European Psychiatry - Volume 41 - April 2017

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S556 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S521–S582
Results Adjusted CE prevalence in girls was 44%; with high-
est prevalence in bulimia nervosa. Average CE frequency was 3.9
times/week (SD = 2.6). Those with CE scored significantly higher
than non-CE on total ED severity, dietary restriction and nega-
tive perfectionism ( P< 0.001). There were only minor differences
between CE and non-CE patients on emotional distress, hyper-
activity, suicidality and self-esteem. Among boys, adjusted CE
prevalence was 38%, and only total ED severity was significantly
related to CE (P < 0.05). Initial CE did not impact prognosis, yet
cessation of CE during 1-year follow-up was associated with ED
remission.
Conclusions CE is a common clinical feature in adolescents with
EDs, as previously found in adults. CE had less detrimental impact
on EDs than predicted and cessation was associated with better
outcome.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0466
The role of enteroceptive awareness in
eating disorders: A study on a group of
binge eaters
G.M. Longo ∗, J. Falcone , R.M. Martoni , L. Bellodi , A. Ogliari ,
S. Erzegovesi
1 IRCCS San Raffaele, Department of Clinical Neurosciences, Milan,
Italy
2 Vita-Salute San Raffaele University, Faculty of Psychology, Milan,
Italy
∗ Corresponding author.
Introduction Enteroceptive awareness is defined as the ability to
perceive the body states. Such ability is provided by the enterocep-
tors, organs and structures specifically designated to receive both
internal and external stimuli. This capability, especially the percep-
tion of satiation, seems to be lacking in individuals suffering from
Eating Disorders and there is no procedure to increase this ability.
Objectives The primary purpose is to improve patient’s entero-
ceptive awareness. We tested whether patients diagnosed with
binge eating disorder (BED), while deprived of eyesight, would bet-
ter focus on their internal signals, such as the satiation feeling, and
therefore eat less and slower.
Methods For the first time, 29 patients with BEDwere deprived of
vision during a meal. In a standardized procedure, participants ate
two different meals, the first one while deprived of eyesight, the
second one, a week later, in normal conditions. Both the amount
of eaten food and the total time to complete the meal were taken
into account during each of the meals. The patients filled in a Visual
Analogue Scale (VAS) questionnaire at the end of eachmeal, in order
to evaluate the experience and their internal feelings.
Results The results show that patients suffering from BED, when
deprived of eyesight, eat less food, take more time to finish the
meal and experience the same level of satiation with respect to the
normal condition.
Conclusion This procedure could be of great interest for the
implementation of specific intervention protocols that are aimed
at the recovery of enteroceptive awareness in patients with eating
disorders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0467
Confirmatory factor analysis of the
eating attitudes test short version in
a sample of Portuguese women
C. Marques∗, A.T. Pereira , M. Marques , M.J. Soares , C. Roque ,
A. Macedo
Faculty of Medicine, University of Coimbra, Department of
Psychological Medicine, Coimbra, Portugal
∗ Corresponding author.
Introduction The Eating Attitudes Test-40 (EAT-40) is a valid
index of symptoms frequently observed in eating disorders. The
EAT-40 was adapted and validated for the Portuguese population.
Thereafter a short-version composed of 25 items selected from the
exploratory factor analysis (EAT-25) was developed. Apart from the
total score, the TAA-25 evaluates three dimensions: Diet, Bulimic
Behaviours and Social Pressure to Eat.
Objective To examine the factor structure of the EAT-25 using
confirmatory factor analysis (CFA) in a sample of Portuguese
women.
Methods The sample was composed of 433 women (mean
age = 36.07; SD = 15.15). CFA was used to test the model suggested
by prior exploratory factor analyses of EAT-25. AMOS software was
used.
Results After four items were deleted and some errors
were correlated, CFA indicated a good fit for the second-
order factor ( 2 /df = 3.066; CFI = 0.918; GFI = 0.883, RMSEA = 0.069;
P[rmsea ≤ 0.05] < 0.001). The 19-item TAA showed excellent inter-
nal consistency (˛ = 0.91) and the three dimensions presented good
Cronbach’s alphas (˛> 0.80).
Conclusions These findings suggest that the 21-item TAA model
obtained through CFA is a reliable and valid measure to assess dis-
ordered eating attitudes among women.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0468
Cognitive fusion: Maladaptive
emotion regulation endangering body
image appreciation and related eating
behaviours
M. Marta-Simões∗ erreira , A.L. Mendes
Faculty of Psychology and Education Sciences, University of Coimbra,
CINEICC, Cognitive-Behavioral Center for Research and Intervention,
Coimbra, Portugal
∗ Corresponding author.
Body image-related cognitive fusion is described as the percep-
tion that undesired and distressing internal events related to body
image are reliable representations of reality. Thismaladaptive emo-
tion regulation process is known for its impact on human suffering,
namely eating psychopathology. On the contrary, body apprecia-
tion is a positive body image construct, defined as an attitude of
acceptance and affection toward one’s body image characteristics,
despite some level of dissatisfaction. Although body apprecia-
tion associates negatively with several pathogenic processes, its
relationship with body image-related cognitive fusion is still unex-
plored. The present study intended to analyse the power of body
image related cognitive fusion regarding its impact on body appre-
ciation, and also on the engagement in disordered eating. The
study’s sample comprised 308 women, aged between 18 and 35.
A path model tested the mediator role of body image related cog-
nitive fusion in the relationship between body image dissatisfaction
and body appreciation, and eating disorders symptomatology, con-
trolled for the effect of body mass index.
The tested model accounted for 67% of the variance of disordered
eating. Body image related cognitive fusion appeared as a signifi-
cant mediator of the association between body dissatisfaction and
body appreciation. Body appreciation presented a significant direct
effect on eating disorders symptomatology. These findings high-
light the disturbing effect of cognitive fusion related to body image