European Psychiatry - Volume 41 - April 2017

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S878 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S847–S910
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1440
What are the predictors of success in
smoking cessation program?
D. Sarikaya Varli ∗ . Cenker . Ercan arlik
T. Uyar
1 Kackar State Hospital, Department of Psychiatry, Rize, Turkey
2 Rize Recep Tayyip Erdo˘gan University, Department of Psychiatry,
Rize, Turkey
3 Bakirkoy Mental Health and Neurological Diseases Education ve
Treatment Hospital, Department of Psychiatry, Istanbul, Turkey
4 Kackar State Hospital, Department of Neurology, Rize, Turkey
∗ Corresponding author.
Smoking is the most important avoidable cause of morbidity and
premature mortality in the European Union and other countries.
Identification of individual characteristics that predict success
in smoking cessation is highly desirable. Psychological determi-
nants of smoking cessation, especially depression and anxiety
disorders are associated with a higher prevalence of smoking, a
higher rate of nicotine dependence, and elevatedwithdrawal symp-
toms. In this study, we aimed to identify the determinants that
effect the smoking cessation program success. We scanned 232
patient files, who attended between February 2016–June 2016 in
Smoking Cessation Program in a State Hospital. The patients who
have applied at least two times to unit were included to study.
Phone calls were done 6months after first admission to check the
status of smoking. Then we compared sociodemographic charac-
teristics, nicotine dependence levels and psychological symptoms
of patients. Sociodemographic Data Form, Fagerstrom Nicotine
Dependence Scale and Symptom Check List-90 were done with
every patient. It is important to determine the predictors to quit
smoking for smoking cessation program. In many studies, the level
of nicotine dependence has been identified as the main predictor
of successful smoking cessation. It is known that the psychiatric
co-morbidity is related with low success in this program. Deter-
mining psychiatric co-morbidity and treating this will be effective
for success of smoking cessation.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1441
Alexithymia in patients with
substance use disorders
R. Sellami , M. Moalla , I. Feki , S. Hentati , J. Masmoudi ∗, A. Zahaf
Hedi Chaker Hospital, Psychiatry A, Sfax, Tunisia
∗ Corresponding author.
Introduction Alexithymia is considered as a deficit in emotion
processing. It includes difficulty to identify and describe feelings
as well as discriminate between feelings and physical sensations.
Alexithymia may be a risk factor for substance use (SUD).
Objectives The objective of this work is to identify the prevalence
and correlates of alexithymia among patients with SUD.
Methods This study concerns 40 subjects who were hospitalized
in a rehabilitation center in Sfax. The subjects completed a form
investigating sociodemographic and drug use characteristics. Alex-
ithymia was assessed using the Toronto Alexithymia Scale TAS-20
a. The TAS-20 have three factors: difficulty in identifying feelings
(F1), difficulty in describing feelings (F2), and externally oriented
thinking (F3).
Results The mean age of 30.86 ± 8.07 years. The mean score of
alexithymia was 65.39 ±9.65 (42 →83). The scores of its dimen-
sions were 25.3 ± 6.10 for F1, 17.16± 3.3 for F2 and 23.16 ± 3.18
for F3. The prevalence of alexithymia was 62.8% among addicts.
High alexithymic patients did not differ from low or moderate
alexithymic patients in terms of, employment, education or the
type of substance. TAS-20 was correlated to socio-economic status
(P = 0.002). No correlation was observed between age and alex-
ithymia (total TAS-20) when measured as a continuous variable
(P = 0.802). High alexithymic patients exhibited a higher prefer-
ence for poly-substance use comparedwith no alexithymic patients
(P = 0.05).
Conclusion Findings suggest that alexithymia is frequent in SUD
patients. It should be noted in clinical practice that many patients
with SUD may have a reduced capacity to identify and describe
feelings during detoxification.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1442
An unusual case of ‘laughing gas’
addiction in Singapore
A. Selvaraj ∗, K.E. Wong
Institute of Mental Health, National Addictions Management Service,
Singapore
∗ Corresponding author.
Objective Recreational use of nitrous oxide (N20) or ‘laughing gas’
inhalation is a common phenomenon in countries like UK and US
where it is associated with music festivals and parties. However, as
far as we know, recreational N20 use in Singapore has hitherto not
been reported in the press or scientific journals. We report the first
case of N2 0 use and addiction in a young Singaporean male who
was introduced to it by a friend from a Western country where its
use is prevalent.
Methods A 20-year-old Singaporean male with an existing psy-
chiatric diagnosis of major depression, presented with a 3 year
history of solitary regular N20 inhalation that escalated from infre-
quent lowdose use to the current daily high-dose use which he was
unable to control. He exhibited symptoms of dependence — includ-
ing preoccupation, tolerance, withdrawal and difficulty in cutting
down. No major adverse medical complications were noted so far.
Results The patient was assessed to have Nitrous Oxide Depen-
dence; and is currently undergoing regular counselling sessions in
an attempt to motivate him to cut down or stop his N20 use.
Conclusion This case is unique for 2 reasons:
– extant literature suggests that only anectodal evidence exists
for psychological dependence of N20 in Singapore; yet our patient
clearly demonstrates psychological dependence;
– this is the first reported case of N20 use disorder in Singapore;
and perhaps ASEAN, with the unusual presentation in a youngmale
whose use is solitary and private.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1443
Readiness to change, insight and
motivation in hospitalized
alcohol-dependent patients in three
countries
M. Slepecky ∗, V. Stanislav , A. Kotianova , M. Kotian ,
J. Ryniak , B. Betkovka Korpala , M. Zatkova , M. Popelkova ,
J. Prasko , K. Latalova
1 Constantine the Philosopher University in Nitra, Psychology,
Liptovsky Mikulas, Slovak Republic
2 OLUP n.o.Predna Hora, Psychiatry, Predna Hora, Muranska Huta,
Slovak Republic
3 Psychagogia s.r.o., Psychology, Liptovsky Mikulas, Slovak Republic