European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464 S415
significantly. The academic courses in terms of social phobia had
not different with them but there were significant differences in
the character of personality. It seems that dimensions of personality
associated with Social phobia and be able to explain it.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0032
Duloxetine augmentation in resistant
obsessive compulsive disorder:
Surveying a new medication for
challenges in treatment of OCD
A. Mowla
Shiraz University of Medical Sciences, Psychiatry, Shiraz, Iran
Introduction Up to 50% of patients with OCD have failed to
respond in SSRI trials, so looking for pharmacological alternatives
in treatment of obsessive compulsive disorder (OCD) seems
necessary.
Objectives Surveying duloxetine augmentation in treatment of
resistant OCD.
Aims Study the effects of serotonin-norepinephrine enhancers
for treatment of OCD.
Methods This augmentation trial was designed as an 8-week
randomized controlled, double blind study. Forty-six patients suf-
fering from OCD who had failed to respond to at least 12 weeks
of treatment with a selective serotonin reuptake inhibitor (flu-
oxetine, citalopram or fluvoxamine) were randomly allocated to
receive duloxetine or sertraline plus their current anti OCD treat-
ment. Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was the
primary outcome measure.
Results Forty-six patients (24 of 30 in duloxetine group and 22
of 27 in sertraline group) completed the trial. Both groups showed
improvement over the 8-week study period (mean Y-BOCS total
score at week 8 as compared with baseline: P < 0.001 and P < 0.001)
without significant difference (P= 0.861). Those receiving dulox-
etine plus their initial medications experienced a mean decrease
of 33.0% in Y-BOCS score and the patients with sertraline added to
their initial medication experienced a mean decrease of 34.5% in
Y-BOCS.
Conclusions Our double blind controlled clinical trial showed
duloxetine to be as effective as sertraline in reducing obsessive and
compulsive symptoms in resistant OCD patients. However, it needs
to be noted that our study is preliminary and larger double blind
placebo controlled studies are necessary to confirm the results.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV0033
Pregnancy in men: Couvade syndrome
M. Navas ∗, J. García Albea , P. García-Parajuá
1 Hospital Infanta Leonor, Psiquiatría, Madrid, Spain
2 Hospital Clínico San Carlos, Psiquiatría, Madrid, Spain
3 Hospital de Puerta de Hierro, Psiquiatría, Madrid, Spain
∗ Corresponding author.
As human reproduction has to been seen not only from the biolog-
ical (gender) but from the social and anthropological perspective,
and as long as paternity joins a very important aspect in men
identity, we found essential to review actual and past literature
in order to explain symptoms and attitudes experienced by some
fathers to be.
Couvade syndromewas first described in themid-sixties by a group
of British authors who tried to analyze some typical pregnancy
symptoms observed in fathers to be. These symptoms are hetero-
geneous and could be difficultly classified, but must of the authors
tend to group them in anxiety or somatophorm-like disorders.
In this oral communication, we will explore into the deep causes of
this syndrome and its links to the Couvade ritual described in some
ancient cultures like the Greek (year 60 B.C.) as well as analyze an
actual case report, with the help of the exhaustive revision of the
existing literature.
Couvade has to be contemplated as away to define the new identity
of the father to be, and his bond with the newborn, his couple and
the society.
Finally, Couvade could be seen as a proactive and constructive
preparation of the male to the paternity, out of psycopathology
and recognize these comprehensive reactions as a normal and func-
tional part of the reproductive ritual.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0034
The correlation between object
relationships and attachment style in
prostitutes in Iran
L. Nouralizade (Master of Clinical Psychology) ,
S. Ghahari (PhD) (Assistant professor of clinical psychology) ∗
1 Islamic Azad University, Tonekabon, Iran
2 Iran University of Medical Sciences (IUMS), Center of Excellence in
psychiatry, School of Behavioral Sciences and Mental Health,
Department of Mental Health, Tehran, Iran
3 Psychiatry and Behavioral Sciences Research Center, Addiction
Institute, Mazandaran University of Medical Sciences, Sari, Iran
4 Clinical psychology, Tehran, Iran
∗ Corresponding author.
E-mail address: (S. Ghahari)
Objective Increased statistics of prostitution and reduced age of
prostitutes at the world and as a result, prevalence of diseases such
as AIDS and other diseases has gained attention of scholars to the
problem of prostitution and relevant problems. Hence, the main
objective of this study is to analyze the correlation between object
relations and attachment style in prostitutes in Iran.
Method Applied method in this study is correlation. Statisti-
cal population in this study consists of prostitutes of Tehran,
Mashhad, Kerman, Tabriz and Mazandaran and statistical sample
consists of 317 women selected using simple random sampling
method in 2015. For purpose of data collection, Bell Object Rela-
tions and Reality Testing Inventory (BORRTI) and Hazan and Shaver
attachment styles questionnaire are used. The data were ana-
lyzed using multivariate regression and Pearson correlation in
SPSS-22.
Finding The results showed that there is significant correla-
tion between object relations and attachment styles in prostitutes
(P < 0.01).
Conclusion Object relations scales (incompetence, self-
centeredness and alienation) are correlated to insecure attachment
styles in prostitutes.
Keywords Object relations; Attachment styles; Prostitutes
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0035
The risk of hypertension in general
population with anxiety traits in
Russia/Siberia: Gender disparities.
WHO survey MONICA-psychosocial
V. Gafarov , E. Gromova , D. Panov∗, I. Gagulin , A. Gafarova