European Psychiatry - Volume 41 - April 2017

673 / 916

25th European Congress of Psychiatry / European Psychiatry 41S (2017) S645–S709 S669
Objectives Can see the alterations of the executive functions in a
case of frontal affectation, for future cases knowwhere to focus our
attention and develop concepts associated with frontal lobe.
Method Thirty-year-old patient without relevant medical his-
tory. Go to the emergency department with major episode of
agitation. After performing cranial CT abnormality, it is detected
in the front area. Sign up study. It presents amnesia episode before
admission, whereupon shown stunned and worried. The patient
describes a change in your life 12 months ago, when it begins to
be more nervous, increasing their impulsiveness, she has episodes
of binge eating, purging behavior with subsequent occasional alco-
hol abuse. Jealousy. The patient is informed as much as your family
of the possible impact of the injury on the behavioral sphere and
impulse control when it is still unknown origin.
Conclusions From a neuropsychological point of view the frontal
lobes represent a systemof planning, regulation and control of psy-
chological processes; coordination and allow selection of multiple
processes and various behavioral options and strategies available
to the human being. Tumour research is important as it pro-
vides enough informationwe cognitive impairment. These patients
exhibit symptoms that are easily confused as psychiatric rather
than neurological.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0812
Changes of emotional status and
quality of life of early stomach cancer
patients after endoscopic submucosal
dissection (ESD)
S. Lee ∗, H. Lee , S.T. Oh , H.H. Jeon , W.J. Choi
1 NHIS Ilsan Hospital, Department of Psychiatry, Goyang, Republic of
Korea
2 Yonsei University College of Medicine, Department of Psychiatry
and Institute of Behavioral Science, Seoul, Republic of Korea
3 NHIS Ilsan Hospital, Department of Internal Medicine, Goyang,
Republic of Korea
∗ Corresponding author.
Introduction Cancer patients may encounter psychological dis-
tress, change of emotional status, and lowered quality of life. It is
predicted that similar changeswill be shown during the Endoscopic
Submucosal Dissection (ESD) of early stomach cancer. The objective
of this study is to evaluate changes of emotional status and qual-
ity of life over time depending on baseline level of psychological
distress.
Method Ninety-seven patients indicated with ESD who visited
National Health Insurance Service Ilsan Hospital in Korea between
May 2015 and June 2016 were evaluated. Psychological distress,
emotional status, and quality of life were evaluated at the day
before ESD. Follow-up evaluations of them were done at the day
after ESD, 2 and 10 weeks later.
Result The groupwith high psychological distress showed higher
female ratio, more depressive and anxiety symptoms than those of
the group with low psychological distress. Psychological distress
was related to stress level and lowered quality of life. Repeated
measures ANOVA analysis showed that significant differences of
depression (MADRS), anxiety (HAM-A), level of stress (GARS), and
quality of life (EORTC QLQ-C30) were sustained over time, but the
decreasing tendency of the differences between the groupswas also
noticed.
Conclusion The study revealed that patients who feel more psy-
chological distress may experience more depressive and anxiety
symptoms, increased level of stress, and lowered quality of life. We
recommend screening of patients with early stomach cancer for
psychological distress before ESD, which may improve subjective
life satisfaction of patients during ESD.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0813
Psychological effect of
semi-permanent tattooing
rehabilitation in patients with
mastectomy in 12months period
P. Argitis , P. Platari , K. Gatsiou , C. Chatzidai ,
K. Paschalidis ∗
1 University Hospital of Ioannina, Psychiatric Clinic, Serres, Greece
2 General Hospital of Corfu, Psychiatric Clinic, Corfu, Greece
3 Psychiatric Hospital of Thessaloniki, 2nd Psychiatric Clinic,
Thessaloniki, Greece
∗ Corresponding author.
Introduction Breast cancer is the most common cancer type in
Greek women as more than 4000 new cases are diagnosed every
year. Seventy percent of those patents performs a type mastec-
tomy. The breast has a societal and social connotation of femininity,
motherhood, and sexuality.
Background Several studies support the existence of the relation-
ship between psychological problems and mastectomy surgery.
Body image and feminine self-concept also seems to influence qual-
ity of life of those women, considering the breast association of
femininity, motherhood, and sexuality. During this study, we try
to investigate how a non-psychiatric intervention might influence
the mental state and the quality of life of those women.
Material A clinical interview was performed in 53 women with
partial or total mastectomy before 3 and 52 weeks after the reha-
bilitation with the method of semi-permanent tattooing.
Methods Data were collected during the personal interviews,
using Hamilton anxiety rating scale (Ham-A), body image scale and
sexual activity questionnaire.
Results Moderate levels of anxiety were identified before the
rehabilitation, associated with poor body image scale scores and
sexual difficulties. Both Ham-A and body image score ameliorated
after 3weeks with unchanged sexual behaviour. One year after
rehabilitation, anxiety scale score raises close to initial values, body
image remains unchanged, comparing with the 3rdweek interview
and significant improvement noticed in sexual activity.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0814
Pregabalin pain and anxiety treatment
in oncological patient–Case report
D. Popovic ∗, D. Pavicevic
1 Psychiatric Practice and Consultative Service, General Hospital
Petrovac na Mlavi, Petrovac na Mlavi, Serbia
2 Clinic for mental disorders “Dr Laza Lazarevic”, Intensive Care Unit,
Belgrade, Serbia
∗ Corresponding author.
Severe side effects of chemotherapy during treatment of malignant
disease significantly disrupt patient’s mental and physical state.
Seventy five-years-old female patient was treated for breast can-
cer by protocol (operation, radiotherapy, chemotherapy-paclitaxel
(CHT-PX) every tree weeks) and for dysthymia and generalized
anxiety disorder with escitalopram (ESC). Tramadol (TRA) and
clonazepam (KLO) given by oncologist due to severe side effects
of CHT-PX: muscle cramps, lower back pain, walking difficulties,
had partial results, increased anxiety and drug abuse (TRA doses
increase from 100 to 300mg/day and KLO from 4 to 6mg/day).
Efficiency of pregabalin (PG) in pain and anxiety control during