European Psychiatry - Volume 41 - April 2017

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S536 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S521–S582
EV0404
Specificity in perceived social support
in multiple sclerosis patients
E. Nikolaev ∗, N. Vasil’eva
1 Chuvash State University, Department of Social and Clinical
Psychology, Cheboksary, Russia
2 Chuvash Republic Clinical Hospital, Neurology Unit, Cheboksary,
Russia
∗ Corresponding author.
Introduction Social support is one of the functions of social
relationships that modify stress. Social supportive resources play
important role inhelping patients to adjust to the disease. Notmuch
is known about social support in multiple sclerosis patients while
it is one of the available interpersonal resources.
Objectives and aims To examine the specificity in perceived social
support in multiple sclerosis patients.
Methods The sample were 104 in-patients diagnosed with mul-
tiple sclerosis (both men and women; mean age 38, SD = 10). All
patients included in this study filled out the 22-item Russian ver-
sion of the social support questionnaire (F-SOZU-22, G. Sommer,
T. Fydrich in 1989, adaptation developed by A. Kholmogorova in
2006). Among them there were patients with relapsing-remitting
multiple sclerosis and secondary progressive multiple sclerosis.
Results The entire sample reported the normal level of social sup-
port. One canmention that multiple sclerosis patients did not differ
in general level of perceived social support from the healthy sub-
jects. The exception was the overall satisfaction of social support,
which reflected its statistically higher level in multiple sclerosis
patients (P< 0.05). Further analysis showed no significant differ-
ences in perceived social support in patients associatedwith gender
factor and clinical forms of multiple sclerosis (P > 0.05).
Conclusions The perceived social support in multiple sclerosis
patients is characterized by normal levels of its emotional and
instrumental components and inclusion in the network of close
social relationships. However, the patients of both genders do not
feel stability of these relations and have a deceased sense of security
that can be a significant risk factor for depression.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0405
Personality disorders and affective
temperament in unipolar and bipolar
mood disorder
A. Nivoli ∗, L. Floris , M. Antonioli , L. Folini , L.F. Nivoli , P. Milia ,
L.I. Vento , C. Depalmas , L. Lorettu
University of Sassari, Department of Psychiatry, Sassari, Italy
∗ Corresponding author.
Introduction Personality disorders (PD) and Affective temper-
aments (AT) have been considered vulnerability factors for the
development of mood disorder (MD).
Objective To study the simultaneous presence of PD and AT in
patients with DU and differences between unipolar depression
(DD) and bipolar disorder BD.
Methods An observational study was conducted. Patients were
administered the Temperament Evaluation of Memphis, Pisa, Paris
and San Diego questionnaire (TEMPS-A) for AT and the Structured
Clinical Interview for DSM IV Axis II Disorders (SCID-II) for PD. The
interrelationships of the different PD and AT were studied by factor
analysis (principal component analysis, PCA) (orthogonal rotation,
Varimax).
Results Participants were 156 adult patients with MD, 37.1%
with DD and 62.9% with BD. DD patients presented with signifi-
cantly more paranoid PD (P = 0.009), depressive (P = 0.029), anxious
(P = 0.009) and irritable temperament (P= 0.006) compared to BD.
PCA results showed four significant factors, explaining the 63.1% of
total variance, corresponding to four potential groups of patients
with specific PD and AT associations.
Conclusion The comorbidity between MD and PD and AT may
differentiate DD from BD. Specific patterns of comorbidity may be
useful as they may substantially influence the course of the mood
disorders and how patients respond to treatment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0406
Depressive disorders:
A multidimensional non-drug
approach
S. Tafazzoli , A. Miloni , A. Quaderi , J. Palazzolo ∗
Universite de Nice, Psychology, Nice, France
∗ Corresponding author.
In Europe, 25% of the population suffers from one type of depres-
sive disorders each year. When depression is diagnosed, one on two
people will actually be given a medication e.g. antidepressant and
benzodiazepine (when correlated to anxiety or sleep trouble); the
relapse risk is about 50%. This pathology and its chemical treat-
ment affect the individual’s health and life balance, e.g. cognitive
impairments, family circle and career. Plus, side effects might cre-
ate dependence, inability to focus or drive, disinhibition leading to
suicide attempts. In addition, it also affects society at an economic
level.
Comparing prior research, there are many causes to depressive dis-
orders, a fragile balance that allows depression to begin and last.
These causes include psychological factors (personal history, loss,
trauma) biological factors (genetic predisposition, neurochemical
dysregulation, bacteria) and environment (stress, social interac-
tion, family circle, physical environment). Due to their multiple
causes and maintenance factors, we consider depressive disor-
ders in a multidimensional clinic through non-drug approach
treatment and prevention. In severe depressive disorders and
resistant depression EMDR therapy has shown effective results.
Taking in account the high chance of relapses (50%), we highlight
regular physical activity as a prevention factor that diminishes
relapses chances compared to medication. Furthermore, medita-
tion practice impacts cerebral plasticity. Finally, an environmental
approach through luminotherapy (increase serotonin precursor)
or nutritherapy (bacterium balance) helps healing and prevents
relapses. These therapies can be easily adapted to any population
and institutional context.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0407
Frequency of depressive disorders in
a representative sample of Nicosia,
Cyprus
I. Papapetrou ∗ Charalambous Sissouras elastopulu
1 Frederick University of Nicosia, Cyprus, Postgraduate Program
Health Management, Strovolos, Nicosia, Cyprus
2 Frederick University of Nicosia, Cyprus, Postgraduate Program
Health Management, Nicosia, Cyprus
3 University of Patras- Greece, Department of Operational Research
and Management, Patras, Greece
4 University of Patras, Greece, Public Health, Patras, Greece
∗ Corresponding author.
Introduction “Health Profile” of Nicosia was conducted in
2013–2014, within the framework of the program “Healthy Cities”