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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1545

EV561

Recognition of emotional prosody in

anorexia nervosa

T. Dondaine

1

, B. Douailler-Gautier

2 ,

, M. Guillery

2

, G. Robert

1 , 2

,

B. Millet

3

, S. Guillaume

4

, D. Drapier

1 , 2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1546

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

1 ,

, C. García Calvo

2

, B. Unzeta Conde

3

,

M.P. Vilari˜no Besteiro

3

, C. Pérez Franco

3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1547

EV563

‘Dar Kenn Ghal Sahhtek’ – An

effective therapeutic intervention

F. Falzon Aquilina

1 ,

, A. Grech

2

, D. Zerafa

3

, M. Agius

4

, V. Voon

5

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.