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

S397

Table 1

Response to treatment

53.6%

No response to treatment

46.4%

Table 2

Average CAPS score

At baseline

92

After 12 weeks

63

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1131

EV147

Dissociative disorder – unraveling the

mystery

L. Sousa

, A. Antunes , S. Oliveira

Hospital de Santa Maria, Lisbon Academic Medical Center, Psychiatry

and Mental Health, Lisbon, Portugal

Corresponding author.

Introduction

Dissociative disorders are among the most enig-

matic and controversial psychiatric pathologies. In the last decades,

great interest has emerged in understanding its pathophysiology,

nonetheless, problems in recognition and management of these

disorders are still challenging the psychiatric community.

Objectives

We describe a paradigmatic case of a dissociative dis-

order illustrating the “choice” of dissociation as a strategy for

coping with a traumatic reality.

Aim

Call attention to problems that interfere with the recogni-

tion, diagnosis and management of dissociative disorders.

Methods

Bibliographic research was conducted through the

PubMed in the Medline library and clinical information was

obtained through medical records and clinical interviews with the

patient.

Results

A 51-year-old Brazilian woman with no psychiatric his-

tory presented to the psychiatric outpatient care with apparent

dissociative symptoms, these consisted of amnesia for episodes of

agitation and aggressive behavior that occurredmainly at bed time.

She had been previously on general practice and neurology consul-

tations but none organic diagnose was made. Already in psychiatry,

it was recognized that those symptoms developed together after a

car accident and the beginning of a romantic relationship. It was

also recognized that she has sexual dysfunction and a history of

sexual abuse by a family member during her childhood, a known

risk factor to dissociative disorders.

Conclusions

Skepticism and lack of understanding might be the

reason for late psychiatric referral after the realization of vari-

ous expensive and time-consuming medical exams. Improving the

recognition of dissociative disorders will conduce not only to bet-

ter clinical outcomes but also improve cost effectivity of medical

interventions.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1132

EV148

Burnout and neurotic symptoms

among medical students

A. Tereszko

1 ,

, K. Drozdowicz

2

, M. Szymura

1

, A. Tuleja

1

,

W. Korzeniowski

1

, A. Kozłowska

1

, M. Siwek

2

, D. Dudek

2

1

Jagiellonian University Medical College, Students’ Scientific

Association of Affective Disorders, Kraków, Poland

2

Jagiellonian University Medical College, Department of Affective

Disorders, Kraków, Poland

Corresponding author.

Introduction

Medical studies are considered one of the most

stressful majors and the medical profession is one of the most at

risk of burnout. Some studies indicate the presence of symptoms

of burnout already in the early stages of career, or even before it

started, i.e. during studies preparing for the profession. Medical

studies may be such a case and it can affect the mental health dete-

rioration and cause the occurrence of both burnout and neurotic

symptoms.

Objectives

Assessment of the impact of the course of studies on

mental health of students and the risk of rapid burnout.

Aim

Estimation of the prevalence and severity of burnout and

neurotic symptoms among medical student depending on the year

of study.

Methods

Seven hundred and eighty-onemedical students partic-

ipated in the study. We used translated version of Maslach Burnout

Inventory-Student Survey and Polish questionnaire – Symptom

checklist S-III – for neurotic symptoms assessment.

Results

There was no significant difference in MBI-SS subscales

and symptoms checklist between first and last year of studies. Dif-

ference turned out to be significant when 1st and 6th year students

with 3rd year – in Symptom checklist (

P

< 0.01 and

P

< 0.05, respec-

tively), MBI-SS emotional exhaustion subscale (

P

< 0.01 for both)

and depersonalization subscale (

P

< 0.01, significant only when

compared with 1st year students).

Conclusions

Study revealed interesting pattern of burnout and

neurotic symptoms, with theirs greatest severity at the beginning

and the end of studies.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1133

EV149

Virtual reality therapy for

agoraphobic outpatients in Lima, Peru

M.I. Vásquez Suyo

, P. Nú˜nez-Torres

Arzobispo Loayza National Hospital, Mental Health, Lima, Peru

Corresponding author.

Virtual reality (VR) is an effective treatment for anxiety andphobias,

including agoraphobia, close the gold standard (in vivo exposure)

with less cost and logistical problems. In our country, Peru, expe-

rience of VR use or research in phobia treatment with objective

measures of anxiety and anxious manifestations in the body are

not found.

Objective

The aim of the study is to determine whether treat-

ment of agoraphobiawith RV is effective in patients fromArzobispo

Loayza National Hospital 2015 (symptom reduction: 50% or less),

comparing its effectiveness with other studies and determine

whether patients have side effects (cibersickness) as other realities.

Method

The sample consisted of 8 patients of both sexes with

clinical diagnosis of agoraphobia. Subjects were exposed to virtual

reality environments generated by Psious Virtual Reality applica-

tion for agoraphobia treatment and skin conductance (measured

in microsiemmens) and scale of subjective units of anxiety (SUDS)

were recorded while the patient was exposed to virtual environ-

ment that provoke anxiety; they was measured by 5 sessions.

Results

All patients had clinical improvement and reduction in

microsiemmens conductance measurement and SUDS: six patients

improvedmore than50%, with statistically significant results. There

was only cibersickness in a patient. The results correspond to find-

ings in other countries about the effectiveness. It is suggested that

new studies expanding the sample and including other phobias.

Keywords

Agoraphobia; In vivo exposure; Virtual reality;

Psious; Skin conductance; Cibermalestar; Loayza Hospital;

Psychiatry