide
information indicating the relationship between posttraumatic
stress disorder (PTSD) and obsessive compulsive disorder (OCD).
The particular features described in patients who developed OCD
symptoms closely after the onset of PTSD, may suggest the exist-
ence of a specific subtype of OCD more likely to be suffered after a
traumatic event. The few studies focused on evaluating treatment
efficacy for the association between OCD and PTSD seem to pre-
dict poor response to pharmacologic or behavioral cognitive (BCT)
monotherapy.
Objectives Despite the evidence, most widely used guidelines
propose the employment of either a psychotherapeutic or psy-
chopharmacologic approach. We propose to combine intensive BCT
and serotonin profile antidepressants in order to optimize PTSD-
OCD subtype.
Material andmethods We present two detailed case reports offer-
ing the results of combining intensive BCT and serotonin profile
antidepressants as soon as the comorbid diagnosis for both dis-
orders was established. These two patients were recruited from
outpatient care centers.
Results Our limited experience supplied promising outcome
results. Significant improvement regarding to functional impair-
ment appeared from early stages of the treatment in both patients.
Discussion Despite logistic difficulties, an intensive and coor-
dinated psychopharmacologic and psychotherapeutic approach
might constitute another treatment choice which may be taken
into account in those cases monotherapy fails to reduce PTSD-OCD
subtype patients’ impairment.
Conclusions A mixed treatment approach might be taken into
account as a first line treatment in PTSD-OCD disorder.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0022
Regression models for
biopsychosocial factors affecting
patients with haemoglobinopathies in
a Greek hospital
G. Lyrakos ∗, E. Aslani , V. Spinaris , M. Drossou-Servou ,
M. Tsironi
1 General Hospital Nikaia “Ag. Panteleimon”, Psychiatric, Nikaia,
Greece
2 University of Peloponnese Faculty of Human movement and Quality
of Life Sciences, Department of Nursing, Sparti, Greece
3 General Hospital Nikaia “Ag. Panteleimon”, Thalassemia
Transfusion Unit, Nikaia, Greece
∗ Corresponding author.
Introduction Sickle cell and thalassemia (haemoglobinopathies)
are autosomal recessive inherited conditions that affect
haemoglobin and as chronic diseases, stress, anxiety and
depression are comorbid conditions.
Objectives To examine possible biopsychosocial factors affecting
stress, anxiety and depression symptoms in these patients.
Aims To investigatewhether different condition relatedmarkers,
contribute to the psychological symptomatology.
Methods A total of 97 patients participated in the study, 21males
(21.6%) and 76 females (78.4%), with a mean age of 44.35. Conve-
nience sampling method was used and participants were recruited
from the General Hospital of Nikaia, ‘Ag. Panteleimon’, in Athens,
Greece. DASS and MFI scales were used to measure the dependent
and independent variables. Data were analysed with the SPSS 21
software.