European Psychiatry - Volume 41 - April 2017

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S412 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464
Results Multivariate analysis revealed that days between
transfusions (beta = −0.454), reduced activity (beta = 0.350) and
age (beta = −0.207) explained 30.1% of the variance in Stress
[F(3.91) = 13.04 R2 = 0.301 P = 0.03]. Reduced activity (beta = 0.417)
and days between transfusions (beta = 0.318) explained 30,3%
of the variance in Anxiety [F(2.92) = 19.96 R2 = 0.301 P = 0.03].
Finally reduced activity (beta = 0.334), days between transfusions
(beta = 0.364), and reduced motivation explained 41.3% of the vari-
ance in Depression [F(3.91) = 21.34 R2 = 0.413 P = 0.03]. Levels of
ferritin, haemoglobin, age and present condition of health had a
NS effect in the models.
Conclusions Similar factors were found to affect stress, anxiety
and depression in the sample, with days between transfusions and
reduced activity being the major factors affecting the psycholog-
ical symptoms in haemoglobinopathy patients. More research is
needed in order for all the biopsychosocial factors to be revealed in
this field.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0023
Depression, anxiety and stress
symptoms among students in Albania
explored by DASS-42
A. Pilika ∗, A. Simaku
1 University Hospital Center “Mother Tereza”, Department of
Neuroscience, Psychiatric Service, Tirana, Albania
2 Institute of Public Health, Department of Public Health, Tirana,
Albania
∗ Corresponding author.
Introduction In Albania, at the current time, no research has
been conducted to assess students’ risk for depression, anxiety and
stress.
Objectives To explore which group of students are at risk for
depression, anxiety and stress.
Aim The aim of this study is to explore the symptoms of depres-
sion, anxiety and stress among students according to the 42-item
Depression Anxiety and Stress Scale (DASS-42).
Material and methods The DASS-42 was translated from English
to Albanian, culturally verified, back-translated and administered
to 570 students in university campus of Tirana district. Exploratory
factor analyses (EFA) and Cronbach’s alpha, were performed to
identify the psychometric properties of the Depression, Anxiety,
and Stress subscales and the overall scale.
Results EFA with equamax rotation indicated that the 42 items
loaded on three factors accounting for 53.2% of the total variance,
19.9% for depression, 17.6% for anxiety and 16.7% for stress sub-
scale. The internal consistency coefficients were high, ranging from
0.90 to 0.93 for subscales and 0.96 for the scale. The mean score of
females for the overall scale M= 28.0 ( ± 36.3 SD) was significantly
higher as compared to males, M= 22.9 (± 36.5 SD), (t = 2.6, P < 0.01).
Females also had a significant higher score M= 11.5 (±12.8 SD),
for depression as compared to males M= 8.7 (± 12.6 SD), (t = 2.4,
P = 0.02), whereas no difference was found with regard to anxiety
(P = 0.2) and stress subscales (P = 0.07).
Conclusions Female students, students from rural areas and mar-
ried individuals have more total scores for depression, anxiety and
stress symptoms.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0024
Somatic-type delusional disorder and
comorbidity mood disorder
V. Martí Garnica ∗, M.D. Ortega Garcia , M.Á. Bernal López ,
J.R. Russo De león , S. García Marín
1 Servicio Murciano de Salud, CSM San Andres, Murcia, Spain
2 Servicio Murciano de Salud, CSM Cartagena, Murcia, Spain
3 Servicio Murciano de Salud, Hospital Reina Sofía Murcia, Murcia,
Spain
4 Servicio Murciano de Salud, CSM Lorca, Murcia, Spain
∗ Corresponding author.
Chronic delusional disorder encompasses what classical termed as
paranoia and paraphrenia. This disorder is characterized by the
presence of one or more non-bizarre, permanent and systematized
delusions. Cognitive functions of the patient not affected, judgment
and reason are not affected if the subject is not addressed delirious.
Delusional theme includes life-like experiences, including: perse-
cution – persecutory type –, suffering from a disease – somatic
type –, to be loved by someone famous – erotomaniac type –, the
partner is unfaithful – jealous type – or having a special quality
or gift – megalomaniac type –. Usually, patients lack awareness
of mental illness and often prior to contact with mental health,
made a pilgrimage by different specialists looking for an organic
explanation.
The description of a case report of a 47-year-old male who has a
delusional belief body deformity secondary to manipulation by a
physiotherapist suffering a muscular pain in the lumbar region is
performed. Prior to psychiatric diagnosis, begins a long journey by
different specialists.
As a consequence, somatic-type delusional disorder is a challenge
in the diagnosis and treatment in the medical field because it is
required a multidisciplinary approach for these patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0025
How painful is this? Idiosyncrasies of
attention in irritable Bowel syndrome
M. Martin ∗, S. Chapman
1 University of Oxford, Experimental Psychology, Oxford, United
Kingdom
2 University of Bath, Pharmacy and Pharmacology, Bath, United
Kingdom
∗ Corresponding author.
Introduction Theoretical controversy surrounds the issue of the
extent to which cognitive processes can be identified which are
characteristic of patients with irritable Bowel syndrome (IBS). The
issue is important because particular patterns of idiosyncrasies
would suggest tailored therapeutic interventions.
Objectives To map the processing of pain information in IBS and
healthy participants in relation to physical and social threat, using
latency as well as frequency metrics.
Methods Participants (20with IBS and 33 controls) were tested in
an extended exogenous cuing paradigm whose derived measures
included assessments of bias, engagement and disengagement.
They also completed a battery of health and illness activity tests.
Results There was a significant interaction between bias in
processing of pain (physical threat) and of neutral stimuli, as shown
on Further significant idiosyncrasies were observed in the
relations between measures of attention and levels both of symp-
toms and of illness behaviour.
Conclusions Detailed evidence was obtained of anomalies in
attention in IBS. The results may be interpreted in terms of inter-
active feedback between pain perception in relation to the gut,
pain-specific attentional processes, and health behaviour. It will be