European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S321
examination period, younger students (19–29 years) showed
higher levels of self-criticism, cognitive, and somatic activation
before falling asleep. There was also a higher proportion of younger
students in the insomniac and insomnia symptomatic groups.
Moreover, significant correlations were found between cognitive
and somatic activation and depression, anxiety, and stress in both
moments.
Conclusions In the examination period, the youngest students are
more critical and less compassionate, what might lead to greater
cognitive and somatic activation before sleep and, consequently, to
insomnia symptoms and insomnia itself.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW585
Self-compassion and insomnia at
pregnancy
M. Marques , A.T. Pereira , V. Freitas , E. Bento , J. Azevedo ,
S. Xavier , M.J. Soares , M.J. Martins ∗, A. Macedo
1 University of Coimbra, Department of Psychological Medicine,
Coimbra, Portugal
2 Coimbra Hospital and University Centre, Department of Psychiatry,
Coimbra, Portugal
∗ Corresponding author.
Introduction Mindfulness based programs during pregnancy
(some including self-compassion components) increase self-
compassion, mindfulness and maternal self-efficacy, and reduce
anxiety, stress and psychological distress in pregnant women.
According to our knowledge, there are no studies about the associ-
ation between self-compassion and sleep outcomes in pregnancy.
Objective To explore differences in self-compassion, between
three sleep groups, in a sample of Portuguese pregnant women.
Methods Four hundred and nineteen pregnant women (mean
age: 32.51 ±4.759; weeks of gestation: 17.32 ±4.803) completed
the Self-Compassion Scale (SCS, Bento et al., 2015), presenting
six dimensions (self-kindness, self-judgment, common humanity,
isolation, mindfulness and over-identification) and the Insom-
nia Assessment Scale (Marques et al., 2015). Three sleep groups
were formed: good sleepers (no insomnia symptoms; no asso-
ciated daily impairment); insomnia symptoms groups (one/more
insomnia symptoms; no associated daily impairment); insomniacs
(one/more insomnia symptoms; daily associated impairment).
Results There were significant differences in the total SCS, self-
judgment, isolation and over-identification scores, between sleep
groups [respectively, F (2,396) = 7,926, P ≤ 0,001; F (2,409) = 19,155,
P ≤ 0,001; F (2,410) = 13,016, P ≤ 0,001; F (2,412) = 11,258,
P ≤ 0,001]. Self-judgement, isolation and over-identification
scores of good sleepers and insomnia symptoms group were
higher than of insomniacs. Total SCS score of good sleepers was
higher than of insomniacs and the same score of symptoms of
insomnia group was also higher than of insomniacs.
Conclusions Results seem to show the importance of develop-
ing self-compassion to improve sleep in pregnancy or reduce the
impact of insomnia symptoms (common at pregnancy).
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW586
Sleep disorders, depression and
anxiety among medicine university
students in Sfax
M. Moalla ∗, M. Maalej , C. Nada , R. Sellami , J. Ben Thabet ,
L. Zouari , M. Maalej
1 CHU Hédi Chaker S Department of Psychiatry “C”, Sfax, Tunisia
2 CHU Hédi Chaker S Department of Psychiatry “A”, Sfax, Tunisia
∗ Corresponding author.
Introduction Sleep symptoms, depression and anxiety often
coexist and tertiary students are a population group that are
increasingly recognised to be at risk. However the rates of these
conditions in the tunisian population are poorly understood.
Aim The aim of this study was to evaluate sleep quality among
medicine students during exam periods and identify correlations
with anxiety and depression.
Methods This is a descriptive and analytical cross-sectional
study. It involved students of medicine University of Sfax during
the period of exams. Each student filled out demographic ques-
tionnaire, the Pittsburgh Sleep Quality Index (PSQI) to assess the
quality of sleep and Hospital Anxiety and Depression scale (HAD)
to screen for anxiety and depressive disorders.
Results The average age was 22.27 years. The sex ratio M/F was
0.66. The students were single in 96.7% of cases. The average score
of PSQI was 6.67 ±3.23. According to the PSQI, 53.3% of students
had poor sleep quality. The anxiety score ranged from 0 to 7 with
an average of 8.37. The depression score ranged from0 to 16with an
average of 7.47. Anxiety and depressive symptoms were present in
26.7% of students. The PSQI score was significantly correlated with
anxiety (p <0.01) and depression scores (P = 0.019).
Conclusion Anxiety and depressive symptoms are common
among students during exam periods. They are associated with
poor quality sleep. The establishment of a helpline for students dur-
ing exam time, with psychologists and psychiatrists, would help
them better manage this difficult period.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW587
Validation of the insomnia
assessment scale – adapted in a
community sample of portuguese
pregnant women
M. Marques , A.T. Pereira ∗, J. Azevedo , S. Xavier , E. Bento ,
M.J. Soares , V. Freitas , A. Macedo
1 Faculty of Medicine - University of Coimbra, Psychological
Medicine, Coimbra, Portugal
2 Coimbra Hospital and University Centre, Psychiatry, Coimbra,
Portugal
∗ Corresponding author.
Introduction Pregnancy is characterized by important changes in
sleep and some of them (as insomnia) predict negative outcomes,
like depression, through all the perinatal period. There are few Por-
tuguese adapted and validated instruments assessing insomnia in
pregnancy.
Objective To validate the Insomnia Assessment Scale in a sample
of Portuguese pregnant women.
Methods 419 pregnant women (mean age: 32.51 ±4.759; weeks
of gestation: 17.32 ± 4.803) answered the Insomnia Assessment
Scale (IAS), constructed according to the DSM-V and the ICSD-3
criteria and presenting fourteen items: three evaluating insomnia
symptoms (1 to 3); one assessing if sleep difficulties were present
although there were adequate conditions to sleep (item 4); one
assessing if sleep difficulties occurred three times/week (item 5);
one evaluating if sleep was not restorative (item 6); three assessing
daily impairment associated to insomnia symptoms (7 to 9); two
assessing the use of prescribed and/or homemade medication (10
and 11); three excluding that sleep difficulties were not due to
another sleep disorder, substance use, a physical condition or a
mental disorder) (12 to 14).
Results The IAS Kuder-Richardson alpha was very good ( =0.85)
and none of the items increased the alpha if removed. A principal