European Psychiatry - Volume 41 - April 2017

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S694 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S645–S709
Results Seven nurses have voluntarily chosen their profession
and the others are not. Nurses’ sociotropy levels were 59.2 ±22.
Sixteen and autonomy levels were 83.9 ± 22.41. According to the
results of theMWU test (U = .0 P < .05), anxiety about disapproval of
eight undergraduate nurse (MR = 4.5) is lower than two graduated
from health school nurse (MR = 9.5). Five nurses stated that nurs-
ing is appropriate for their personal character. Six nurses stated that
nursing influenced the positive development of personal character.
With content analysis, similarities and differences between nurs-
ing identity and social identity, optimal behaviour in expressing
feelings of nurses and emotional habitus themes were reached.
Conclusions Nurse habitus is developed by both of individual
and structural factors which are complex and diversity. So, it
affects nurses’ career and motivation to provide services. That the
researcher assesses them from this aspect affects positively the
quality of care.
Keywords Nurse; Nursing; Emotional habitus;
Sociotropy-autonomy; Personality feature
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV0890
Further validation of the driver
behaviour
questionnaire – confirmatory factor
analysis in a Portuguese sample
J.F. Dourado , C. Marques ∗, A.T. Pereira , V. Nogueira ,
A. Macedo , A.M.C. Bastos Silva , A.J.M. Seco
1 Faculty of Sciences and Technology, University of Coimbra, CITTA,
Coimbra, Portugal
2 Faculty of Medicine- University of Coimbra, Department of
Psychological Medicine, Coimbra, Portugal
∗ Corresponding author.
Introduction The drivers are a central component of traffic sys-
tem, and their limitations, constraints, needs, motivation, level
of alertness, and personality define their behaviours on the road.
Understanding the determinants of the driver’s behaviour is crucial
to find solutions for the serious problem of road accidents.
Objective This study aims to investigate the reliability and the
construct validity of the Portuguese version of the driver behaviour
questionnaire (DBQ; Reason et al., 1990; Portuguese version: Cor-
reia, 2014), using exploratory and confirmatory factor analysis (EFA
and CFA) in a sample of Portuguese population.
Methods Participants answered an online survey including socio-
demographic questions and the DBQ. Inclusion criteria were:
driving license and regular driving for at least three years and age
lower than 75-years-old. The sample is composed of 747 partici-
pants [417 (55.8%) women; mean age = 42.13 ±12.349 years; mean
driving license years = 21.30 ±11.338; mean years of regular driv-
ing = 20.33 ± 11.328]. The total sample was randomly divided in
two sub-samples. Sample A (n = 373) was used to EFA and sample
B ( n = 374) was used to CFA.
Results The most acceptable model was the three-factor model
found with EFA, excluding items 1 and 24 ( 2/df = 2.01; TLI = .86;
CFI = .88; RMSEA = .05, P = .315). The internal consistency analysis
resulted in: infractions and aggressive driving, = .77; non-
intentional errors, = .73; lapses, = .71; total DBQ score, = .84.
Conclusions These results suggest that the Portuguese version
of the DBQ is a valid and reliable measure to assess self-reported
driver behaviour in the Portuguese population.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0891
Steroid-induced psychiatric
syndromes: A case report and a review
of the literature
R. Martín Gutierrez ∗, P. Suarez Pinilla , R. Medina Blanco ,
R. Landera Rodriguez , M. Juncal Ruiz , M. Gómez Revuelta ,
I. Madrazo del Río Hortega , O. Porta Olivares ,
J. González Gómez , R. Hernando Fernández
1 Hospital Universitario Marques De Valdecilla, Psychiatry,
Santander, Spain
2 Hospital Universitario Marques De Valdecilla, General Practicioner,
Santander, Spain
∗ Corresponding author.
Introduction Glucocorticoids are widely prescribed for a variety
of diseases and are known to cause neuropsychiatric as well as
somatic side effects.
Objective To review the incidence, clinical characteristics, course
and treatment of neuropsychiatric effects of glucocorticoids.
Aim We have described the case of a 86-year-old woman. She
had no personal and no psychiatric medical history in her family.
She presented wrist arthritis requiring high doses of an oral corti-
coid treatment (prednisona 20mg/d). After aweek, she startedwith
symptoms characterised by persecutory and surveillance delu-
sions. Organicity was ruled out. The patient got a progressive
recovery after starting anti-psychotic medication and progressive
reduction of the steroid drugs.
Methods We have performed a literature review of the neu-
ropsychiatric complications of glucocorticoids using the PubMed
database.
Results Neuropsychiatric effects of glucocorticoids involve affec-
tive, behavioural, and cognitive manifestations. The incidence is
variable, between 2 and 60% of patients who receive steroids.
Although the effects of glucocorticoids are unpredictable, the
administered dose is the most significant risk factor for the devel-
opment of neuropsychiatric symptoms. Dosage reduction typically
results in clinical recovery. Although the limited data on this sub-
ject, it is a problem that clinicians face on their regular basis. The
administration of anti-psychotics or mood stabilizers may be ben-
eficial in the prevention and treatment of this syndrome.
Conclusion The neuropsychiatric effects of glucocorticoids are
unpredictable and non-specific. More controlled trials are needed
in order to perform evidence-based clinical guidelines for the
treatment with glucocorticoids and for the prevention of neuropsy-
chiatric manifestations.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0892
Quality of life related to the health
and socio-economic resources of the
elderly
F. Daniel , A. Ferreira , H. Espírito-Santo , R. Monteiro ,
I. Massano-Cardoso ∗, A. Silva
1 Centro de Estudos e Investigac¸ ão em Saúde da Universidade de
Coimbra, Portugal, Coimbra, Portugal
2 Câmara Municipal de Miranda do Corvo, Portugal, Coimbra,
Portugal
3 Instituto Superior Miguel Torga, Centro de Investigac¸ ão do Núcleo
de Estudos e Intervenc¸ ão Cognitivo, Comportamental, Portugal,
Coimbra, Portugal
4 Centro de Estudos Sociais da Universidade de Coimbra, Portugal,
Coimbra, Portugal
5 Miguel Torga Institute e Faculty of Medicine of the University of
Coimbra, Portugal, Coimbra, Portugal
∗ Corresponding author.