European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S389
EV121
Effects of BF-HRV of opioid-dependent
persons with pathological gambling
E. Gorzelanczyk , J. Feit , K. Pasgreta , E. Laskowska ,
P. Walecki ∗
1 Nicolaus Copernicus University in Torun, Collegium Medicum,
Bydgoszcz, Poland
2 Jagiellonian University Medical College, Department of
Bioinformatics and Telemedicine, Kraków, Poland
∗ Corresponding author.
Introduction It is necessary to search for and to carry out effective
treatments for chemical dependency – including behavioral addic-
tions. One of themethods used in various disorders is a biofeedback
HRV (BF-HRV). The aim of the study is to examine the impact of BF-
HRV on people addicted behaviorally to gambling and chemically
dependent patients on opioids.
Material and methods Twenty-four opioid addicts were exam-
ined. We used emWave (HeartMath) with a heart rhythm monitor
to learn stress reduction and emotional management skills. For a
detailed analysis of the HRV data was used Kubios 2.0 software
(Biosignal Analysis and Medical Imaging Group).
Results The average value of the three components of HRV, i.e.
low (LF), medium (MF) and high (HF) frequencies of spectral energy
FFT recorded during six consecutive sessions of BF-HRV were the
following: 1st session LF 63%; MF: 17%; HF: 19%. Changing param-
eters in the next sessions: 2nd session LF −9.27%, MF: +0.50%, HF:
+6.19%; 3rd session LF −11.11%, MF: +1.00%, HF: −10.07%; 4th ses-
sion LF −14.27%, MF: −4.17%, HF: +18.77%; 5th session LF −15.02%,
MF: −2.04%, HF: +17.07%; 5th session LF −15.02%, MF: −2.04%, HF:
+17.07%; 6th session LF −20.86%, MF: −4.04%, HF: +24.90.
Conclusions After the BF-HRV training decrease low and medium
frequencies (LF-MF) and increase high frequency (HF). Recent stud-
ies suggest that LF-HRV is an index of cardiac sympathetic control
and the LF/HF ratio is an index of sympathovagal balance.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV122
Relationship between severity of
tobacco dependence and personality
traits, insomnia and impulsivity in
male and female individuals entering
alcohol treatment
A. Wnorowska ∗, P. Serafin , A. Topolewska-Wochowska ,
A. Klimkiewicz , A. Jakubczyk , K. Brower , M. Wojnar
1 Medical University of Warsaw, Psychiatry, Warsaw, Poland
2 University of Michigan, Psychiatry, Ann Arbor, USA
∗ Corresponding author.
Introduction Tobacco dependence (TD) often coexists with
alcohol dependence. Previous research documented that both
biological and environmental factors influence simultaneous devel-
opment of the two disorders. However, it has not been determined
whether the same psychological and psychopathological factors
affect TD in alcohol-dependent males and females.
Aim The objective of the study was to assess risk factors for high
severity of TD in alcohol-dependent individuals considering gender
differences.
Methods The study entailed two groups: male (n = 284) and
female (n = 102) subjects entering alcohol addiction treatment pro-
grams in Warsaw, Poland. Standardized instruments were used to
assess: severity of TD – Fagerstrom Test for Nicotine Dependence,
personality traits – NEO-Five Factor Inventory to assess, conse-
quences of drinking – Short Inventory of Problems, impulsivity –
Barratt Impulsivity Scale, and Sleep Disorder Questionnaire-7 as a
measure of insomnia.
Results In the studied sample, current smokers comprised 79.1%
(n = 225) of male and 79.4% ( n = 81) of female participants. Multi-
variate regression model showed that high negative consequences
of drinking (P= 0.001) and low NEO Openness score (P = 0.009)
were associated with high risk of TD in female alcoholics (corr.
R2 = 0.223; P < 0.0005). Bivariate analyses showed that TDwas asso-
ciated with impulsivity, openness, agreeableness and neuroticism
in male alcohol-dependent subjects. Insomnia was the only signifi-
cant predictor for high severity of TD in the males (corr. R 2 = 0.068;
P = 0.002).
Conclusions Different factors contribute to severity of tobacco
dependence in male and female alcohol-dependent individuals
entering addiction treatment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Anxiety disorders and somatoform disorders
EV123
Social anxiety in medical students: A
five-year follow-up
S. Ak ∗, C. Kılıc¸
1 Hacettepe University, Faculty of Medicine, Psychiatry, Ankara,
Turkey
2 Kastamonu University, Faculty of Medicine, Psychiatry, Kastamonu,
Turkey
3 Hacettepe University, Stress Assessment and Research Center STAR,
Ankara, Turkey
∗ Corresponding author.
Introduction Social anxiety is known to interfere with academic
attainment. Its negative effects may be more pronounced in medi-
cal students, since symptoms may prevent acquisition of necessary
skills for appropriate medical examination or procedures.
Objectives Medical education in Turkey lasts six years. Clinical
internship (6th year) is qualitatively different from other years,
since the student assumes the responsibilities similar to those of
resident physicians. The transformation involved in this process
may have an effect on the social anxiety levels of students.
Aims Our aim was to examine how medical education effects
social anxiety level, focusing on the change fromstart to graduation.
Methods This was a pooled, time series cross-sectional study.
Independent samples of students from same group were assessed
for demographic information and social anxiety at three time
points: at the first year of medical school (n = 152), at the begin-
ning of 6th year of medical school (n = 153), and at the end of the
6th year (n = 130).
Results Social anxiety levels declined from Time 1 (Liebowitz
Social Anxiety Scale [LSAS] = 44.3) to Time 2 (LSAS = 30.6), and was
stable after that (LSAS at Time 3 = 30.7). Social anxiety was pre-
dicted by “having another phobia” at Time 1; and by “psychiatric
history in family” at Times 2 and 3.
Conclusions Our study shows that medical education probably
has a positive effect on social anxiety, but this effect does not con-
tinue into the last year, i.e. internship. This is unexpected, because
internship requires the acquisition of new social and professional
skills. Findings will be discussed in the light of relevant literature.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.