European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S189
from mind to body. In the light of these results, specific indica-
tions for the clinical practicewith transgender people and for future
directions in research are outlined.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW218
Internet and smartphone application
usage in eating disorders: A
descriptive study in Singapore
T. Tan ∗ uek , S.E. Goh , K.W. Ng , S.M. Tan , A. Gudi , H.Y. Lee ,
E.L. Lee , K. Victor
Singapore General Hospital, Psychiatry, Singapore, Singapore
∗ Corresponding author.
Introduction Eating disorders are associated with significant
morbidity and mortality. The Internet is a popular medium for
individuals with eating disorders to discuss and reinforce their
affliction. However, the available literature on Internet usage and
eating disorders is scarce, especially in the area of social media and
smartphone application (“app”) usage.
Objectives & aims To look at the Internet and smartphone app
usage patterns of participants who presented with an eating disor-
der in Singapore, andwhether it corresponded to severity of illness.
Methods Individuals who presented to the Eating Disorders clinic
at the Singapore General Hospital from 13th June 2013 to 20th
December 2013 completed a self-reported questionnaire on Inter-
net and app usage. They also completed the EDE-Q, EAT-26 and CIA
3.0.
Results Fifty-five participants completed the study. A total of
41.8% had anorexia nervosa, 34.5% had bulimia nervosa, and 9.1%
were ED-NOS. 41.8% felt that apps helped to perpetuate their ill-
ness, while 32.7% felt that apps were helpful for recovery. Overall,
any smartphone application usage was associated with younger
age and greater eating disorder psychopathology and psychosocial
impairment. While 30.9% had encountered eating disorder-related
content on Facebook, only 12.75 visited Facebook groups related
to eating disorders. For YouTube, “Cooking and Food” and “Beauty
and Fashion” videos were among the top 3 types of videos that
participants watched.
Conclusions Internet and smartphone app usage is significant,
and they are used to prolong or worsen eating disorder behavior
in those with greater severity of illness. It is necessary to include
interventions in this aspect as part of treatment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW219
Symptoms of eating disorders in at
term pregnancy: The influence of
body mass index
F. Volpe ∗, L. Giliberti , G. Soldera , G. Tesolat , G. Straface ,
V. Zanardo
1 Padova, Italy
2 Policlinico Abano Terme, Medicina Perinatale, Abano Terme, Italy
∗ Corresponding author.
Introduction Weight gain in pregnancy has been associated with
body image dissatisfaction.
Aims This study analyzed symptoms of ED in pregnancy by the
Eating Disorder Examination Questionnaire (EDE-Q 16.0; Fairburn
& Beglin, 2008) in connection with body mass index (BMI).
Materials and methods The research involved 616 consecutive,
at term, Italian-speaking healthy puerperae, who delivered at the
Division of Perinatal Medicine of Policlinico Abano Terme, Italy
from January to August 2015. The mean (±SD) maternal age was
33.06 (± 4.07), 540 (87.5%) followed aMediterranean diet, 16 (2.5%)
were vegetarian and 3 (0.4%) were vegans. At the end of pregnancy,
204 (33.06%) had a normal weight; 295 (47.81%) were overweight
and 117 (18.96%) were obese. Before discharge, mothers completed
the EDE-Q to measure the Global Score (GS) and the four EDE-Q
subscales (Restrain, Eating Concern, Shape Concern, and Weight
Concern).
Results EDE-Q Global Score significantly increased with BMI
increase. Compared to normal-weight mothers, both over-
weight (0.94 ± 1.59 vs 1.80 ±2.34; P< .001) and obese puerperae
(0.94± 1.59 vs 2.35 ±2.30; P< .001) had significant higher Global
Score. Both overweight and obese mothers had also significant
higher scores than normal in all subscales.
Conclusions In our study population, symptoms of eating dis-
orders were associated with excessive increase in gestational
BMI: EDE-Q scores were elevated in overweight mothers and
in obese; in addiction, obese puerperae have higher scores than
overweight. Routine controls and prevention plans could help
women from the beginning of pregnancy to avoid ED symptoms
appearance.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW220
Eating disorders: What has the society
to do with it?
B. Wimmer-Puchinger ∗, S. Blahout , K. Waldherr
1 Wien, Austria
2 Vienna Program for Women’s Health, Municipal Department, Public
Health Services of the City of Vienna, Vienna, Austria
3 Ferdinand Porsche Distance Learning University of Applied Sciences,
Vienna, Austria
∗ Corresponding author.
The prevention of eating disorders is a main concern of the Vienna
Women’s Health Programme, which was adopted by the Vienna
City Council in 1998. Eating disorders are very serious mental
health problems in adolescence. There is evidence that media
exposure of the thin ideal body image leads to uncertainty, low
self-esteem and dieting. To examine the current state of body
(dis-)satisfaction and the risk of eating disorders among Viennese
adolescents, we surveyed 1427 participants at the age of 12 to
17, using a self-assessment questionnaire that included the Eat-
ing Disorder Inventory (EDI-2), the SCOFF-questionnaire and the
Rosenberg self-esteem scale. Results support our hypothesis. The
highest concern among adolescents is about their weight and body
shape. 76% of the girls surveyed wanted a skinny body, 31% were
afraid of gaining weight, and 32% have already been dieting - 13%
took appetite suppressants, 5% used vomiting, 3% took laxatives.
According to the SCOFF-questionnaire, 30% of the girls were at risk
of having eating disorders. Trends were evaluated via regression
analysis. In 2012 girls used less dieting and had lower scores in
the EDI-2 subscales ‘body dissatisfaction’, ‘drive for thinness’ and
‘bulimia’ than in 2001. Boys had less conspicuous scores than girls
in total, but have shown an alarming increase in body dissatis-
faction. School prevention programmes are indicated to enhance
media literacy and encourage self-esteemamong adolescents. To be
successful, an interdisciplinary approach has to be established. The
City of Vienna has already launched several awareness campaigns
to counter unhealthy body ideals.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.