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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.488

EW371

The risk of sleep disorders in Korean

cancer patients

H. Lee

1 , 2 ,

, S.T. Oh

1

, D.W. Kim

3

, W.J. Choi

1 , 2 , 3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.489

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.490

EW373

Interdisciplinary rehabilitation of a

patient with right brain injury and

recurrent depression

N. Varako

1 , 2 ,

, O. Dobrushina

2

, Y. Zinchenko

3

, S. Martynov

2

,

M. Kovyazina

3

1

Lomonosov Moscow State Univesity, Psychological,

Мо

c

к

в

ɑ

, 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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.491