European Psychiatry - Volume 41 - April 2017

552 / 916

S548 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S521–S582
Objectives/aims The authors describe a clinical case of a 51-year-
old woman with rumination syndrome and bulimia nervosa.
Methods A detailed report of the clinical case was made as well
as a literature review of articles published in Pubmed/Medline on
the topic “Rumination syndrome” and “Merycism”.
Results The authors describe a clinical case of a 51-year-old
woman who began ruminative behavior when she was 10 years
old, describing the regurgitation of the swallowed food back to her
mouth shortly after eating and the re-chewing of it. She states that
the regurgitated food tastes the same as when she ate it and she
denies any pleasure associatedwith this behavior.When shewas 17
years old, by the time she was pregnant, she started bulimic behav-
ior and, as the rumination, it never ceased. Her medical history is
significant for chronic gastritis and type 2 diabetes mellitus.
Conclusions Although rare, merycism is an entity in the clinical
practice of eating disorders. With this work, the authors share this
case report as well as information concerning this topic.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0442
Non-invasive brain stimulation
treatment in a group of adolescents
with anorexia
F. Costanzo ∗, A. Maritato , D. Menghini , M.C. Castiglioni ,
V. Zanna , S. Vicari
1 Bambino Gesù Children’s Hospital, IRCCS, Department of
Neuroscience, Child Neuropsychiatry Unit, Rome, Italy
2 LUMSA University, Educational Science, Rome, Italy
∗ Corresponding author.
Introduction Anorexia nervosa (AN) is characterized eating
behaviors and body image disturbances. Given poor treatment out-
comes are available for AN, treatment innovations are urgently
needed. Recently, non-invasive neuromodulation tools have sug-
gested having potential for reducing AN symptomatology targeting
brain alterations.
Objectives The objective was to verify whether an excitatory
transcranial direct current stimulation (tDCS) over the left pre-
frontal cortex may aid in altering/resetting inter-hemispheric
balance in AN patients, re-establishing control over eating behav-
iors.
Aims Research is aimed to evaluate the potential of tDCS treat-
ment in determining a more rapid improvement compared to
classical treatments in adolescents with AN.
Methods Twenty-two adolescents with AN, underwent the treat-
ment as usual (AU) plus the tDCS treatment (TDCS + AU: n = 8,
age M 13.7 ± 1.9 years) or a family therapy (FT + AU: n = 14, age M
15.1 ± 1.75 years), for six weeks. Psychopathological scales (EDI-III,
EAT 26, BUT, MASC, CDI) and anthropometric indicator of nutri-
tional status (BMI) were assessed before and after treatment.
Results BMI improved only in the TDCS + AU group (P < 0.01).
Mean BMI percentage of improvement was 14.43% + 10.8 in the
TDCS + AU and 4.83% ± 5.4 in the FT + AU. Both groups improved in
the total scores of the EDI, EAT-26, MASC andCDI scales (all P < 0.01).
Conclusions tDCS treatment improved BMI values more than
classical treatment and determined comparable to the classical
treatment improvement in the psychopathological scales. This
results may be an important starting point to further explore the
beneficial effect of brain based treatments for AN.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0443
Body Image in Bariatric surgery
candidates
M.L. Rosta ∗, F. Porfiri , A. Zaccaria , G. Giannetti ,
M. Scoppetta , P. Giustacchini , A. Iaconelli , D. Chieffo ,
G. Mingrone , M. Raffaelli , L. Janiri
1 Università Cattolica del Sacro Cuore, neuroscienze, Roma, Italy
2 Università Cattolica del Sacro Cuore, patologia dellì’obesità, Roma,
Italy
3 Università Cattolica del Sacro Cuore, semeiotica chirurgica, Roma,
Italy
∗ Corresponding author.
Introduction Body image is a multidimensional concept that has
assumed a significant role in eating disorders in which affective
and perceptual distortions have been documented. Obesity is not a
psychiatric disorder according to DSM-5 but several studies high-
lighted the presence of body image diseases in obesity.
Objectives The aim of this work is to evaluate the presence of
body uneasiness in obese seeking for Bariatric surgery and to
correlate it with psychopathological symptoms, psychosocial and
anamnestic variables.
Methods From June 2014 to June 2016, we enrolled 537 Bariatric
surgery candidates. Body image was investigated using the Body
Uneasiness Test (BUT-A), a 34-itemself-report questionnairewhich
measures weight phobia (WP), body image concerns (BIC), avoid-
ance (A), compulsive self-monitoring (CSM), detachment and
depersonalization (D). Psychopathological symptoms and person-
ality traits have been evaluated using SCL90R and MMPI-2.
Results Descriptive analyzes showed that BUT subscales were
altered in most of our sample. Correlations of Pearson underlined
significant associations between BUT subscales and SCL90R sub-
scales. No correlation was found between BMI, marital status and
BUT scores, while young, female and unemployed people had more
difficulties with body.
Conclusions Our data highlight the presence of considerable body
uneasiness in obese, correlated with the severity of psychiatric
symptoms but independent fromthe severity of obesity. This seems
to reflect the mind-body split detected both in obesity and in eat-
ing disorders. Therefore, a multidisciplinary integrated approach
including psychological work on cognitive, emotional and percep-
tual aspects of body image will help patients to improve coping
with corporeal changes achieved through surgery.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0444
Sex-specific issues in eating disorders:
A clinical and psychopathological
investigation
G. Di Girolamo ∗, S. Valente , F. Cerrato , P. Scudellari , A.R. Atti ,
D. De Ronchi
Psychiatry, Department of Biomedical and Neuromotor Sciences -
Psychiatry- University of Bologna, Bologna, Italy
∗ Corresponding author.
Introduction Gender is crucial in many aspects of life, including
attitude towards body image perception. Although the well-known
female preponderance, recent studies demonstrate an increasing
EatingDisorders (EDs) incidence inmales but scant literature atten-
tion.
Aims This study aims to highlight the growing phenomenon of
EDs in males and shed light on sex-related clinical features and
psychiatric co-morbidities.
Method Out of 280 persons aged 18–74, consecutively referred
to Bologna’s outpatients EDs clinic, 267 were included in this ret-
rospective observational study.