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

S393

psychotherapy versus CBT. There is the dissimilarity between pref-

erences for patients’ treatment and preferences for psychiatrists

himself/herself treatment:

– more than half of the sample would opt for benzodiazepines in

their patients but only the third of the sample would prefer benzo-

diazepines for himself/herself treatment;

– more psychiatrists would prefer to receive psychotherapy treat-

ment than they would prefer to give it to their patients.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1118

EV134

Relationship between cognitions and

perceived self-efficacy with the

severity of panic disorder with

agoraphobia

L. Leon-Quismondo

1 ,

, G. Lahera

2

1

“Principe de Asturias” University Hospital, Psychiatry, Alcala de

Henares, Spain

2

University of Alcala, Irycis-Cibersam, Psychiatry, Alcala de Henares,

Spain

Corresponding author.

Introduction

The influence of cognitions and the perceived self-

efficacy on mental health has been studied for a long time. Some

studies have linked the perceived self-efficacy and apprehensive

cognitions with the severity of panic disorder with agoraphobia.

Objectives

To study the relationship between self-efficacy and

dysfunctional beliefs of patients with panic disorder with agora-

phobia and severity of the disorder.

Method

A systematic review of the literature was performed to

examine the evidence of relationship between self-efficacy and

cognitionswith the severity of panic disorder. PubMed and PsycInfo

databases were searched.

Results

The studies conclude that a higher level of self-efficacy

decreases anticipatory anxiety and negative emotional states in

panic disorder with agoraphobia, reducing the severity of panic

disorder. There is a temporal relationship between dysfunctional

beliefs, self-efficacy and fear of a panic attack: changes in fear

are preceded by changes in beliefs, changes in efficacy or changes

in both beliefs and self-efficacy. Therefore, a higher level of self-

efficacy and positive beliefs have been studied as a significant

predictor of lower severity of the disorder and a greater improve-

ment during treatment.

Conclusions

These results support the hypothesis that cognitive

changes precede improvement and the importance of cognitive

appraisals for anticipatory anxiety and severity of the panic dis-

order with agoraphobia.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1119

EV135

The system prevention of adjustment

disorders in medical students

I. Leshchyna

Kharkov National Medical University, Psychiatry, narcology and

medical psychology, Kharkov, Ukraine

The problem of consolidation and strengthening of the mental

health of students can be solved by the active use of complex sys-

tems of psychoprevention mental disorders in students.

The purpose of investigation was development of the scientifically

determined system prevention of adjustment disorders in medical

students.

In this research, were determined and systematized clinical-

anamnestic,

clinical-psychopathological,

psychodiagnostical

aspects of mental health and state of disadaptation medical

students.

Adjustment disorders were diagnosed in 107 people (12.86%). In

the structure of mental pathology are dominated by prolonged

and short-term depressive reaction (38.6% and 31.2%) and mixed

anxiety-depressive reaction (22.3%).

Primary psychoprevention was aimed at identification and elim-

ination markers of risk of adjustment disorder among healthy

students, followed by complex use of measures aimed at poten-

tiation of resistance to mental disorders, increased socialization,

optimization way of living, learning, relaxation. Secondary psy-

choprevention was directed to early diagnosis and prognosis of

adjustment disorder using screening for mass examination. Mea-

sures of tertiary psychoprevention based on qualitative assessment

of clinical picture of adjustment disorder aimed at making optimal

clinical decision and included the integrated use of psychocorrec-

tion and psychopharmacotherapy. Their goal was clinical recovery

and prevention of aggravation psychopathological symptoms and

psychosocial disadaptation.

The effectiveness of proposed psychoprevention was significant

decrease (more than twice) frequency of manifestation new cases

mental disadaptation disorders in students.

The development and active implementation in practice psy-

choprevention of adjustment disorders in students is one of the

priority areas preserving the health of young person under con-

ditions professional education and should be complex, maximally

approached to the students.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1120

EV136

Body dysmorphic disorder and

psychosis: A case report and review of

literature

H. Maatallah

, H.

Ben Ammar , M. Said , A. Aissa

Razi Hospital, F, Tunis, Tunisia

Corresponding author.

Introduction

Patients with body dysmorphic disorder (BDD) are

concerned about a slight or non-existent defect on their appear-

ance, causing significant stress and interfering on their social and

professional life.

Despite its prevalence and psychosocial impact, this disorder

remains unknown by many clinicians.

Methods and objective

Through a review of literature and illus-

tration in our case report we will define: the symptomatology of

this pathology, psychopathological models of the disorder and the

etiopathogenic assumptions associated with it, in terms of risk fac-

tors and neurobiological correlations.

Case report

Patient 33 years old unmarried having been the vic-

tim of an AVP at the age of 25 years causing him a head injury

above right eye for which he undergoes cosmetic surgery three

times but the patient still not satisfiedwith installation of psychotic

and delusional disorders requiring the use of antipsychotics.

Conclusion

The complexity of body dysmorphic disorder should

not discourage clinicians to confront this disease. The management

requires more than putting under medical treatment associated

to psychotherapy, we also need a good relationship of trust and

maintain effective working alliance.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1121