European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520 S501
Methods To a lot consisting of 28 subjectswith COPD, was applied
the COPE scale to assess the style of coping, to rate anxiety and
depression The Hospital Anxiety and Depression Scale (HADS)
and for self-esteem the Rosenberg Self-Esteem Scale. According
to their higher coping sub-scale score, they were classified to
one dominant coping type as follows: patients with problem-
focused coping type (n = 9), emotion-focused coping (n = 10), social
support-focused coping (n = 6), respectively avoiding coping type
(n = 3).
Results Patients with dominant problem-focused coping had
the most elevated self-esteem compared to patients with social-
focused coping (22.0 vs. 16.2; P = 0.039), the depression score
was the highest in patients with dominant avoidance-type coping
and the lowest in patients with dominant problem-focused cop-
ing (11.0 vs. 5.6; P = 0.042) respectively anxiety, was the highest
in patients with dominant social-focused coping and the lowest
in patients with dominant emotion-focused coping (11.6 vs. 5.0;
P = 0.006).
Conclusions In patients with COPD, problem-focused and
emotion-focused copings are adaptive, while avoidance and
emotion-focused copings aremaladaptive on self-esteemandmen-
tal status. Such as, the coping represents a psychological dimension
with an impact on the evolution of the disease, and the patients
with COPD should be assessed and addressed multidisciplinary.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0299
The role of alexithymia in
non-psychotic mental disorders’
development in patients with primary
hypothyroidism
O. Pityk ∗ Pityk uzhda
1 Ivano-Frankivsk National Medical University, Department of
Psychiatry, Narcology and Medical Psychology, Ivano-Frankivsk,
Ukraine
2 Ivano-Frankivsk National Medical University, Department of
Neurology, Ivano-Frankivsk, Ukraine
3 Ivano-Frankivsk Regional Children Hospital, Department of
Ophtalmology, Ivano-Frankivsk, Ukraine
∗ Corresponding author.
In the formation of non-psychotic psychiatric disorders in patients
with thyroid pathologies are important neurohumoral mecha-
nisms, and one reason is psychosomatic relationships. The modern
concept of relationships includes alexithymia model. The situation
of chronic physical illness is regarded by many authors as one that
provokes a crisis of mental development (and in fact, identity cri-
sis) and therefore is a traumatic situation, that is a risk factor for
the development of mental disorder. The aim of the study was to
investigate the alexithymia level in patients with primary hypothy-
roidism. We used Toronto Alexithymia scale proposed by Taylor G.
50 patients with hypofunction of the thyroid gland were investi-
gated. In a study of 42 patients (84%) had a rate alexithymia more
than 74 points, 12% of patients were classified as areas of uncer-
tainty and only 4% of patients according to the method proved
non-alexithymic. It was found that patients with an uncertain alex-
ithymia level had difficulties in describing their inner feelings, did
not give much attention to the absence of well-being in the emo-
tional sphere, believed that painful symptoms of mental health
problems are caused by only thyroidpathologies, evenduring sight-
ing surveys ignored the presence of emotional stress and conflict
experiences that showed a reduced capacity for understanding
and expressing their own feelings, low emotional resonance. Thus,
psychotherapeutic and psycho-corrective work with such patients
should take into consideration alexithymia radical in the personal
structure of such patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0300
Cognition, disability and quality of life
of patients with chronic migraine
M. Pompili ∗ origliano enise Migliorati
P. Martelletti irardi
1 Sapienza University of Rome, Department of Neurosciences, Mental
Health and Sensory Organs, Rome, Italy
2 Sapienza University of Rome, Department of Clinical and Molecular
Medicine, Rome, Italy
∗ Corresponding author.
Introduction Chronic migraine is commonly regarded as one
of the most disabling headache conditions. Although there has
been some research indicating the severe impact of this chronic
headache, there is little comprehensive evidence of its impact on
quality of life, disability and cognitive function.
Objectives The aims of this cross-sectional study were to investi-
gate cognition, disability and quality of life in patients with chronic
migraine compared to healthy control subjects.
Methods Participants were a convenience sample of 58 adult
outpatients admitted to Headache Centre of the Sant’Andrea
Hospital in Rome (Italy). Inclusion criteria were a diagnosis
of chronic migraine (illness duration >5 years). Fifty-eight age-
matched healthy subjects were recruited as controls. Participants
were administered the Mini Mental State Examination, the Italian
Perceived Disability Scale (IPDQ), the 12-item Short Form Health
Survey (SF-12) to assess physical and mental health, and the neu-
rocognitive task Visual Perspective Taking (VPT), as a measure of
social cognition.
Results Patients with chronic migraine showed higher perceived
disability and poorer well-being compared with healthy controls.
No differences were found in global cognitive function and in the
performance of the neurocognitive task.
Conclusions Addressing the burden associated with subjective
state of disability and well-being in migraineurs is important
because of its association with a worse prognosis and a worse
response to treatment. Findings did not confirm the hypothesis that
migraneurs are more impaired in social cognition. Further studies
are needed to assess different cognitive dimensions in migraneurs,
including various measures of social cognition, to better under-
stand neurocognitive profile of this patients’ population.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0301
Ethical predicaments in decisional
capacity evaluations
H. Raai ∗ ateoc
1 Bronx Lebanon Hospital Center, Department of Psychiatry and
Behavioral Sciences, New York, USA
2 Bronx Lebanon Hospital Center, Department of Psychosomatic
Medicine, New York, USA
∗ Corresponding author.
Introduction Facing a growing number of capacity evaluation
requests in the general hospital, physicians increasingly encounter
ethical issues and dilemmas that drive them to seek unneces-
sary psychiatric consultations. This practice raises the expectation
that the consultant psychiatrist would be, somehow, the ethicist
on board whose role is to bring the most moral solution to their
predicament.
Aims Literature review and discussion about ethical questions
facing decisional capacity evaluation.