European Psychiatry - Volume 41 - April 2017

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S784 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S772–S846
disorder, Otto Kernberg took its basic techniques but used them
adjusted for borderline personality disorder, developing so called
transfer focused psychotherapy. This paper will present the main
principles of this modification, applied in practice.
Keywords Borderline personality disorder; Transfer focused
psychotherapy; Therapy principles.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1165
Psychosomatic inpatient treatment
achieves in the medium term
sustainable clinical improvement as
well as a reduction in utilization of
medical services-results of a one-year
follow-up
J. Valdes-Stauber ∗, S. Merath , S. Krämer
1 Zentrum für Psychiatrie Südwürttemberg, Department for
Psychiatry and Psychotherapy I- University Ulm, Ravensburg,
Germany
2 General Practitioner, Private practice, Waldburg, Germany
∗ Corresponding author.
Background The research on sustainability of effectiveness of
inpatient psychosomatic treatment is necessary for epidemiologi-
cal and economic reasons as well as towards their legitimacy.
Objectives and aims To investigate whether the achieved clinical
improvement by the inpatient treatment continues one year after
discharge and whether the utilization of medical services display
a significant reduction post-discharge compared to the year before
admission.
Methods Naturalistic 1 year follow-up study of a cohort (n = 122).
Three measuring time points: T1 (discharge), T2 (6months after
discharge; drop-out rate about 33%), T3 (12months after discharge;
drop-out rate about 49%). Assessment by means of standardized
tests of changes in clinical variables, self-efficacy, quality of life,
and personality between discharge and one year after discharge.
Utilization variables (hospital days, days of incapacity, medication
and doctor visits) were compared with ranges in the year before
admission.
Results Improvements at discharge in general functionality, psy-
chological and somatic stress, depressiveness, bitterness level,
quality of life and self-efficacy remain one year after discharge sus-
tainably. Furthermore, hospital days, days of incapacity, number
of doctor visits and of prescribed drugs decreased significantly in
comparison with the year prior to admission.
Conclusions Inpatient psychotherapy is effective not only in
short-term but also in medium-term. One year after discharge
clinically improvement at discharge time-point remains stable
and the utilization of medical services decreased significantly.
Longer periods of observation, identification of risk groups and
of resilient prognostic factors, as well as ensuring post-discharge
care are necessary in order to prevent relapses and to made early
interventions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1166
Cognitive behavioral therapy in
Internet addiction – A case series
D. Vasile ∗, O. Vasiliu , D.G. Vasiliu , F. Vasile
1 Central University and Emergency Military Hospital “Dr. Carol
Davila”, Psychiatry, Bucharest, Romania
2 Coltea Clinical Hospital, Internal Medicine, Bucharest, Romania
3 University of Medicine and Pharmacy Titu Maiorescu, General
Medicine, Bucharest, Romania
∗ Corresponding author.
Internet use increased significantly in the last decade through the
development of portable technologies, like laptops, smart-phones,
tablets etc. Time spent on Internet could became a problem for
many users, some of them reporting a sense of control loss, as
they begin to stay more on-line than they initially wanted. Gam-
ing, shopping, gambling, social networking, visiting pornographic
sites, e-mailing, all these activities could transform an appar-
ently inoffensive mean of communication into the trigger of a
behavioral addiction. We applied individual cognitive-behavioral
therapy (CBT) in three cases of Internet addiction, with cognitive
re-structuring based on a diary of dysfunctional thoughts, relax-
ation techniques, and coping skills training, with good results.
CBT was structured in bi-weekly sessions, of 30minutes duration,
for 6weeks. Time spent on-line and daily functioning were the
main variables monitored. A very important issue is to address all
potential factors that could maintain the disorder, like social skills
deficits, personality disorders, other co-morbid addictions, anxiety
or depressive symptoms etc. Elements of motivational interview
could be helpful especially at first visit, but also during therapy,
when danger of relapse surfaces. Cue exposure with prevention
of response is another technique that had proven itself useful in
several sessions, when automatic thoughts challenge appeared to
have reached a dead point. An informant like a close relative of the
patient should be involved in the therapy whenever possible, due
to the fact that Internet addiction therapy, like any other addiction
therapy, need a third party to offer feed-back regarding patient’s
changes under treatment.
Disclosure of interest The presenting author was speaker for Astra
Zeneca, Bristol Myers Squibb, CSC Pharmaceuticals, Eli Lilly, Janssen
Cilag, Lundbeck, Organon, Pfizer, Servier, Sanofi Aventis and partic-
ipated in clinical research funded by Janssen Cilag, Astra Zeneca, Eli
Lilly, Sanofi Aventis, Schering Plough, Organon, Bioline Rx, Forenap,
Wyeth, Otsuka Pharmaceuticals, Dainippon Sumitomo, Servier.
e-Poster viewing: Quality management
EV1167
The quality of life at disabled child’s
parents
F. Cavo ∗, A. kurti
Orthodoxis, Autism Rajonal Center, Tirana, Albania
∗ Corresponding author.
This study is focused on presenting the quality level of the life of
parents with disabled children and the determination if there are
any differences between parents that are in a treatment process
and those that have just started this treatment for their children.
Another aspect where this study is focused, are the indicators of
life quality. A sample made by disabled children parents (n = 100),
who are in “QKZHMT” center in Kombinat and PLM in Vlora, under-
went the measuring instrument with a total of 40 self reporting
allegations as well as, they became part of the focus groups how
they present differences in applied conditions of the compound
factors of life quality. In this study the research question was: “are
there differences in the reported levels of parents with disabled
children life quality who have just started the children treatment
program with those who have started it six month ago?” Part of
the quality focus was: “the differences and similarities exploration
of the parenting experience of the parents with disabled children”.
These conclusions where reached, affected by the comparative
statistical analysis conducted in this study, that there are no