Table of Contents Table of Contents
Previous Page  325 / 812 Next Page
Information
Show Menu
Previous Page 325 / 812 Next Page
Page Background

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.702

EW585

Self-compassion and insomnia at

pregnancy

M. Marques

1 , 2

, A.T. Pereira

1

, V. Freitas

1

, E. Bento

1

, J. Azevedo

1

,

S. Xavier

1

, M.J. Soares

1

, M.J. Martins

1 ,

, A. Macedo

1 , 2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.703

EW586

Sleep disorders, depression and

anxiety among medicine university

students in Sfax

M. Moalla

1 ,

, M. Maalej

1

, C. Nada

1

, R. Sellami

2

, J. Ben Thabet

1

,

L. Zouari

1

, M. Maalej

1

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.704

EW587

Validation of the insomnia

assessment scale – adapted in a

community sample of portuguese

pregnant women

M. Marques

1 , 2

, A.T. Pereira

1 ,

, J. Azevedo

1

, S. Xavier

1

, E. Bento

1

,

M.J. Soares

1

, V. Freitas

1

, A. Macedo

1 , 2

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