European Psychiatry - Volume 41 - April 2017

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S500 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520
Methods A cross-sectional study was carried out in March 2016,
with 87 patients hospitalized in the clinical and surgical wards
at the University Hospital (Sergipe/BR), through two instruments:
(1) Structured Questionnaire prepared by the authors, (2) Beck
Depression Inventory (BDI). Data analysis through descriptive and
analytical statistics with final step of logistic regression.
Results The prevalence of DS were 54%, of which 24% correspond
to moderate and severe symptoms, and only 3.4% of the patients
had a LP. In Logistic Regression, the only factor associated with DS
was the reason for hospitalization. Clinical causes (87.2%) were 9.24
times more likely to develop DS than surgical causes.
Conclusions Results suggest a high prevalence of inpatients with
some psychic symptom. Physicians did not detect these symptoms
and, therefore, LP request was low. These data reinforce the impor-
tance of LP for early identification of DS that should be stimulated
during medical training.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0296
Cognitive behavioral therapy for
chronic migraine
O. Onur ∗, D.H. Ertem , D. Uludüz , C¸ . Kars¸ ıda˘g
1 Istanbul Bakırköy research and training hospital for psychiatry
neurology and ne, psychiatry, Istanbul, Turkey
2 S¸ is¸ li Etfal Research and Training Hospital, Neurology Department,
Istanbul, Turkey
3 Cerrahpas¸ a Medicine Faculty, Neurology, Istanbul, Turkey
4 Bakirkoy Research and Training Hospital for Psychiatry, Neurology
and Neurosurgery, Psychiatry, Istanbul, Turkey
∗ Corresponding author.
Aim Although current standard treatment formigraine headache
is medication, high levels of psychological comorbidity has led to
migraine influencing by cognitive, emotional and environmental
factors, as well as biological. Viewing migraine in a biopsychoso-
cial framework introduces the possible utilisation of psychological
treatment options, such as cognitive behavioural therapy (CBT). The
aim of this study was to evaluate the efficacy of CBT for chronic
migraine.
Methodology Thirty-five participants diagnosed as chronic
migraine were recruited from Headache Clinic. According to
inclusion criteria 14 participants, underwent bi-weekly lasting
30minutes CBT sessions for 6 months, were administered Hamil-
ton Anxiety Scale, Hamilton Depression Scale, Visual Analog Scale
(VAS) and theMigraine Disability Assessment Scale (M ˙IDAS) before
and after CBT.
Findings Nine of the participants were female and 5 male. Mean
age of group was 34.35 ± 8.17. Duration of illness was 13.07± 7.18
and 12 of participants had the history of a psychiatry illness whose
diagnoses were depression (7), anxiety disorder (4) and post-
traumatic stress disorder (1). Nine of the patients had prophylactic
migraine treatment. There were statistically significant difference
in Hamilton Depression scores between before CBT (29.07 ± 7.74)
and after CBT (14.21 ± 7.7); in Hamilton Anxiety scores before
CBT (26.8 ±11.7) and after CBT (11.7 ± 2.6); in VAS scores before
CBT (8.07± 0.91) and after CBT (3.71 ± 1.32); in frequency of
migraine attacks between before CBT (10.85 ±3.50 day) and after
CBT (4.92 ±2.70 day) and in M ˙IDAS before CBT (55.5 ±20.4) and
after CBT (20.12 ±16.6) (P< 0.05).
Conclusion CBT might reduce the severity of symptoms in
migraine patients especially with the comorbidity of psychiatric
illness.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0297
Report of clinical case: Catatonic
symptoms as a result of cerebral
venous sinus thrombosis
P. Ortega Orihuela ∗, A.L. Pérez Morenilla ,
C. Hernández González
1 Psychiatry Trainee, Unidad de Hospitalización de Salud Mental de
Puerto Real, Chiclana, Spain
2 Hospital Universitario Puerto Real, Psychiatry, Puerto Real, Spain
∗ Corresponding author.
Clinical case We present the case of an 18-year-old woman
attending the emergency room due to behavioral disorders that
appeared 24 hours ago. The clinic was of restlessness, uninhibited
behavior, stereotyped movements, global insomnia, semimutism
and negativism. Initially she was diagnosed with catatonia, and
was admitted to the Mental Health Hospitalization Unit. There
were no previous psychopathological antecedents, although rela-
tives reported that she had several stressors. During admission, she
had a partial response to benzodiazepine treatment, and a loss of
strength in the left upper limb was evidenced, and venous sinus
thrombosis was diagnosed. With the anticoagulant treatment, the
psychiatric symptomatology presented was markedly improved.
Medical examination Normal vital signs, afebrile. Absence of
focal neurological signs. Stereotyped movements, oral-buccal
dyskinesia. Negativism, disinhibition and oppositional behaviour.
Supplementary tests with results within the normal range. Cranial
MRI: Upper, transverse and sigmoid right sagittal sinus thrombosis.
Conclusions Numerous cases of thrombosis have been docu-
mented as a result of a catatonic state, mainly due to the
immobilization and the risk involved. However, in this case, sudden
onset of psychiatric symptoms, absence of psychiatric antecedents,
and excellent response to anticoagulant therapy, leads us to
conclude that catatonic symptoms could be considered as a conse-
quence of cerebral edema caused by thrombosis. The presentation
of catatonia as the sole cause of a somatic disorder is not common,
but would be stimulated by certain factors, such as excessive stress
and personality disorders, documented as vulnerability factors for
such symptoms.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0298
The impact of coping on self-esteem
and mental status of patients with
COPD
I. Papava ∗, A.C. Bredicean , L. Dehelean , R. Romosan ,
A.M. Romosan , E. Tudorache , B. Timar , C. Oancea ,
V.R. Enatescu
1 “Victor Babes” University of Medicine and Pharmacy, Neuroscience,
Timisoara, Romania
2 “Victor Babes” University of Medicine and Pharmacy, Pulmonology,
Timisoara, Romania
3 “Victor Babes” University of Medicine and Pharmacy, Biostatistics
and Medical Informatics, Timisoara, Romania
∗ Corresponding author.
Introduction COPD (chronic obstructive pulmonary disease) is a
chronic illness associated with psychological distress. Self-esteem
and the associated comorbidities, like depression and anxiety, can
influence its evolution.
Objectives To analyze how predominant coping styles associated
with different levels of self-esteem and mental status in patients
with COPD.
Aims To demonstrate that different types of coping-styles have
an impact on self-esteem, depression and anxiety.