European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S169
The application of a comprehensive, integrative, systemic approach
to the examination of patients with abnormal thyroid gland has
to lie in the basis of planning strategies and tactics of medical
programs such patients. On this point of view we consider that
non- psychotic mental disorders are developing on the basis of
both organic and adaptation levels. Population researches showed
that themajority of patients with endocrinological pathology suffer
from one of the three DCPR syndromes: irritant mood, demor-
alization thrown in (desperation), persistant somatization. The
task of our work was to investigate mechanisms of psychologi-
cal defense in patients with hyperthyroidism with non-psychotic
mental disorders. One hundred and twenty-five patients were
examined. Non-psychotic mental disorders with different syndro-
mologic structure were found in 76% of patients (study group),
among which anxious-asthenic (38.95%), anxiety and depres-
sion (23.16%) were dominant. The method of Robert Plutchik for
assessment of the mechanisms of defense was used. In asthenic
syndrome we found excessive functioning of negation and regres-
sion, inadequate functioning of intellectualization. In patients with
astheno-anxious syndrome inadequate functioning of negation,
intellectualization, compensation, and excessive repression con-
tributed to the formation of the sensations of anxiety. Excessive
compensation, projection, reactive formation generally affected the
structure of the asteno-depressive syndrome. The lack of displacing
of reactive formation, repression and excessive intellectualization
in a complex influenced to the structuring of anxious-depressive
syndrome. In hypochondrical syndrome projection, regression and
negation were the basis of the formation of clinical picture. Thus,
meaningful relationships between intrapsychic level of function-
ing and syndromological structure of non-psychotic disorders were
installed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW156
The psychotic patient at the General
Hospital
J.Á. Monforte Porto an Román Uría ∗ lanes Álvarez
G. Humada Álvarez , I. Sevillano Benito , S. Cepedello Pérez ,
R. Hernández Antón , S. Gómez Sánchez
1 Complejo Asistencial de Zamora, Hospital Provincial de Zamora,
Servicio de Psiquiatría, Zamora, Spain
2 Complejo Asistencial de Zamora, Hospital Virgen de la Concha,
Servicio de Cirugía Ortopédica y Traumatología, Zamora, Spain
3 Hospital Clínico Universitario de Valladolid, Servicio de Psiquiatría,
Valladolid, Spain
∗ Corresponding author.
Background Patients with schizophrenia have a higher preva-
lence of physical illness and a higher mortality from natural causes
than the general population, which is a reason why they can be
hospitalized for medical and surgical pathologies.
Aims To determine the demand, the reason for consultation
and the sociodemographic characteristics of the psychotic patient
admitted at the general hospital.
Methods Sociodemographic variables (age, sex, marital status,
education, place of residence, residential housing, with who they
live, work status) and health care (service of origin, type of request
and its relevance, complaints, days of delay between the request
and assistance, number of visits, average length of stay).
Study design Prospective epidemiological study of 80 psychotic
patients (F.2 ICD-10), from the total of 906 consults solicited from
1 January 2012 until 31 December 2014. Bioethical considerations:
compliance with these principles justice, non-maleficence, auton-
omy and beneficence.
Results The average age is 58.34 years old, 60% were male, 73.8%
single, 81.3% with primary education, 52.5% living in urban areas;
and the 88.8% of cases were pensioners. The Departments that gen-
erate a greater demand are Internal Medicine (53.8%), Orthopaedic
Surgery (10%), Pneumology (8.8%) and ICU (8.8%). The most fre-
quent reasons for consultation are assessment/treatment setting
(77.5%), abnormal behavior (30%), disorientation (18.8%) and psy-
chotic symptoms (18.8%).
Conclusions The typical profile of psychotic patients hospitalized
for medical-surgical diseases is a male, middle-aged, single, with
primary education and pensioner; from whom it’s sued consulta-
tion for adjusting of treatment, and secondly for abnormal behavior.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW157
Innapropriate sinus tachycardia –
cardiac syndrome or anxiety-related
disorder?
P. Rasmus , E. Kozłowska , T. Sobow ∗
1 Medical University of Lodz, Medical Psychology, Lodz, Poland
2 Medical University of Lodz, Experimental Immunology, Lodz, Poland
∗ Corresponding author.
Introduction Relation between psychology, psychiatry and cardi-
ology are multidimensional and begin to have growing importance
in the diagnosis and treatment of patients of cardiosurgery,
electrocardiology and cardiac rehabilitation. Inappropriate sinus
tachycardia (IST) is a rarely diagnosed clinical syndrome char-
acterized by excessive resting heart rate (HR) or disproportional
increasing HR during exercise. The mechanisms of IST are not well
understood. It is speculated that psychological factors might be of
importance.
Aims The purpose of the study was to evaluate possible rela-
tion between the level of anxiety, personality traits and control of
emotions, emotional intelligence, coping with stress strategies and
manifestation of IST.
Methods The participants were 23 women with a diagnosis
of IST (age range 31.8 ± 8.72) and 23 women (28.7± 4.4) with-
out cardiac diseases. The research applied psychological tools
including: State–Trait Anxiety Inventory, NEO-Five Factor Inven-
tory, Courtauld Emotional Control Scale, Emotional Intelligence
Questionnaire, Coping Inventory for Stressful Situations and an
originally developed sociodemographic questionnaire.
Results It has been found that that the group of women with
IST received higher results in Trait Anxiety Inventory com-
pared to the group of healthy women and the relation was
highly statistically significant (P = 0,009). No other differences were
found.
Conclusions Inappropriate sinus tachycardia can be considered
as an anxiety related disorder. However, its pathogenesis and clas-
sification position remains elusive.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW158
Aspects of cardiac anxiety in patients
with a myocardial infarction
M.H. van Beek ∗ . Oude Voshaar op . Speckens
1 Radboud University Medical Center, Psychiatry, Nijmegen,
Netherlands
2 University of Groningen- University Medical Center Groningen,
University Center for Psychiatry- and Interdisciplinary Center
Psychopathology and Emotion Regulation, Groningen, Netherlands
3 Radboud University Medical Centre, Cardiology, Nijmegen,
Netherlands