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S358

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

trait anxiety also predicted inattentive dimension, whereas trait

and state anxiety predicted hyperactive/impulsive dimension.

Conclusion

Impulsivity is related with severity of ADHD symp-

toms and dimensions of ADHD although negative affect that is

related with dimensions may differ.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1011

EV27

The role of modified states of

consciousness in drug use

C. Freitas

1 ,

, A.M. Mendes

2

, S. Queirós

1

1

Centro Hospitalar do Tâmega e Sousa, Psiquiatria e Saude Mental,

Amarante, Portugal

2

Centro Respostas Integradas do Porto Central, ET Cedofeita, Porto,

Portugal

Corresponding author.

Modified state of consciousness (MSC) is defined as a mental state

that can be subjectively recognized by an individual or by an objec-

tive observer of the individual, as representing a difference in the

psychological functioning of the “normal” state, alert and awake

of the individual. Drugs are products with definitions and concep-

tual boundaries, historically defined. The use of psychoactive drugs

is related to the increased plasticity of human subjectivity which

is reflected in various technical means to change the perception,

cognition, affect and mood. The authors propose to conduct a lit-

erature review on the types of MSC, the way to achieve them and

their implications in drug consumption pattern.

A MSC consists of dimensions such as self-oceanic limitlessness,

agonizing self-dissolution and visionary restructuring.

Normal MSC includes dreams, hypnagogic state and sleep. Others

may be induced by hypnosis, meditation or psychoactive sub-

stances. Those achieved by drugs allow the subject to access

feelings and sensations which go beyond the everyday reality or,

on the other hand, leakage of reality.

Anthropological studies show that in almost all civilizations, man

sought ways to induce MSC.

What characterizes the problematic or abusive use of certain sub-

stances is not necessarily the amount and frequency of drug use,

but the disharmony in the socio-cultural, family and psychosocial

contexts of the individual.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1012

EV28

Are there more mechanical restraint

in patients admitted for substance use

disorder?

L. Galindo

1 ,

, M. Grifell

2

, E.J. Peréz

2

, F. Dinamarca

2

,

V. Chavarria

2

, P. Salgado

2

, V. Pérez

2

1

Barcelona, Spain

2

Instituto de Neuropsiquiatria y Adicciones – Parc de Salut Mar,

Psiquiatria, Barcelona, Spain

Corresponding author.

Introduction and objectives

Mechanical restraint is a therapeutic

procedure commonly applied in acute units in response to psy-

chomotor agitation. Its frequency is between 21 and 59% of patients

admitted. These patients represent a risk to both themselves and

for health workers. There is a myth that patients with substance

use disorder (SUD) are more aggressive and require more forceful

measures. There are not clinical studies that compared if there are

differences of the frequency of mechanical restrain in patients with

SUD.

The aim of this study is to explore the differences of frequency of

mechanical restraint on patients with SUD in the psychiatry acute

and dual pathology units and others psychiatric diagnostics.

Material and methods

We reviewed retrospectively the infor-

matics record of all the mechanical restraints made and the total

discharges of the three acute care units and dual disorders of Neu-

ropsychiatry and Addictions Institute (INAD) of the Parc de Salut

Mar de Barcelona, between January 2012 and January 2015. For

every discharge the presence of at least one mechanical restraint

and theDSM-IVdiagnosticwere coded. Thenwas calculated the fre-

quency and proportion of mechanical retrains in every diagnostic

group.

Results

The number of discharges analyzedwas 4659 fromwhich

838had an episode ofmechanical restraint. The 37%of patientswith

SUD of cocaine had an episode of mechanical restrain. The patients

with SUD of alcohol only the 4%, and there no one case on patients

with SUDof Cannabis. Thirty percent of patientswith schizophrenia

and 28% of bipolar disorder.

Acknowledgements

L. Galindo is a Rio-Hortega-fellowship-(ISC-

III;CM14/00111).

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1013

EV29

Results of a smoking cessation

program in primary care

H. de la Red Gallego

1 ,

, Y. González Silva

2

, T. Montero Carretero

2

,

Á. Delgado de Paz

2

, M.F. Sánchez A˜norga

2

, E. Ca˜nibano Maroto

2

,

G. Isidro García

1

, A. Álvarez Astorga

1

, A. Alonso Sánchez

1

,

M. Martín Fernández

3

, A. Álvarez Hodel

4

, I. Pérez González

5

,

S. Nieto Sánchez

5

, S. Calvo Sardón

6

, I. González Gurdiel

7

,

R. Hernández Antón

1

, S. Gómez Sánchez

1

, C. Noval Canga

1

,

M.S. Hernández García

1

, L. Rodríguez Andrés

1

1

Clinical Universitary Hospital, Psychiatry, Valladolid, Spain

2

Plaza del Ejército Health Center, Primary Care, Valladolid, Spain

3

Toreno Health Center, Primary Care, Toreno, Spain

4

Valladolid Oeste, Primary Care, Valladolid, Spain

5

Casa del Barco Health Center, Primary Care, Valladolid, Spain

6

Parquesol Health Center, Primary Care, Valladolid, Spain

7

Páramo del Sil Health Center, Primary Care, Páramo del Sil, Spain

Corresponding author.

Introduction

Smoking is an addictive and chronic disease.

Twenty-four percent of the Spanish population in 2012 smoked

daily.

Aims and objectives

To evaluate a smoking cessation program in

a Primary Care Center.

Methods

Observational, prospective study. We describe an indi-

vidualized smoking cessation in Plaza del Ejército Health Center

(Valladolid). Inclusion criteria: active smoker,

18 years old and

belonging to the Health Center. Exclusion: severe mental illness.

Included patients from November 2013 until January2014. Ended

in July 2014. Four Medical residents participated, we present the

results of one of them. During the first consultation motivational

interviewing was conducted, physical examination and treatment

was prescribed (cognitive behavioral therapy or drug treatment:

varenicline). In subsequent consultations interview and follow-up.

Variables: age, gender, pack-years, nicotine dependence (Fager-

strom) and Prochaska and DiClemente phase, weight, treatment

used, dropout rate and final withdrawal of snuff.

Results

Eleven patients, mean age 48.18 (13.61), 7 (63.6) women.

Comorbidity: 6 (54.5) anxious-depressive pathology, 1 (9.1) dys-

thymia, 2 (18.2) endocrine pathology and 1 (9.1) respiratory

disease. Four (36.4) showed high dependency and 2 (18.2) extreme.

Media packages 20.50/year (19,20). Seven (63.6) were in action

phase of Prochaska and DiClemente and 2 (18.2) in preparation.

Visits range: 1-11. The average was 4.55 (3.64). Three (27.27)