European Psychiatry - Volume 41 - April 2017

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S876 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S847–S910
Method To examine the relation between changes in the sales of
alcohol and alcoholism/alcoholic psychoses incidence/prevalence
rates across the study period a time-series analysis was performed.
Results According to the results, alcohol sales is a statistically sig-
nificant associated with alcoholic psychoses incidence/prevalence
rates, implying that a 1 litre increase in per capita alcohol sales
is associated with an increase in the alcoholic psychoses inci-
dence/prevalence rates of 17.6% and 14.0% correspondingly. The
association between alcohol sales per capita and alcoholism inci-
dence/prevalence rates was also positive, but statistically not
significant.
Conclusion These findings suggest that the alcoholic psychoses
incidence/prevalence rates are the reliable indicators of alcohol-
related problems at the population level. The outcomes of this study
also provide indirect support for the hypothesis that the dramatic
fluctuations in the alcoholic psychoses incidence/prevalence rates
in Russia during the last decades were related to the availabil-
ity/affordability of alcohol.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1435
Cognitive impairment associated with
drug use in old age people
E. Ros-Cucurull ∗, C. Cardona-Rubira , E. García-Raboso ,
R.F. Palma-Álvarez , L. Grau-López , C. Daigre ,
L. Rodríguez-Cintas , M. Sorribes-Puertas ,
R. Martínez-Arias , A. Cuautle , M.B. Ortiz-Medina ,
C. Fadeuilhe , C. Jacas , M. Casas , C. Roncero
1 Vall Hebron University Hospital, Addiction and Dual Diagnosis Unit,
Barcelona, Spain
2 Autonomous University of Barcelona, Psychiatry Department,
Barcelona, Spain
3 Vall Hebron University Hospital CIBERSAM, Psychiatry Service,
Barcelona, Spain
4 Vall Hebron University Hospital CIBERSAM, Neuropsychology
Service, Barcelona, Spain
5 Adult Psychiatry Outpatient Unit IAS, Psychiatry Service, Gerona,
Spain
6 Hospital de la Merced, Department of Old Age Psychiatry,
Barcelona, Spain
∗ Corresponding author.
Introduction Substance use disorder is a growing phenomenon
among old adults. It is usually significantly undervalued, misiden-
tified, under diagnosed and poorly treated. It has been related to
cognitive impairment but there are few studies focused on the
elderly.
Aim To evaluate the relationship between drug use and cognitive
impairment in old adults.
Methods We conducted a prospective study (basal and 6month
follow up) in 67 patients over 65 years old seeking for treatment
for drug misuse (alcohol and prescription drugs, mainly benzo-
diacepines) in addiction and dual diagnosis unit in Barcelona. A
specific protocol was performed to evaluate attention, executive
function, workingmemory, learning capacity, fonetic and visual flu-
ency, decision-making, visual construction and cognitive flexibility
(FCT, CPT-II, N-BACK, COWAT FAS, TAP, SDMT, IGT, CVLT, TOL, RFFT,
STROOP). Patients were compared with a control group (healthy
non drug users) with same characteristics (gender, age range and
education status). The protocol consisted in two separated sessions
of 90minutes each one performed by a neuropsychologist.
Results Results obtained suggested that patients under drugmis-
use had worse scores in fluency, visual construction, memory and
attention compared with controls. After 6month treatment and
achieving abstinence patients improve in cognitive skills as verbal
learning, short-termmemory and free recall of verbal information.
Cognitive impairment profile changes depending on the substance
abused (alcohol or benzodiacepines).
Conclusions Drug use can produce deleterious effects in old
adults. However, those who achieve abstinence may improve some
cognitive functioning as verbal learning, short-term memory and
free recall of verbal information.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1436
Psychological approach in headache
patients with pain medication misuse
in an outpatient center for drug
treatment in Barcelona
E. Ros-Cucurull ∗, M. Perea , D. Romero ,
R.F. Palma-Álvarez , P. Pozo-Rosich , M. Torres-Ferrús ,
L. Grau-López , A.C. Abad , N. Martínez , A. Esojo ,
M. Robles-Martínez , C. Roncero
1 Vall Hebron University Hospital, CIBERSAM, Psychiatry Service,
Barcelona, Spain
2 Vall Hebron University Hospital, Addiction and Dual Diagnosis Unit,
Barcelona, Spain
3 Autonomous University of Barcelona, Psychiatry Department,
Barcelona, Spain
4 Parc Taulí Hospital, Psychiatry Service, Sabadell, Spain
5 Vall Hebron University Hospital, Headache Outpatient Unit,
Department of Neurology, Barcelona, Spain
∗ Corresponding author.
Introduction Pain medication misuse is commonly found in
patients under headache treatment and may produce co-morbid
anxiety and depressive symptomatology. Management of this issue
requires a comprehensive and integrative treatment including psy-
chotherapy. Group interventions have been scarcely studied in
addictive disorders, those interventions aims to decrease drug mis-
use and improve related psychiatric symptoms.
Aim To study the efficacy of group interventions base on
cognitive-behavior approach in patients with painmedicationmis-
use.
Method Patients with painmedicationmisusewere included and
were evaluatedwith BDI, STAI, SF36 and HIT scales (basal and at the
end of treatment sessions). Patients were recruited from headache
outpatient unit. Twelve sessions of one hour were performed with
a cognitive-behavior approach (weekly).
Results We present preliminary results about the efficacy of
group interventions in patients with pain medication misuse.
Descriptive results pre- and post- treatment were analyzed in
depressive symptoms (M= 20.14, SD = 12.25; M= 14.67, SD = 19.50)
and in areas of quality of life: physical functioning (M= 48.75,
SD = 31.13; M= 60.50, SD = 41.68), bodily pain (M= 12, SD = 9.25;
M= 42.75, SD = 34.09), general health perceptions (M= 25.75,
SD = 16.96; M= 44.25, SD = 22.33), vitality (M= 33.75, SD = 13.82;
M= 48, SD = 34.82).
Conclusions Pain medication misuse is commonly found in
chronic headache patients, consequently worst outcomes for both
pathologies. Group interventions may be useful in management of
pain, anxiety and other co-morbidities. Furthermore, it may favor
drug use decrease and even abstinence.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.