European Psychiatry - Volume 33 - March 2016

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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.
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.
EV148
Burnout and neurotic symptoms
among medical students
A. Tereszko ∗, K. Drozdowicz , M. Szymura , A. Tuleja ,
W. Korzeniowski , A. Kozłowska , M. Siwek , D. Dudek
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.
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