European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S847–S910 S869
traits characterized by perfectionism, narcissism and neuroticism.
Overload injuries (e.g. stress fractures) and impaired interpersonal
relations are reported. In a treatment context, low compliance is
described as a challenge. Thus, motivational interviewing is rec-
ommended, and also cognitive behavioural therapy is suggested for
treatment. None of these interventions have yet been scientifically
evaluated in addicted exercisers.
Conclusion This review concludes that exercise addiction has
links to psychopathology and increases the risk of injuries. More
research is needed to estimate the level of psychosocial and
physiological distress in these athletes. Controlled treatment inter-
ventions have to be conducted.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1413
Therapy workshop: Experience of the
senses
E.M.B. Lira ∗, S.C. Vasconcelos , C.S.L.D. Piagge , S.O. Luna ,
V. Silva Nascimento , F.P. Silva , A.G.M. Oliveira ,
E.C.O. Ribeiro , I.S. Frazão
1 PROCAPE Hospital, Surgical Ward, Recife, Brazil
2 Federal University of Paraíba UFPB, Nursing, João Pessoa, Brazil
3 Federal University of Paraíba UFPB, Dentist, João Pessoa, Brazil
4 Psychosocial Care Center for alcohol and other drugs, Health
Secretary, Recife, Brazil
5 Federal University of Pernambuco, Neuropsychiatry, Recife, Brazil
6 Federal University of Pernambuco, Nursing, Recife, Brazil
∗ Corresponding author.
Introduction The psychoactive substances consumptionmodifies
the users’ sense-perception.
Objectives Discuss the therapeutic workshop as a stimulation
strategy of the sense organs.
Methodology The activitieswere developed at a Center of Psycho-
Social Attention for alcohol and other drugs – CPSAad, located in
north-eastern Brazil. The therapeutic workshop was divided into
six sessions; being worked a sense organ in each meeting. Initially,
the sessions were explained and they entered the room in silence.
At first, vision and lastly, taste. The taste dynamic session was ini-
tiated by the pool where users experienced different flavours and
made distinctions between them, including a food without flavour,
experiencing feelings of pleasure and displeasure. This dynamic
was finalized in the institute’s kitchen with different ice cream
flavours. The participants freely served themselves, being led to
reflections on their choices of pleasure. The sixth session was con-
stituted by listening about all Therapy Workshop Experience of the
Senses, onwhich participants reported emotions and feelings expe-
rienced during the sessions, such as: fear, anxiety, craving, denial,
pleasure and displeasure.
Results It was identified a universe of sensations that can be
translated into a sense-perception reframing about themselves and
their surroundings.
Conclusion The participants presented a sensory dullness, relat-
ing the experienced stimuli to the consumption of psychoactive
substances, demonstrating a strong equivalence between the pro-
posed activity and substance dependence. This activity enabled an
interdisciplinary approach, through knowledge and interventions
exchange.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1414
Prescription opioid abuse, addiction
and psychopathology in a pain clinic
A.I. López Lazcano ∗, L. Ortega , A. Fauli , C. Busquets , A. Lligo˜na
Hospital Clínic de Barcelona, IDIBAPS, Psychiatry, Barcelona, Spain
∗ Corresponding author.
Introduction There has been an escalation of therapeutic use and
abuse of opioids. Aberrant drug related behaviors (ADRB) have
prevalence between 2.8% and 62.2% in chronic pain patients treated
with opioids and dependence is estimated around 3.27%.
Objectives To estimate the prevalence of dependence, ADRB, risk
of opioid abuse, and co-occurring disorders in patients with chronic
pain in our environment.
Methods A total of 115 (n = 115) patients attending our pain clinic
were screened to evaluate the risk of opioid abuse and presence
of dependence including a clinical interview, hamilton depression
scale (HAD), opioid risk tool (ORT), diagnostic criteria for substance
abuse and dependence (DSM IV-TR) and a checklist of ADRB.
Results Among the patients, 78.26%were taking opioids, aberrant
opioid related behaviors were detected in 20% and 8.9%met criteria
for abuse or dependence; 11.3% had high risk and 20%moderate risk
of opioid abuse (ORT). The most prevalent substance use disorders
were sedative (11.3%) and alcohol (5.2%). There was a significant
difference in means (t = -3.20 P < 0.005) in ORT scores between
patients with current opiod dependence (x = 7.70 [s.d. = 3.07]) and
without it (x = 2.88 [s.d = 3.58]); 30.4% had anxiety, 20% depression
and 3.5% adjustment disorders; 57.5% and 48.3% had a score > 10 on
anxiety and depression respectively on the HAD.
Conclusions A systematic screening of risk of opioid abuse and
of dependence as well as psychotherapy to treat comorbid psy-
chopathology should be part of the treatment protocol.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1415
Cannabinoid hyperemesis syndrome:
A Parisian case series
M. Marillier ∗, A. Batisse , C. Chevallier , L. Laviale , S. Djezzar
1 Groupe hospitalier Lariboisière–Fernand-Widal,
CEIP-Addictovigilance, Paris, France
2 Santé publique France, Addictions drogues alcool info service
ADALIS, Paris, France
∗ Corresponding author.
Introduction Currently, cannabis remains the most widely used
illicit psychoactive substance in the world. Its main pharmacolog-
ical properties are known and its use for therapeutic purpose is
still expanding. Also, its acute and chronic toxicity become more
described, even if some mechanisms of pharmacotoxicology still
remain to clarify as the cannabinoid hyperemesis syndrome (CHS).
Objectives To describe cases of CHS, to highlight the clinical pre-
sentation and all the complexity of the medical exploration for
making an accurate diagnosis.
Method We present a case series of CHS related to cannabis use
and notified to the Parisian addictovigilance center.
Results Eight cases were collected between 2011 and 2016. The
users are almost exclusively men (7/8), with a median age of
31 years and some of them present a history of psychiatric dis-
order. All of them report important daily cannabis consumption
(up to 15 joints by day) with duration of consumption averaged at
10 years. All patients present recurrences of clinical signs of the syn-
drome including vomiting (8/8) and abdominal pains (8/8) leading
to repeated hospitalizations. Despite the presence of compulsive
taking hot showers notion (7/8), specific sign of the CHS, its diag-
nosis were made by a physician in 5 cases. Carried out medical