European Psychiatry - Volume 33 - March 2016

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S342 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
especially in first year medical students, as these prove to be factors
that impend academic performance.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW644
Grief cognitions and
cognitive-emotional regulation
associated with romantic breakup
distress among college students
A. Mirsu-Paun
Bucharest, Romania
Introduction Individuals manage differently the experience of a
romantic breakup [RB]. These differences may in part be related
to the use of different cognitive-emotional regulation strategies
[CERS]. Also, global negative beliefs and catastrophic misinterpre-
tations regarding the RB may contribute to the emotional distress
(Boelen and Reijntjes, 2009).
Objectives To explore the associations between CERS, grief cogni-
tions related to RBs, and depression and suicidal ideation/behaviors
in a sample of college students.
Aims To conduct regression analyses to predict depression, anxi-
ety, hostility, and suicide behaviors from CERS and grief cognitions
(as independent variables).
Methods Cross-sectional, self-report data was collected from
359 college students who experienced a RB. The assessments
used were: Cognitive-Emotional Regulation Questionnaire- Short
Form (Garnefski et al., 2002); the Grief Cognitions Questionnaire
adjusted to grief after RBs (Boelen et al., 2003); the subscales of
Depression, Anxiety, and Hostility of the Counseling Center Assess-
ment of Psychological Symptoms-62; and the Suicide Behaviors
Questionnaire-Revised, Osman et al., 2001).
Results Past suicide thoughts or attempts were predicted
by Other-Blame; self-reported likelihood of future suicide
attempt was predicted by Self-Blame, Other-Blame, and Posi-
tive Reappraisal, Grief Cognitions-Future, and Grief Cognitions-
Appropriateness. Depression was predicted by all cognitive-
emotional regulation subscales except Acceptance and Perspective,
and by RB grief cognitions (self, future, self-blame, others, and
perceived appropriateness of own grief reaction).
Conclusions Clinical assessment to evaluate at-risk young adults
after RBs could incorporate evaluations of cognitions regarding the
RB and self-blaming, appropriateness of one’s own grief reaction,
and thoughts about the future.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW645
SOMA Score, cardiovascular risk
screening tool for psychiatric patients
M. Páv ∗, M. Holl ´y , M. Cendelínová , J. Gojda , J. Polák
1 Psychiatric hospital Bohnice, Psychiatry, Prague 9, Czech Republic
2 Hospital Royal Vinohrady-II, interní klinika, internal medicine,
Prague, Czech Republic
3 Hospital Royal Vinohrady-II, interní klinika, internal medicine,
Prague, Czech Republic
∗ Corresponding author.
Introduction Life expectancy of patients with severe mental ill-
ness (SMI) is two decades shorter than that of general population.
The most important cause of death are cardiovascular diseases
(CVD).
Objectives There is a need for CVD risk screening tools develop-
ment and validation in the context of the Czech Republic.
Aims Methodological approach to a CVD risk screening, risk
stratification and specific life-style interventions development is
presented. In a context of the psychiatric hospital with c. 7000
admissions per year.
Methods There are no concise data on CVD risk of psychiatric
patients in the Czech Republic so cross-sectional analysis of one
day hospitalized patients was performed.
Results A sample of 1056 pts. was obtained. Database allowed
extraction data on CVD risk factors (RF): diagnosis, age, sex, BMI
and blood pressure (BP). The most common diagnosis were F20
and F10. Multicriterial analysis according to diagnosis (frequency
of highest BMI and BP) showed theworst results in the F20 followed
by F10 group. Would we define the CVD RF as BMI ≥ 30, age ≥ 65,
sBP ≥ 140, dBP ≥ 90, then no RF is present in 368, one in 238, two in
191, three in 92 and four RF in 33 pts. Two step screening protocol
was developed – SOMA score. Variables and cut-offs for positivity
were set based on the results.
Conclusion Methodological process of SOMA score screening is
presented as well as consecutive health care interventions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Acknowledgement The study was realized in a framework of
SOMA project, Program CZ11 Initiatives in public health care, Nor-
way grants, NF-CZ11-OV-2-030-2015.
EW646
Emotional state in employed
caregivers of frail elderly relatives
M. Crespo ∗, A.T. Piccini , R. Cáceres , R.P. María
1 Complutense University, Clinical Psychology, Madrid, Spain
2 State Reference Care Centre of people with Alzheimer’s disease and
other dementias IMSERSO, Psychology department, Salamanca, Spain
3 Alzheimer Association of Zamora, Psychology department, Zamora,
Spain
∗ Corresponding author.
Introduction Research has long suggested that care giving can
be a stressful role that adversely affects physical and mental well-
being of those who provided care. The effects of combining work
and care giving can be negative and may have different outcomes
on caregivers.
Objectives This study examined the effects of gender, kinship and
work-related experiences on the emotional state of employed care-
givers.
Aim This study allows us to gain a better understanding of the
influence of gender and kinship on the emotional state of working
caregivers.
Method We have carried out a cross sectional study on 81
employed caregivers of elderly dependent. Usingmultivariate anal-
ysis of covariance (2 ×2 ×2MANCOVA), we examined themain and
interaction effects of gender (male vs. female), kinship (spouses vs.
adult children), and two types of work-related experiences (work-
caregiving conflict and positivework experience; both of themwith
two levels: high vs. low) on burden, depression, negative and pos-
itive affect, and role overload.
Results We found that women caregivers in this study experi-
ence higher levels of burden, negative affect, and role overload
than their men counterparts. However, in the case of kinship,
this variable has not been shown to be related to a worse emo-
tional state on employed caregivers. Higher levels of work-care
giving conflict were associated with greater emotional distress in
caregivers. Regarding to positive work experiences, significant dif-
ferences were only found in positive affect.
Conclusion These findings suggest that gender is a central factor
that influences emotional distress in employed caregivers in the
two types of work-related experiences.