European Psychiatry - Volume 33

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 (

: 2.62

=.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.2016.01.997

EV13

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.2016.01.998

EV14

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.