European Psychiatry - Volume 41 - April 2017

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S424 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464
Introduction Overweight and obesity, despite their co-
morbidities and mortality, could deteriorate the quality of
life of people with bipolar disorder.
Objectives The objective of this study is to evaluate the quality of
life among patients with bipolar disorder and investigate a possible
interaction between obesity and deterioration of the quality of life.
Aims This study aims to highlight the importance of preventing
overweight and obesity in people with bipolar disorder to obtain
an adequate quality of life subsequently an acceptable control of
the illness.
Methods Fifty euthymic bipolar patients (Hamilton Depression
Scale score ≤ 8, and Young Mania Rating Scale score ≤ 6) received
the Medical Outcomes Study 36-Item Short-Form Health Survey in
Arabic validated version in order to investigate the quality of life.
Results We examined 50 euthymic bipolar patients (60% men,
40% women). The average age was 46, 5 years (23–70). Most
patients (69%) were over weighted (BMI ≥ 25.0 kg/m2) (body mass
index), of whom 40% were obese (BMI ≥ 30.0 kg/m2). Seventy-two
percent of the investigated patients had an affected quality of life
(score < 66.7). The mental items were deteriorated in 80% of the
cases. An affected quality of life was correlated with obesity. The
BMI was significantly and negatively correlated with the scores of
dimensions D4 (mental health) andD8 (perceived health) (P < 0.01).
Conclusion The investigationof quality of life inpeoplewithmen-
tal disorder enables to reveal the social handicap caused by these
illnesses consequently emphasizes health care inmental affections.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0061
Research of thinking and memory at
persons with the alcoholic
dependence complicated by abuse of
preparations of sedative and
somnolent group
G. Jumasheva
Tashkent Institute of physicians post-Graduate study, Academic
Department of Addiction Medisine and Adolescent Psychopathology,
Tashkent, Uzbekistan
In recent years, abuse of sleeping medicines with the subsequent
formation of an inclination and increase of tolerance to prepa-
rations of this group has gained distribution in the Republic of
Uzbekistan among the persons suffering from alcoholic depend-
ence.
The assessment of thinking and memory functions was carried on
by using a pictogram technique at 40 patients with the alcoholic
dependence complicated by abuse of a somnolent preparation. Two
groups of patients had similar duration of alcohol abuse, but differ-
ing in the length of abuse of hypnotic drugs: 20 patients used it not
more than 1 year, 20 patients more than 5 years.
Research has shown that with the duration of abuse of somnolent
preparation within 1 year patients with alcoholic dependence had
no expressed memory violations: by means of pictogram draw-
ings patients could remember all set of words. Twenty-five percent
of patients’ drawings had the ordered appearance, steady graphic
characteristics; the chosen images were followed by exact, laconic
comments. The tendency to prevalence of the concrete images asso-
ciated with alcoholic situations was found in 75% of patients of this
group at a graphic representation of abstract concepts.
Abuse of somnolent preparations more than 5 years at 35% of
patients has come to light misunderstanding of sense of the task,
40% of patients – insufficient image differentiation with inability of
selection of visions to abstract concepts, 10% of patients – had ten-
dency to the stereotypy and a perseveration. All the patients had a
decrease in efficiency of the mediated storing.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV0062
Bipolar disorders diagnostics in
ambulatory medico-psychological
service
N. Kornetov ∗ arionova
Siberian State Medical University, Psychiatry, Addiction and
Psychotherapy, Tomsk, Russia
∗ Corresponding author.
Introduction The difficulties of diagnosis and clinical differen-
tiation of bipolar disorders, schizophrenia and schizoaffective
disorder have been repeatedly noted both foreign and Russian
authors.
Objectives Full medico-psychological service clinical documen-
tation research, including bipolar disorder patient records.
Aims Determination of bipolar disorders in accordance with the
DSM-5 criteria among psychiatric outpatients.
Methods A group of 142 patients with established according
to ICD-10 diagnoses: schizophrenia, schizoaffective disorder 137
(96.5%); the average patient’s age 50 ± 13 and bipolar disorder and
mania episode 5 (3.5%) – 55.4 ±14.4 has been investigated.
Results It was found that 18 (12.7%) of all patients meet the DSM-
5 bipolar disorder criteria compared with the primary diagnosis
(3.5%). Structure of the diagnosis of bipolar disorder was repre-
sented as follows: bipolar disorder type I – 11 (61.2%), bipolar
disorder type II – 7 (38.8%). Consequently, due to formal application
DSM-5 bipolar disorder criteria BD determination 3.5 times more.
Conclusion Traditionally, the diagnosis of schizophrenia is pre-
ferred over bipolar disorder. Manic episode in bipolar disorder can
be evidently regarded as an acute schizophreniamanifestation. The
diagnostic criteria for DSM-5 are convenient in diagnostics of manic
and depressive episodes in case of their combination in I type bipo-
lar disorder.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0063
Is the use of long-acting injectable
antipsychotic extended in the
outpatient treatment of bipolar
disorder? A brief description
L. Niell∗, J. Rodríguez , R.A. Baena , I. Alberdi-Paramo ,
G. Montero , M.M. Tenorio , M. Pereira , R. Sanz ,
P. Gomez-Merino , F. De Vicente , A. Carrillo
Hospital Clínico San Carlos, Psiquiatría, Madrid, Spain
∗ Corresponding author.
Aims Obtain and analyze information on treatment guidelines,
with particular emphasis on the use of antipsychotics, in patients
diagnosed with bipolar disorder I and bipolar disorder II who are
treated at a mental health center in a district of Madrid (Spain)
under the conditions of habitual clinical practice.
Then, compare with recently published literature.
Methods We performed a descriptive study of a sample of 100
patients diagnosed with bipolar disorder (type I and type II) at
any stage of the disease who receive regular treatment in a men-
tal health center in a district of Madrid. Information regarding the
treatment used, especially the use of antipsychotics (either in a
single therapy or in combinationwith other drugs such asmood sta-
bilizers, antidepressants, hypnotics or anxiolytics), was collected
retrospectively from the data obtained from the medical record.