European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S529
social stress and EDs, since secure attachment promotes the seek-
ing for support in order to help people to face stressful events. The
endogenous stress response system, including the hypothalamus-
pituitary-adrenal (HPA) axis, is likely involved inmediating the role
of attachment in the subjects’ coping with stressful situations.
Objectives and aims We explored cortisol responses to the Trier
Social Stress Test (TSST) of patients with EDs in order to evaluate
possible associations between subjects’ attachment styles and HPA
axis functioning.
Methods Twenty-one adult patients with EDs (7 with secure
attachment and 14 with insecure attachment) filled in the Experi-
ence in Close Relationship (ECR) questionnaire, which assesses the
adult attachment style, and were exposed to the TSST. Saliva sam-
ples were collected before and after the stress in order to measure
cortisol levels.
Results As compared to ED patients with secure attachment,
those with insecure attachment showed a significant different pat-
tern of the HPA response to the stress test.
Discussion Present findings suggest that attachment style may
influence the HPA response to stress in patients with EDs and this
effect may have relevant implications for the pathophysiology of
EDs.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV561
Recognition of emotional prosody in
anorexia nervosa
T. Dondaine , B. Douailler-Gautier ∗, M. Guillery , G. Robert ,
B. Millet , S. Guillaume , D. Drapier
1 University Rennes 1, Medical Departement, Rennes, France
2 Psychiatric Hospital Guillaume Regnier, pôle hospitalo-universitaire
de psychiatrie–adulte, Rennes, France
3 University Paris 6, Medical Departement, Paris, France
4 University de Montpellier, Medical Departement, Montpellier,
France
∗ Corresponding author.
Deficits in emotional processes are often observed by clinicians in
anorexia nervosa and may have an impact on social functioning.
Recognition of emotion was mostly investigated using visual stim-
uli as faces of emotional scenes. Only one study (Kucharska-Pietura
et al., 2004) demonstrated impairments in emotional prosody using
positive and negative valenced stimuli. However, this study did
not provide a highlight for the identification of emotional bias (for
example, to recognize an intense fear in a friendly voice). The aim
of this study is to better understand the recognition of emotional
prosody in anorexia nervosa using awide range of positive, negative
and neutral stimuli (Belin et al., 2008).
In order to test emotion recognition biases in emotional prosody,
we exposed 15 patients with anorexia nervosa and 15 healthy con-
trols (HCs) to emotional vocal tasks asking them to rate emotional
intensity on visual analog scales. In addition, we assessed clinical
symptomatology and cognitive functioning for all participants.
We showed that patients with anorexia nervosa provided higher
intensity ratings on the non-target scales (e.g., surprise scale for fear
stimuli) than HCs for sadness, fear and neutral voices. Furthermore,
with the exception of neutral vocal stimuli, they provided the same
intensity ratings on the target scales as the HCs.
These findings suggested a bias in the processing of emotional
prosody and may impact the social functioning of patients with
anorexia nervosa. The bias may result from a sensorial deficit or
a high-order cognitive dysfunction and have to be investigated in
future studies.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV562
Men with Anorexia: A descriptive
study of the characteristics of male
patients in an intensive
psychotherapy day hospital for eating
disorders during 2015 in Madrid
A. Espinosa Benavides ∗, C. García Calvo , B. Unzeta Conde ,
M.P. Vilari˜no Besteiro , C. Pérez Franco
1 Instituto Psiquiátrico José Germain, Psiquiatría, Leganés, Spain
2 Hospital Universitario Fuenlabrada, Psicología clínica, Fuenlabrada,
Spain
3 Hospital Universitario Santa Cristina, Unidad de Trastornos de la
Conducta Alimentaria, Madrid, Spain
∗ Corresponding author.
Objective To describe the main characteristics of male patients
suffering from anorexia in a specialized unit for eating disorders
management.
Introduction As a result of a more prevalent diagnosis of eat-
ing disorders in women (including anorexia among others), male
patients characteristics have been less described in current litera-
ture.
Methodology The authors retrospectively reviewed the clinical
history of all male patients attending our unit of Eating Disorders
in a period of one year (2015). The recorded characteristics were
analyzed and classified as demographic, clinical and biographical.
Finally a bibliographic review was also performed and correlated
with our results.
Conclusion During our review (currently being performed) we
have found that, even if in much less numbers than in women,
the characteristics of male patients suffering anorexia have rec-
ognizable patterns and for instance can be used for the better
understanding of this pathology in this population.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV563
‘Dar Kenn Ghal Sahhtek’ – An
effective therapeutic intervention
F. Falzon Aquilina ∗, A. Grech , D. Zerafa , M. Agius , V. Voon
1 Ministry of Health, Psychiatry, Attard, Malta
2 Dept of Psychiatry, University of Malta, Malta
3 Ministry of Health, Psychiatry, Mtarfa, Malta
4 Department of Psychiatry, Bedford Hospital, Bedforshire, UK
5 Department of Psychiatry, University of Cambridge, Cambridge, UK
∗ Corresponding author.
Introduction ‘Dar Kenn Ghal Sahhtek’ is a residential service for
patients suffering from eating disorders, namely Bulimia Nervosa,
Anorexia Nervosa and Obesity (Binge Eating and Non Binge Eating
type). The focus will be made on the obesity services.
Objectives 1. To show that Dar Kenn Ghal Sahhtek has proved to
be an effective therapeutic intervention towards obesity (with or
without binge eating). 2. To show that from a recruitment of 30
obese subjects a substantial proportion met the DSM-5 criteria for
Binge Eating Disorder.
Aims 1. To show that by means of questionnaires and physical
testing amarked improvement wasmade following the therapeutic
interventions offered at DKGS. 2. To highlight the high incidence of
binge eating disorder in a sample of 30 obese subjects recruited via
DKGS.
Methods 1. Interviewing the patient for the DSM-5 criteria of
binge eating. 2. Comparing scores of questionnaires before admis-
sion and prior to discharge. 3. Evaluating the response to various
treatment modalities.