European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S243
Conclusions There are differences in defence and coping mecha-
nisms between subjects with cancer compared to the non-clinical
group. It may be that defence and coping mechanisms can be
optimized through psychotherapy interventions to increase quality
of life.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW371
The risk of sleep disorders in Korean
cancer patients
H. Lee ∗, S.T. Oh , D.W. Kim , W.J. Choi
1 NHIS Ilsan Hospital, Department of Psychiatry, Goyang, Republic of
Korea
2 Yonsei University College of Medicine, Department of Psychiatry
and Institute of Behavioral Science, Seoul, Republic of Korea
3 NHIS Ilsan Hospital, Department of Policy Research Affairs, Goyang,
Republic of Korea
∗ Corresponding author.
Purpose Sleep disturbance in cancer patients is common. The aim
of this study is to investigate the risk of sleep disorders in can-
cer patients compared to patients with other diseases using the
national registry data.
Method Using data from the Korean National Health Insurance
Research Database between 2002 and 2013, the cancer group was
composed of patients with an initial diagnosis of cancer in 2004
(n = 3358). The remaining people were considered as comparison
group (n = 493,577) after excluding patients with any cancer or psy-
chiatric disorder from 2002 to 2003 and from 2005 to 2013. Each
sampled subject was tracked until 2013. Cox proportional hazard
regressionswere used to calculate the overall rate for sleep disorder
development after adjusting for age, gender, and socio-economical
confounders.
Results Cancer patients were associated with an increased risk
of sleep disorder in both sexes (male hazard ratio [HR]: 1.319; 95%
confidence interval [CI]: 1.232–1.413; female HR: 1.289; 95% CI:
1.198–1.386) after adjusting for potential confounders. Both results
were statistically significant (P < 0.001). In terms of age, the effect
size of the HRwas largest among elder adults, aged ≥ 70 years (male
HR: 1.748; female HR: 1.820). The HR tended to increase consis-
tently.
Conclusion Initial diagnosis of cancer was significantly associ-
ated with sleep disorder development after adjusting for potential
confounders. This result suggests that thorough screening and
intervention for sleep disorders are required for the newly diag-
nosed cancer patients to improve their quality of life.
Keywords Cancer patients; Sleep disorder; Hazard ratio;
National registry data
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW372
The relationship between depression
and family support in breast cancer
patients
J.A. Su
Chang Gung Memorial Hospital, Chiayi, Department of Psychiatry,
Chiayi, Taiwan
Background Breast cancer is the most frequent cancer in women
and depression is one of the common psychiatric diagnoses in sur-
vivals. Herein, we tried to explore the point prevalence of major
depressive disorder among breast cancer patients and find out the
relation of family support with depression.
Methods Data of the study are from breast cancer clinic of a gen-
eral hospital in central Taiwan. The patients who were diagnosed
as breast cancer were recruited. We used the Family APGAR scale
to assess the family support and the diagnosis of major depressive
disorder was evaluated by MINI.
Results We found that the point prevalence of major depres-
sive disorder of breast cancer patients was 8.3% and was related
to pain severity, cancer duration, radiotherapy, hormone therapy
and family support. Family support was a protective factor of major
depressive disorder in breast cancer.
Conclusion Healthy professionals should notify the related fac-
tors of depression as well as the importance of family support when
treating women with breast cancer.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW373
Interdisciplinary rehabilitation of a
patient with right brain injury and
recurrent depression
N. Varako ∗, O. Dobrushina , Y. Zinchenko , S. Martynov ,
M. Kovyazina
1 Lomonosov Moscow State Univesity, Psychological, Моcквɑ, Russia
2 International Institute of Psychosomatic Health, “Prosvet”
Neurorehabilitation Center, Moscow, Russia
3 Lomonosov Moscow State University, Psychological, Moscow, Russia
∗ Corresponding author.
Introduction Rehabilitaton of concurrent psychiatric disorder
and brain injury is a major challenge. E. underwent neurosurgery
for right fronto-parietal astrocytoma. Before illness he was man-
aging automatization of big companies, but was fired after the
operation. E. felt into severe depression and anxiety with catas-
trofization of his illness, suicidal ideation. He resisted multiple
prescriptions for SSRI, admitting a sect pretending to “treat” oncol-
ogy by “psychological” methods. Half a year after operation he
attended our center.
Objectives and aim To help E. return to paid employment.
Methods E. was evaluated by neurologists, psychiatrist, neu-
ropsychologists. Current depressive episode appeared to be the
second one with underlying schizoid and perfectionist char-
acteristics. He had moderate text comprehension difficulties,
confabulations, slight executive dysfunction. Neuropsychologist
educated patient on his difficulties and developed compensatory
strategies – an alternative to catastrofisation. After psychoe-
ducational session E. agreed to receive fluvoxamine. However,
he deformed the received information due to brain injury, so
psychotherapy had only minor effects. Infra-low frequency neu-
rofeedback at T4P4 and T4Fp2 sites was started to promote
restoration of right brain functions. E. gradually did better, and
3months later was able to complete CBT course along with relax-
ation training.
Results Improvements in emotional status along with ability to
cope with cognitive difficulties allowed E. to return to a job similar
to the previous. Six month after the start of treatment medica-
tions are tapered off, E. has no signs of depression and only slight
anxiety.
Conclusions Interdisciplinary holistic rehabilitationmay be effec-
tive in concurrent psychiatric disorder and brain injury.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.