European Psychiatry - Volume 41 - April 2017

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S560 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S521–S582
Introduction Breast cancer (BC)may cause problems on body per-
ception and awareness which can be perceived as a threat on body
attitude among women with breast cancer.
Objectives The Body Attitude Test (BAT) assesses subjective atti-
tude toward women’s own body.
Aim The aim of the present study was to develop the Turkish
version of the BAT and examine its reliability and validity.
Methods The study group (SD) consisted of 72 women diagnosed
with BC while 100 healthy women (HW). The women evaluated
by BAT, Eating Disorder Inventory (EDI) and Self Esteem Inventory
(SEI) in 7–10 days intervals. Internal consistency was determined
with Cronbach’s alpha coefficient. Factor analysis was conducted
on BAT ratings given by control group.
Results The mean age was 43.7 ±8.76 of women with BC while
46.4 ± 10.84 in HW. Mean duration of cancer was 2.4 ±0.7 years.
Factor analysis showed BAT was composed of two factors as body
dissatisfaction and lack of familiarity with one’s body. The BAT
demonstrates satisfactory level of internal reliability (˛ = 0.932).
BAT was related with EDI subscales: drive for thinness (r = 0.741,
P < 0.001), ineffectiveness ( r= 0.736, P < 0.001) and body dissatis-
faction (P = 0.718, P < 0.001) and SEI subscale: familial self-esteem
(r = -0.629, P< 0.001).
Conclusion The results support the validity and reliability of BAT
which is able to differentiate the clinical and non-clinical form of
subjective attitude toward women’s own body. Turkish version of
BAT could be used as an appropriate measure for assessing subjec-
tive attitude towards own body in women with and without breast
cancer in Turkey.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0479
Eating problems and body image
among Finnish adolescents
A. Sourander ∗ aezono
1 Child Psychiatry, Turku University, Turku, Finland
2 Turku University, Child Psychiatry, Turku, Finland
∗ Corresponding author.
Objective To study prevalence of self-reported body image and
eating distress symptoms among Finnish adolescents, and to study
associations between psychopathology, body image and eating dis-
tress.
Design Cross-sectional population-based, survey subjects, 7th to
9th grade students aged 13–15: 3154 in Finland in 2014.
Methods Data were collected by student self-reported ques-
tionnaire including scale designed for evaluating attitudes and
behaviors towards body shape and eating, and Strengths and Diffi-
culties Questionnaire (SDQ) for assessing emotional and behavioral
problems.
Results The female adolescents reported much more dissatisfac-
tion and concerns with their bodies than the males, high levels of
distress with body emotional, behavioral and peer problems mea-
sured with SDQ. Body image and eating problems were higher in
Finnish than Japanese females with peer problems.
Conclusion The finding was in accordance with previous studies
that found that body image and eating distress are associated with
to gender and wide range of psychiatric problems.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0480
Self-admission to in-patient
treatment: Patient experiences of a
novel approach in the treatment of
severe eating disorders
M. Strand ∗, C.M. Bulik , Y. von Hausswolff-Juhlin ,
S.A. Gustafsson
1 Stockholms Centre for Eating Disorders, Research and Development
Unit, Stockholm, Sweden
2 Karolinska Institutet, Department of Medial Epidemiology and
Biostatistics, Stockholm, Sweden
3 Örebro University, School of Medical Sciences, Örebro, Sweden
∗ Corresponding author.
Introduction The course of an eating disorder is often prolonged
and can lead to enduring disability for many years, with some
patients requiring lengthy periods of in-patient care. Unfortu-
nately, there is still little evidence concerning the optimal model
of in-patient care for these patients.
Objectives Self-admission is a novel treatment tool, whereby
patients who have high health care utilization are offered the pos-
sibility to self-admit to an inpatient ward for up to seven days,
because of deteriorating mental health or any other reason. Pur-
poses behind the model are to increase the availability of in-patient
care, to promote autonomy and agency, and to decrease total inpa-
tient care utilization.
Aims To investigate whether self-admission can be beneficial for
patients with severe eating disorders.
Methods Two beds out of eleven at a specialist eating disor-
ders inpatient unit were reserved for self-admission of well-known
patients. All participants were interviewed about their experiences
in the program at 6months.
Results Participants described an increased sense of agency and
safety in their everyday lives. Suggestions were alsomade, such as a
more active outreach approach in promoting admission, providing
a continual staff contact during the brief admission episode, and
offering a similar self-admission model for day treatment.
Conclusions Self-admission is a viable tool in the treatment of
severe eating disorders and can increase quality of life by providing
a safety net and promoting agency. However, logistical obstacles
must be addressed in order to promote a constructive use.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0481
EMDR therapy on trauma-based
restrictive eating cases
A.B. Yasar , F.D. Usta ∗, A.E. Abamor , S. Erdogan Taycan ,
B. Kaya
1 Haydarpasa Numune Egitim ve Arastirma Hastanesi, Psychiatry,
Istanbul, Turkey
2 Uskudar University, Clinical Psychology MsC, Istanbul, Turkey
3 Istanbul Sehir University, Psychology, Istanbul, Turkey
4 Terapi Tip Merkezi, Psychiatry, Antalya, Turkey
∗ Corresponding author.
Introduction Eating Disorders (ED) affect an individual’s physi-
cal and mental health with abnormal eating habits. Traumatic life
events may underlie the development of ED as many studies doc-
ument In the present study, we examined the effectiveness
of EMDR therapy that was originally used to treat Post-Traumatic
Stress Disorder (PTSD) n restrictive eating symptoms associ-
ated with trauma. Cases B.Ö. (18) and B.S. (20) came to the clinic
consecutively for resembling complaints about the sense of food
sticking in their throat, breathing difficulties, raised heart beat-
ings, unease to swallow, and choking fear. The patients revealed
past traumatic events about being out of breath while swallowing