European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520 S499
Methods A retrospective cross-sectional study was conducted
with 19-yr-old examinees who were admitted to the Military Man-
power Administration in Korea from February 2009 to January
2010. A total number of 1955 young men were enrolled in this
study. The normal volunteer group (n = 1561) comprise individ-
uals who did not have pneumo- or hemo-thorax. The pneumo- or
hemo-thorax group (n = 394) included individuals with pneumo-
or hemo-thorax. This group was divided into two subgroups, group
A (treated with conservative care or chest tube insertion, n = 341)
and group B (treated with wedge resection, n = 53).
Results We compared each of three groups (Control group, Group
A, GroupB) using the analysis of covariant (ANCOVA). The somatiza-
tion subscale score of the neurosis categorywas significantly higher
for group A (P < 0.001) and showed higher tendency for Group B
than the control group (P = 0.073). The other categories (validity
scale; anxiety, depression, and personality disorder subscales for
neurosis scale; and psychopath scale) showed no significant differ-
ence in the MPI among Group A, Group B and Control group.
Conclusion Conservative care or chest tube insertion group
had higher somatization symptoms than control group. Wedge
resection group had higher somatization tendency than control
group. Individuals with pneumo- or hemo-thorax history may be
concerned about their body shape or their general condition. There-
fore, supportive intervention and psychiatric education may be
needed for them to relieve somatic distress.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0293
The development of a brief 5-minute
mindful breathing therapy for the
reduction of distress in palliative
cancer patients
C.G. Ng ∗ . Tan . Lai . Zainal . Sulaiman
J.C. Chong
1 Faculty of Medicine, University of Malaya, Department of
Psychological Medicine, Kuala Lumpur, Malaysia
2 Faculty of Medicine, University of Malaya, Department of Medicine,
Kuala Lumpur, Malaysia
3 University of Leeds, School of Psychology, Leeds, United Kingdom
4 HELP University, Department of Psychology, Kuala Lumpur,
Malaysia
∗ Corresponding author.
Introduction Although psychological distress is highly prevalent,
palliative cancer patients are mostly too lethargic to undergo many
sessions of the conventional psychotherapy.
Objectives The study aims to develop a brief, quick and easy to
administer psychological intervention for rapid reduction of dis-
tress in palliative care patients.
Methods Inphase I, an expert panel ofmultidisciplinary teamwas
formed. The theory of mindfulness-based intervention was simpli-
fied into a 5-minute mindful breathing technique that can be learnt
and practiced by palliative care patients.
In phase II, the efficacy of 5-minute mindful breathing was investi-
gated in a pilot test that comprised of nine palliative cancer patients
and eleven care takers.
In Phase III, the efficacy of 5-minute mindful breathing was fur-
ther examined in a non-blinded, randomized controlled trial (RCT)
that included 60 cancer patients under palliative care. Apart from
perceived distress, physiological measures were assessed.
Results The effect of 5-minute mindful breathing in rapidly
reducing distress among palliative care patients was confirmed
in both the pilot test (Tan et al., 2015) and RCT (Ng et al., 2016).
The finding was further supported by the significant physiologi-
cal changes associated with distress reduction such as decreased
breathing rate, blood pressure, pulse rate, galvanic skin and
increased skin surface temperature (Ng et al., 2016) with the 5-
minute mindful breathing.
Conclusion The 5-minutemindful breathing is a quick and easy to
administer intervention that is useful for reducing acute suffering
or distress in palliative care patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0294
When seizures are non-epileptic
J. Nogueira ∗ aylor
1 Centro Hospitalar de Setúbal, Psiquiatria e Saúde Mental Unidade
de Internamento de Doentes Agudos, Setúbal, Portugal
2 Royal London Hospital, Liaison Psychiatry, London, United Kingdom
∗ Corresponding author.
Introduction Non-epileptic seizures (NES) are a diverse group of
disorders, whose paroxysmal events can be mistaken for epilepsy,
although they are caused by amental or psychogenic process rather
than a neurological cause.
Objectives/methods We present a case of a 45-year-old female
patient with history of generalized seizures prior to Meningioma
resection in August 2015, referred to the Liaison Psychiatry out-
patient follow up clinic at the Royal London Hospital after has
gone several times to emergency department complaining about
flush and hot sensation that proceeded to corners of mouth turning
down, teeth chattering, shaking of left arm and torso at first and
then legs. During the episodes, she was awake with no conscious-
ness loss. Her mood was low, with clinical evidence of depression
and she had very high levels of health anxiety.
Discussion A diagnosis of non-epileptic attacks was made in
the sequence of those episodes. A holistic and multidisciplinary
approach was made, including pharmacotherapy, cognitive-
behavioral therapy and domiciliary support. The clinical response
was good regarding both mood, anxiety levels and NES.
Conclusions Approximately 25% of patients who have a previous
diagnosis of epilepsy and are not responding to drug therapy are
found to be misdiagnosed and it is common that epileptic patients
have both epileptic and non-epileptic seizures. Although distin-
guishing epileptic and non-epileptic seizures is not easy, there are
some clinical clues that the physicians should look for, like age of
onset, time of the day that episodes occur and presence or absence
of postictal confusion.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0295
Prevalence of depressive symptoms
among inpatients at the university
hospital of Sergipe, Brazil
J. Oliveira∗, M. Machado , E. Cunha , K.M. Mansilla ,
E. Vieira Melo , E. Oliva-costa
Federal University of Sergipe, Medicine Department, Aracaju, Brazil
∗ Corresponding author.
Introduction Depressive Symptoms (DS) generate a public and
economic health problem, with decreasing productivity, labour
marketwithdrawal and increaseddemand for health services. Stud-
ies showthat inhospitalizedpatients, DS rates are higher than in the
general population, in medical practice, however, they are under
diagnosed or under-treated. Consultation Liaison Psychiatry (LP)
can prevent aggravation of the psychic symptoms by early iden-
tification of them and by integration of psychiatry with the other
medical specialties.
Objectives To estimate the prevalence of DS and associated fac-
tors in inpatients and the frequency of consultation LP.