European Psychiatry - Volume 41 - April 2017

496 / 916

S492 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520
2 “West Medica Clinic” Satu Mare, psychiatric Ambulatory, Satu
Mare, Romania
3 “Victor Babes” university of medicine and pharmacy Timisoara,
discipline of Child Care and Neonatology, Timisoara, Romania
4 “Victor Babes” university of medicine and pharmacy Timisoara,
Internal Medicine III, Timisoara, Romania
∗ Corresponding author.
Introduction In 2015, the worldwide point prevalence for dia-
betes mellitus was 8.8%. Type D personality was found as being
more prevalent in type 2 diabetes than in the general population.
Objectives We aimed to reveal the frequency of type D personal-
ity and to analyze the impact of typeDpersonality on both quality of
life and angiopathic complications, in patients with type 2 diabetes
from our region.
Methods A cross-sectional research was performed on 79 out-
patients that were monitored for diabetes mellitus at Timisoara
diabetes, nutrition and metabolic diseases clinic. Type D personal-
ity was assessed with the DS-14 scale. Quality of life was quantified
by using the Q-LES-Q-SF scale (Quality of Life Enjoyment and Satis-
faction Questionnaire-Short Form). The angiopathic complications
were abstracted from medical records.
Results Type D personality was present in 38 subjects with
diabetes mellitus (48.10%). Compared to those without type D
personality, patients with type D personality and diabetes had
significant lower mean scores for the following domains of the
Q-LES-Q-SF scale: social relationships (P < 0.001), daily life func-
tion (P = 0.027), sexual activity (P = 0.005), to get around physically
(P < 0.001), work or hobbies ( P = 0.008) and raw score (P = 0.003).
Type D personality did not make any difference regarding micro
and macroangiopathic complications of type 2 diabetes patients.
Conclusions Type D personality, a highly frequent entity, did not
make the difference with respect to diabetic complications; how-
ever, it may interfere significantly with several facets of the quality
of life of these patients. These results should be taken into account
for an interdisciplinary approach to these patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0271
Quality of life and its relationship
with illness representations in
patients with obstructive sleep apnea
syndrome
I. Gassara , J. Ben Thabet ∗, S. Msaad , S. Yaich , K. Medhaffar ,
S. Omri Maalej Charfi Zouari ouari
S. Kammoun Maalej
1 Hedi chaker hospital, psychiatry, Sfax, Tunisia
2 Hedi chaker hospital, pneumology, Sfax, Tunisia
3 Hedi chaker hospital, epidemiology, Sfax, Tunisia
∗ Corresponding author.
Introduction Obstructive sleep apnea syndrome (OSAS) is a
highly widespread sleep-related breathing disorder that leads to
serious impairment in quality of life (QOL).
Objectives We aimed to assess QOL in patients with OSAS and to
investigate its relationship with illness representations.
Methods We performed an analytical cross-sectional study of 87
recently diagnosed OSAS patients. Apnea hypopnea index (AHI)
was determined by an overnight polysomnography. Excessive day-
time sleepiness (EDS) was assessed by the Epworth Sleepiness Scale
(ESS). QOL was assessed by the 36-item short form health survey
(SF-36). Illness representations were measured by the Brief Ill-
ness Perceptions Questionnaire (B-IPQ); High scores reveal a more
threatening perception of the illness.
Results Mean age of the participants was 55.7 years (SD = 11.6).
According to the AHI, 70,1% of the patients had severe OSAS, and
16.1% had moderate OSAS. The mean score of the SF-36 was 40.2
(SD = 18.7). Overall QOL was impaired in 87.7% of the patients.
There was a considerable decrease in both mental and physical
QOL. EDS was associated with impairment in mental QOL. Illness
representations were negatively correlated with overall QOL (r= -
0.45; P < 0.01). No relationship was found between QOL and illness
severity.
Conclusion The present study provides evidence that OSAS has
serious influence on QOL of patients, which could be mediated by
negative illness perception. So it is extremely important to know
howOSAS sufferers perceive their illness to better understand their
coping behavior and to improve their adherence to treatment and
their QOL.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0272
Impact of coping strategies on
emotional status in patients with
obstructive sleep apnea syndrome
I. Gassara , J. Ben Thabet ∗, S. Msaad , K. Medhaffar , S. Omri ,
M. Maalej , N. Charfi , N. Zouari , S. Yaich , L. Zouari ,
S. Kammoun , M. Maalej
1 Hedi chaker hospital, psychiatry, Sfax, Tunisia
2 Hedi chaker hospital, pneumology, Sfax, Tunisia
3 Hedi chaker hospital, epidemiology, Sfax, Tunisia
∗ Corresponding author.
Introduction Obstructive sleep apnea syndrome (OSAS) is a com-
mon sleep disorder, which leads to higher morbidity, and mortality
and can result in various psychological problems, such as depres-
sion.
Objectives The purpose of this study was to assess the severity of
depression and to examine its relationships with coping strategies
in OSAS patients.
Methods We performed an analytical cross-sectional study of 87
recently diagnosed OSAS patients. Apnea hypopnea index (AHI)
was determined by an overnight polysomnography. Depressive
symptoms were evaluated by the hospital anxiety and depression
scale (HADS). Coping strategies were assessed by the brief cope.
Results Subjects included 38 men and 49 women averaging 55.7
years of age (SD = 11.6) with a mean body mass index (BMI) of
33.8 kgm−2. According to the AHI, 70.1% of the patients had severe
OSAS, and 16.1% had moderate OSAS. Depressive symptoms were
found in 44.8% of all patients. Emotional coping was used by 72.4%,
while problem-focused coping was used by 28.7% of the patients.
The score of depression on HADS (HADS-D) showed positive cor-
relation with BMI (r = 0,48; P ≤ 0.001). No significant association
was found between HADS-D and AHI. Depressive symptoms were
associated with more emotional coping (P = 0.03) and with less
problem-focused coping ( P = 0.002).
Conclusion Our findings suggest that depression is highly preva-
lent among patients with OSAS, and that coping style seems to have
a significant influence on emotional status in these patients. Fur-
ther research should explore the possibilities of intervening on this
factor, aiming to lessen depressive symptoms in OSAS patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.