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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.335

EW218

Internet and smartphone application

usage in eating disorders: A

descriptive study in Singapore

T. Tan

, A. K

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.336

EW219

Symptoms of eating disorders in at

term pregnancy: The influence of

body mass index

F. Volpe

1 ,

, L. Giliberti

2

, G. Soldera

2

, G. Tesolat

2

, G. Straface

2

,

V. Zanardo

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.337

EW220

Eating disorders: What has the society

to do with it?

B. Wimmer-Puchinger

1 ,

, S. Blahout

2

, K. Waldherr

3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.338