

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
S353
Introduction
Accident rate have a high social cost. Cocaine con-
sumption increases the risk of traffic crashes (Monras, 2011;
Fierro, 2011). However, there is not extensively studies in
addicts.
Objective
Compare and analyze the history of accidents and risk
behaviors while driving in cocaine dependent patients (DC) and of
other substances (OtherD).
Methods
One hundred and eighty-two patients seeking treat-
ment since January 2014 to September 2015. Sociodemographic
and accident-related variables were collected, also administered
the MDBQ. Descriptive analysis and bivariate analysis using Chi-
square test for categorical variables and Student t test was
performed for quantitative.
Results
Of women, 30.3%, and 69.7% men, mean age 43.67 years
(SD = 13). 65.6% currently driving or above. 45.2%DC vs. 54.8DOther
(35.6% alcohol, cannabis 8.3%, 5.8% opioid and 5.1% other drugs).
Comparing accident rate on the DC is a tendency to have suf-
feredmore accidents (
2
: 2.62
P
=.072). Patients addicted to cocaine
referred further potentially dangerous activities both under the
influence of consumption (65.9% vs. 33.3%) and abstinence (41.7%
vs. 12%).
As for the results of MDBQ, it has been detected that cocaine addicts
showmore errors and traffic violations. No differences in the lapses
identified by patients of different groups.
Conclusion
Patients with cocaine dependence have more acci-
dents, reduced risk perception and recognize more mistakes and
traffic violations. Cocaine implies a high risk of road accidents and
exposure to high-risk situations compared to the use of other sub-
stances.
References not available.
Disclosure of interest
The authors have not supplied their decla-
ration of competing interest.
http://dx.doi.org/10.1016/j.eurpsy.2016.01.997EV13
E-cigarettes and tobacco cessation: An
online survey of electronic cigarette
users in France
C. Chevallier , A. Batisse , M. Marillier
∗
, S. Djezzar
GH Lariboisière-Fernand Widal, CEIP, Paris, France
∗
Corresponding author.
Introduction
E-cigarettes (EC) are widely used in general popu-
lation and may facilitate smoking cessation. However, efficacy and
addictive potential of EC remain insufficiently studied.
Objectives
To characterize e-cigarette use and its impact on
tobacco use/cessation.
Methods
Online survey was available on CEIP website (Septem-
ber 2014–March 2015). Questionnaire assessed smoking status,
tobacco and e-cigarette use, including reasons for use, efficacy,
adverse effects and dependence (Fagerström test of cigarette
dependence [F] and an adapted version to e-cigarette use [Fm]).
Results
One thousand one hundred and twenty-one EC users
answered (1008 ex-smokers, 113 current smokers), with mean age
of 39
±
10 years and 72% female. Ninety-six percent e-cigarette
users agreed that vaping is useful for tobacco cessation, 80%
succeeded to quit/reduce their smoking. Reasons for EC use are
partial/complete alternative to smoking, lower toxicity, less side
effects and lower cost. Most of ex-smokers (66%) has no/lowdepen-
dence to EC (Fm
≤
4) since current smokers reduced dramatically
their tobacco consumption by EC use. Among all EC users, 75% had a
craving for EC. Use of EC is described as pleasant as tobacco for 59%
ex-smokers and 39% smokers. Eighty-three percent of ex-smokers
and 68% of smokers do not intend to stop vaping.
Conclusion
E-cigarettes are used primarily for smoking ces-
sation and show effectiveness for harm-reduction, but a sec-
ondary dependence to nicotine contains in EC can be observed
( Figure 1 ).Fig. 1
Disclosure of interest
The authors have not supplied their decla-
ration of competing interest.
http://dx.doi.org/10.1016/j.eurpsy.2016.01.998EV14
Compulsiveness dimension in a case
of pathological gambling
S. Chiappini
∗
, R. Testa , F. Maisto , B. Leone , M. Di Paolo ,
M. Pascucci , P. Polidori , P. Grandinetti , G. Conte
Institute of Psychology, Psychiatry Department, Roma, Italy
∗
Corresponding author.
Introduction
Pathological gambling (PG) is currently included
among Addictive Disorders (DSM-5). However, its phenomenol-
ogy resembles features of Obsessive Compulsive Disorder. Several
models of addiction conceptualize a progression from impulsivity
to compulsivity transitioning from initial positive reinforcement
motivations to later negative reinforcement and less pleasurable
and automaticity mechanisms.
Clinical presentation
A34-year-oldmale, since diagnosedwith PG
in 2013 and prescribed a group rehabilitation therapy, presented
in 2015 complaining of intrusive thoughts and depression symp-
toms. During the psychiatric examination emerged: low mental
concentration; dysphoria; hyporexia; irritability; insomnia; per-
sistent ideas and excessive preoccupations to be betrayed by his
girlfriend; and behaviours of hyper control on her life. He has been
evaluated using MMPI-2 (obsessivity Tscore 70, depression Tscore
67) and BIS-11 (high score of non-planning impulsiveness).
Treatment
It appeared there was a shift from ego-syntonic nov-
elty driven/impulsive behaviours focused primarily on gambling
to ego-dystonic habit driven/compulsive behaviours focused on
her girlfriend. He started an individual psychodynamic psychother-
apy centred on dysfunctional beliefs and behavioural strategies for
treating the compulsive features. As thought content was the most
relevant aspect, he was prescribed olanzapine, not a SSRI (normally
indicated for OCD), up to 10mg/die. After a month obsessions and
compulsions reduced, and he seemed to reach a good level of per-
sonal functioning, despite a rigid anankastic personality trait.