Table of Contents Table of Contents
Previous Page  532 / 812 Next Page
Information
Show Menu
Previous Page 532 / 812 Next Page
Page Background

S528

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

disorders. Psychometric instruments like the Eating Disorder

Examination 12th version (Cooper and Fairburn, 1987), Eating

Attitudes Test/EAT-25 (Garner e Garfinkel, 1979) and the Eating

Disorder Inventory (Garner et al., 1983; Machado et al., 2001) con-

tributed for the characterization of the Eating Disorders in the

Portuguese population.

Results

The EatingDisorders have a higher incidence in the young

Caucasian woman, living in the urban area. The combination of

the restrictive diet with intense physical exercise in the anorexia

nervosa very often evolves with negative emotions. The emotional

instability, namely the dysphoria, the anxiety and the sleep pattern

changes are frequent. The bulimia nervosa initially manifests itself

by restrictive diet, which evolves to excessive food intake episodes

getting increasingly frequent and intense.

Conclusions

The Eating Disorders come from the gene-

environment interaction and risk premorbid biological and

psychological changes may result. These are inseparable from

the interaction with the social context where the epigenetic

mechanisms may play an important role. The reason for thinness,

limitations at the level of interoception and obsessive-compulsive

character traits are predisposing factors.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1542

EV558

Contribution of Night Eating

Syndrome to the evolution of

anorexia nervosa – Case report

F. Coutinho

, I. Brandão

Centro Hospitalar de São João, Clínica de Psiquiatria e Saúde Mental,

Porto, Portugal

Corresponding author.

Introduction

Night Eating Syndrome (NES) was described in 1955

in a subset of patients resistant to weight loss. It is characterized by

morning anorexia, evening hyperfagia and sleep disturbances. It is

also more prevalent among patients with another eating disorder

(ED), particularly binge-eating disorder (BED) or bulimia nervosa

(BN).

Objective

Reviewof the literature about the relationshipbetween

NES and another EDs and to present a case report of a patient with

a long-standing purgative anorexia nervosa (AN-BP) and comorbid

NES.

Methods

review of the literature using the database Medline

through Pubmed, with the keywords: “night eating syndrome” and

“eating disorder”.

Results

NES is highly prevalent among patients with EDs, with an

estimated prevalence of about 5–44%. However, most of the exis-

tent literature explores the relationship between NES and BED or

BN, and it is not consensual if NES is a subtype of another ED. There

is still scarce evidence about NES and AN comorbidity.

Conclusion

In this case report, we present a patient with a history

of AN-BP, in which the recovery of lost weight and the increase of

body mass index (BMI) occurred simultaneously with a period of

worsening NES symptoms, which leads the authors to question if

the psychopathology of NES has contributed to the recovery of BMI

at the expense of maintaining a dysfunctional eating pattern.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1543

EV559

Effectiveness of Enhanced Cognitive

Behavioral Therapy (CBT-E) in the

treatment of anorexia nervosa – A

prospective multidisciplinary study

Y. Danielsen

1 ,

, G. Rekkedal

2

, S. Frostad

2

, U. Kessler

2

1

Department of Clinical Psychology, Faculty of Psychology, Bergen,

Norway

2

Department of Psychosomatic Medicine, Haukeland University

Hospital, Bergen, Norway

Corresponding author.

Introduction

According to the most widely influential treatment

guidelines from the National Institute for Health and Clinical Excel-

lence and the American Psychiatric Association, existing evidence

for adult AN treatment is weak, and more treatment studies are

needed.

Objectives/aims

The primary objective of this project is to gain

knowledge about the effectiveness of CBT-E in the treatment of

Anorexia Nervosa (AN). Secondary objectives are to prospectively

examine baseline predictors of treatment outcome/drop-out and

to examine variables related to treatment process and patient

engagement as predictors of outcome/drop-out. Thirdly, in a mul-

tidisciplinary approach, to focus on selected pathophysiological

mechanisms including disturbed neuropsychological functioning,

changes in the gut microbiota, immunological and genetic mea-

sures in patients with severe AN in different stages of the disease,

and further to investigate to what extent they are related to treat-

ment outcome.

Methods

The sample consists of patients aged

16 years with AN

admitted to outpatient treatment (CBT-E) at Section for Eating Dis-

orders, Haukeland University Hospital, Bergen, Norway. Outcome

measures include BMI, self-reported eating disorder symptoms

(EDE-Q), depression (BDI), anxiety (BAI) general psychiatric symp-

tomatology (SCL-90-R, M.I.N.I 6.0), health related quality of life

(CIA, RAND-36), physical activity (accelerometers) and neuropsy-

chological functioning. The main measurement points are at the

start of treatment, 3months, end of treatment and one year follow-

up. Baseline predictors of treatment outcome and drop-out will

be examined as well as the association between early adherence,

behavioral change, therapeutic alliance and treatment outcome. In

addition biochemical, genetic and bacteriological assessments will

be conducted.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1544

EV560

Attachment style and cortisol

response to psychosocial stress in

eating disorder patients

R. Giugliano

1 ,

, A.M. Monteleone

1

, F. De Riso

1

, M. Nigro

1

,

F. Monaco

1

, U. Volpe

1

, P. Monteleone

2

1

University of Naples SUN, Department of Psychiatry, Naples, Italy

2

University of Salerno, Neuroscience Section, Department of

Medicine and Surgery, Salerno, Italy

Corresponding author.

Introduction

Stress exposure is a risk factor for both the onset and

the maintenance of Eating Disorders (EDs). The attachment the-

ory may provide a framework to explain the relationship between