European Psychiatry - Volume 33 - March 2016

116 / 812

S112 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S72–S115
compared to 38.5% of Madrid patients, and 57.8% of Boston patients
had any ER use in the last year vs. 50% of Madrid patients.
Conclusions SD is correlated with SUD and comorbid patients are
more likely to use emergency services.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
FC98
Sensory hypersensitivity predicts
reduced sleeping quality in patients
with major affective disorders
G. Serafini ∗, B. Engel-Yeger , X. Gonda , M. Pompili ,
Z. Rihmer , M. Amore
1 University of Genoa, Neuroscience DINOGMI, Genoa, Italy
2 Faculty of Social Welfare and Health Sciences, University of Haifa,
Occupational Therapy, Haifa, Italy
3 Kutvolgyi Clinical Center, Semmelweis University, Clinical and
Theoretical Mental Health, Budapest, Hungary
4 Sant’Andrea Hospital, Sapienza University of Rome, Neuroscience,
Rome, Italy
∗ Corresponding author.
Introduction Major affective disorders ranging from subthres-
hold affective temperaments to severe affective diseases and
anxiety, are frequently associated with sleep–wake dysregulation.
Interestingly, recent studies suggested an active role of Sensory
Processing Disorders (SPD) in the emergence of sleep disturbances.
Objectives The objective of this study was to investigate the rela-
tionship between SPD and sleep quality in subjects with major
affective disorders and specific affective temperaments.
Aims This study aimed to examine the sensory profile (expressed
in hypersensitivity or hyposensitivity) of patients withmajor affec-
tive disorders and its relative contribution to the prediction of sleep
quality while also considering affective temperaments and depres-
sion, known as factors that may impact sleep quality.
Methods We recruited 176 participants (mean age = 47.3) of
which 56.8% have unipolar depression and 43.2% bipolar disor-
der. Reduced sleep quality was evaluated using the Pittsburgh
Sleep Quality Index (PSQI) whereas affective temperaments were
assessed using the Temperament Evaluation ofMemphis, Pisa, Paris
and San Diego (TEMPS).
Results Sensory hypersensitivity, assessed using Adoles-
cent/Adult Sensory Profile (AASP), significantly distinguished
between poor and good sleepers. Sleep quality was mainly pre-
dicted by the Beck Depression Inventory-II total score and anxious
temperament. Yet, sensory hypersensitivity contributed to this
prediction mainly in regard to sleep efficiency and related daytime
dysfunctions.
Conclusions The careful assessment of the unique sensory profile
and its behavioral/functional influence on patients’ quality of life
may help clinicians and health providers in developing targeted
treatment interventions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
FC99
Association between circadian
rhythm, sleep disturbances and
temperament in major depression,
bipolar disorder and schizophrenia
S. Tunc¸ ∗, ˙I. Ya˘gcı , Y. Yenilmez Bilgin , Ö. Canbek ,
M. ˙I. Atagün , N. Hüseyino˘glu , S. Ardıc¸
1 Kafkas University School of Medicine, Psychiatry, Kars, Turkey
2 Istanbul Kanuni Sultan Süleyman Research and Training
Hospital-Formerly Kafkas University School of Medicine, Psychiatry,
Istanbul, Turkey
3 Istanbul Bakırköy Research and Training Hospital for Psychiatry,
Psychiatry, Istanbul, Turkey
4 Ankara Yıldırım Beyazıt University School of Medicine, Psychiatry,
Ankara, Turkey
5 Kafkas University School of Medicine, Neurology, Kars, Turkey
6 Kafkas University School of Medicine, Chest Diseases, Kars, Turkey
∗ Corresponding author.
Introduction Circadian rhythms and quality of sleep have been
associated with temperament characteristics in healthy popula-
tions. Since temperaments are personality traits concerning the
behavioral, motivational and emotional responses, adaptive capac-
ity for sleep and circadian rhythm may also be related with
temperament traits.
Aims To identify the determinants of sleep quality (SQ) and
biological rhythm (BR) in bipolar disorder, schizophrenia and
depression among temperament measures.
Methods Patients with bipolar disorder (BD, n = 49), major
depression (MD, n = 35), schizophrenia (SZ, n = 30) and a healthy
control group (HC, n = 36) were enrolled. Pittsburgh Sleep Qual-
ity Index (PSQI), Biological Rhythms Interview of Assessment in
Neuropsychiatry (BRIAN) and the Temperament and Character
Inventory (TCI) were the measures. One-way ANOVA, Spearman
Correlation Test and Linear Regression analyses were the other
comparisons.
Results Determinants of sleep quality were self-directedness in
MD [F(1,26) = 6.10, P = 0.020] and BD [F(1,31) = 10.88, P = 0.002]
groups. Self-transcendence ( P = 0.004), self-directedness (P = 0.038)
and persistence ( P = 0.05) were the determinants of sleep
quality in schizophrenia group [F(3,21) = 9.71, P < 0.001]. Harm-
avoidance was the determinant of sleep quality in the HC group
[F(1,28) = 7.97, P< 0.001]. Determinants of biological rhythms were
harm-avoidance in the BD group [F(1,32) = 9.65, P = 0.004] and
self-directedness in the SZ group [ F(1,23) = 11.09, P = 0.003] and
harm-avoidance ( P < 0.001) and self-transcendence ( P= 0.039) in
the HC group [F(2,27) = 15.81, P < 0.001].
Conclusions Self-Directedness was associated with circadian
rhythm and sleep quality in MD, BD and SZ groups. Extreme tem-
perament features may contribute to emotional and behavioral
dysfunction, which may lead to abnormal sleep patterns in psy-
chiatric disorders.
Keywords Sleep; Circadian rhythm; Temperament; Bipolar
disorder; Schizophrenia; Depression
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Suicidology and suicide prevention
FC100
The effects of the last global economic
crisis on the suicide rate in Europe
M.M. Dumitru ∗, B.S. Constantin
1 Romanian Academy, “Francisc Rainer” Institute of Anthropology,
Iasi, Romania
2 Romanian Academy, “Francisc Rainer” Institute of Anthropology,
Bucharest, Romania
∗ Corresponding author.
Introduction Since 1897, Émile Durkheim noted that suicides
occur more often during the economic changes that disrupt the
social structure of society.