European Psychiatry - Volume 41 - April 2017

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S508 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520
EV0319
Which are the possibilities of
psychiatric liaison-consultation in
dentistry? By the way a qualitative
study on symbolic meanings reported
by dentists on handling of
dental-caries
P.A.T. Leme , R.A. Bastos , S.A.S. Vedovello , E.R. Turato ∗,
M.C. Meneghim
1 UNICAMP–State University of Campinas, LPCQ–Laboratory of
Clinical-Qualitative Research, Campinas, Brazil
2 UNIARARAS, Orthodontic Department, Araras, Brazil
∗ Corresponding author.
Dental caries is themain oral disease and there is a possible psycho-
logical resistance from dentists to change clinical practice towards
in sense of health promotion as opposite to invasive mechani-
cal practice. We hypothesized that the discussion of their practice
with mental health professionals, highlighting the humanist view
in approaching patients, would imply reviewing usually invasive
practices.
Objective To understand the psychological meanings attributed
by dentists to the treatment of dental caries considering the fre-
quent invasive treatment.
Method Clinical-qualitative method derived from qualitative
designs proper to human sciences and applied in assistance sett-
ings. Sample composed of all available dentists (ten participants)
within an area of basic health units of Piracicaba, S˘ao Paulo state.
Semi-directed interviewwith open-ended questions, in-depth, was
used. After full transcription of the interviews, qualitative content
analysis was carried out, including floating readings to emerge core
of meanings with consequent categorization for discussion.
Results Two categories show conflicts in the interpersonal rela-
tionship: psychological discomfort due to a perspective of care
different frompatient and presence of an ideologically vertical rela-
tionship. One category showed a successful approach: the patient
through openness.
Conclusions There were feelings of impotence in face of difficul-
ties in interpersonal communication. It was possible to observe the
influence of bio-power that weakens the possibility of empowering
patients. In this way, a mechanical way of practice “saves” profes-
sionals from thinking about these human dilemmas. On the other
hand, the liaison-consultation psychiatry, at primary care, allows
dental professionals to have a personal affective support to rethink
approaches on use of technology.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0320
Sjogren’s syndrome in a patient
previously diagnosed as seasonal
affective disorder
M.E. Ceylan , B.Ö. Ünsalver ∗, A. Evrensel
1 Uskudar University, Departments of Psychology and Philosophy,
˙Istanbul, Turkey
2 Uskudar University, Vocational School of Medicine Department of
Medical Documentation and Secreteriat, ˙Istanbul, Turkey
3 Uskudar University, Departments of Psychology, ˙Istanbul, Turkey
∗ Corresponding author.
Introduction Sjogren’s syndrome (SS) is a common autoimmune
disorder that is characterized by chronic inflammation of lachry-
mal and salivary glands. The well-known clinical manifestations
of SS are dry eyes and dry mouth. However, the disease may first
present itself with psychiatric symptoms, such as depressed mood,
agitation or irritability.
Objectives Our objective is to highlight the importance of sys-
temic examination, including detailed biochemical workup in
psychiatric patients with somatic complaints like fatigue and those
patients with partial response to treatment.
Methods We present a 35-years-old woman who had depressed
mood, obsessions and compulsions, chronic fatigue, generalized
muscle and joint pain, balance problems, weight loss, dry mouth
and dry eyes for the past few years. Her symptoms would worsen
during spring. She was diagnosed with seasonal affective depres-
sive disorder and chronic fatigue and was started on mirtazapine
30mg/day and venlafaxine 75mg/day. Shewas partially responsive
to this treatment. The detailed biochemical workup came 1/320
positive for anti-nuclear antibodies (ANA). The oral biopsy showed
Sjogren’s disease. Gluten sensitivity was found as well.
Results The patient was started on hydroxychloroquine sulfate
400mg/day in addition to her anti-depressant medication. She was
put on a gluten-free diet. She was in full remission in a month and
had no depressive attack in spring. Her ANA decreased to 1/80.
Conclusion Psychiatric syndromes may arise from different
pathologies of the central nervous system. In patients with recur-
rent psychiatric syndromes or patientswho are partially responsive
to conventional treatment approaches further systemic evaluation
of the patient is needed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0321
The psychological signs of the patients
who receive treatment in the general
clinic
L. Utas Akahn
Bulent Ecevit University, Health College Head of Psychiatry Nursing
Department, Zonguldak, Turkey
∗ Corresponding author.
Background For most of the physical illnesses, behavioral, emo-
tional, cognitive and inter-personal reactions develop. These
psychiatric conditions and reactions are actually the adjustment
process of the organism.
Objectives Study is conducted in order to identify the psychiatric
signs as well as findings of the patients who receive treatment in
the general services of hospitals.
Methods The study was carried out with a total of 500 patients
who receive treatment in the general service of a hospital of a min-
istry of health in Turkey between February and May in 2015 by
descriptive cross-sectional method. For collecting the data; patient
charts, SCL 90-Rand general health questionnaire aswell as hospital
anxiety and depression scale were utilized. Kolmogorov Smirnov
Normality test was applied for the average SCL90R and general
health. Questionnaire, as a result of the test, it was detected that
both scales did not meet the assumption of normality Therefore,
Kruskal Wallis test of non-parametric was used.
Results The study showed no significant difference among the
lengths of stay in the hospital according to the average SCL90-R
and general health questionnaire It was observed that the patients
in the cardiology, neurology, and plastic surgery departments had
a higher rate of signs of obsessive compulsive disorders; that the
patients in the plastic surgery and internal diseases departments
had a higher rate of depressive signs; that the patients in the neurol-
ogy and plastic surgery departments had a higher rate of paranoid
ideation; and that the patients in the neurology service had a higher
rate of psychoticism.
Conclusions Overall, it has been observed that the patients hos-
pitalized in the neurology and plastic surgery services had more
physiological signs compared to those receiving treatment in the
other services.