European Psychiatry - Volume 41 - April 2017

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S908 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S847–S910
5 Capri Cardiac Rehabilitation, Treatment, Research, Rotterdam,
Netherlands
∗ Corresponding author.
Introduction Five to 8% of women of reproductive age suffer from
moderate to severe symptoms of premenstrual syndrome associ-
ated with substantial distress or functional impairment.
Objective To determine the efficacy, tolerability and acceptability
of Vitex agnus castus (VAC, chaste-berry) preparations for treat-
ment of premenstrual syndrome (PMS).
Methods After an extensive literature search all randomized con-
trolled trials of VAC in women with PMS and/or premenstrual
dysphoric disorder were included.
Results We found 17 randomized controlled trials of VAC in the
treatment of PMS of which 14 studies could be included in the
quantitative analysis. All trials, except one, found the Vitex agnus
castus preparation to be more efficacious than placebo, pyridox-
ine and magnesium for either total symptom score or individual
symptoms or symptom clusters. Unfortunately, the majority of tri-
als is hampered by a high risk of bias. The pooled effect of VAC
in placebo-controlled trials was large (Hedge’s g: −1.21; 95% CI:
−1.53 to −0.88), but heterogeneity extremely high (I2 = 91%). We
could not single out distinct factors that could explain this hetero-
geneity. The funnel plot and Egger’s tests suggest the presence of
bias over the full set of studies and effect sizes.
Conclusion Although meta-analysis shows a large pooled effect
of VAC in placebo-controlled trials the high risk of bias, high hetero-
geneity and risk of publication bias of the included studies preclude
a definitive conclusion. The pooled treatment effects should be
viewed as merely explorative and, at best, overestimating the real
treatment effect of VAC for PMS symptomatology.
Disclosure of interest P.S. reports personal fees from H. Lundbeck
A/S, outside the submitted work. The other authors have not sup-
plied their declaration of competing interest.
EV1534
Body shape perception among obese
Tunisian women
R. Sellami , M. Moalla , L. Affes , I. Feki , F. Mnif , M. Abid ,
J. Masmoudi ∗
1 Hedi Chaker Hospital, Psychiatry A, Sfax, Tunisia
2 Hedi Chaker Hospital, Endocrinology, Sfax, Tunisia
∗ Corresponding author.
Introduction In today’s societies, pressures from the idea of thin-
ness are omnipresent and lead to a corporal dissatisfaction with
an excessive preoccupation of the body’s image. Obese persons
are often targets of stigmatization and are vulnerable to negative
feeling about their physical appearance.
Aims To evaluate the worries towards the weight and the shape
of the body among obese women.
Methods Our study was a transversal study, descriptive and ana-
lytic. A total of 42 obese women were included. Obesity was
defined by body mass index (BMI) ≥ 30 and divided into 3 classes:
class I: moderate obesity (30 ≤ BMI≤ 34.9); class II: severe obe-
sity (35 ≤ BMI≤ 39.9); class III: morbid obesity (BMI≥40). Patients
were studied by mean of body shape questionnaire (BSQ-34) (Con-
sidering score BSQ < 80 lack of altered body image perception and
score > 140 excessive preoccupation).
Results The mean age of participants was 33.6 years. The average
BMI was 37.42 kg/m2 (30.45–56.26 kg/m 2). Third (35%) of women
had a high educational level, 41.4% were inactive, and 70.8% had an
average socioeconomic level.
The average BSQ score was 108.31 (47–188). The majority of
women (78.1%) had excessive preoccupation about their body
image. The BSQ score was correlated to morbid obesity (P = 0.014).
Women aged between 20 and 3 years were significantly more pre-
occupied about their body image (P = 0.046).
Conclusion Majority of obese women were preoccupied about
their body image. Young women and those having morbid obesity
seemed more preoccupied about their body image.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1535
Spectrum of medical and social
problems in the female opium addicts
F. Shigakova
Tashkent Institute of Postgraduate Medical Education, Department of
psychiatry and Psychotherapy, Tashkent, Uzbekistan
Aim The work was initiated to study peculiarities of medical and
social problems of the female opium addiction.
Materials and methods We examined 56 female opiate addicts
aged from 18 to 56 (mean age 31.8 ±1.09 years) hospitalized at the
tertiary detox center (Tashkent). Twenty of the examinees (35.7%)
were managed for the first time, 36 patients (64.3%) being treated
iteratively.
Results and discussion Seventeen women were employed, only
three of them were working in their specialization. Thirty-nine
patients were either unemployed or engaged in the unskilled
labor, that is, the one being out of tune with their education
level. Eight examinees served penal servitudes, eleven women
being detained without imprisonment. The findings reflect disor-
ders in social adaptation of the most examinees. Drug addiction
onset time varied from 19 to 25 years (22.1 ± 1.12 years in the
average), but the age range from 20 to 23 was the most fre-
quent one. Duration of episodic taking ranged from 1 month to 2.5
years (2.4± 0.7 months in the average). In 10 patients (20%) with-
drawal syndrome has formed rapidly, in 1–2 months. Drug dose
is partially associated with a patient’s ability to pay and heroin
accessibility.
Almost half of our 56 examinees had drug using husband, cohab-
itant or sex partner. Quality of remissions was found to greatly
depend on a drug using sex partner.
Conclusions Medical and social consequences of the female drug
addiction are quite severe to mention early psycho-social disadap-
tation, prostitution and illegal actions, including thefts, document
forgery, drug pushing.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1536
Impact of emotional intelligence on
level of academic achievement in a
sample of Saudi female medical
student
E. Soliman ∗, A. Fayed , E. Al Mussaed , H. Alawad , D. Elradi
1 Faculty of Medicine, Zagazig University, Egypt, College of Medicine,
Princess Nourah Bint Abd-Elrahman University, Riyadh, KSA,
Psychiatry Department, Alexandria, Egypt
2 College of Medicine, Princess Nourah Bint Abd-Elrahman University,
Riyadh, KSA, Clinical Department, Riyadh, Saudi Arabia
3 College of Medicine, Princess Nourah Bint Abd-Elrahman University,
Riyadh, KSA, Department of Basic Science, Riyadh, Saudi Arabia
∗ Corresponding author.
Background Emotional intelligence (EI) assessment has become
an effective technique in exploring individual competencies. In
the medical educational, there is a growing evidence for relation
between academic achievement and emotional intelligence.
Objective To examine relation between academic achievement
and emotional intelligence among medical students.