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S530

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

Results

On interviewing the group of 30 patients, 47.6% of the

patients were found to be the diagnostic criteria of Binge Eating

Disorder according to DSM-5

( Table 1 ).

Conclusion

Firstly, a considerable proportions of obese subjects

proved to meet the DSM-5 criteria for binge eating while Dar Kenn

Ghall Sahhtek has proved to be an effective therapeutic interven-

tion towards obesity (with and without binge eating).

Table 1

On admission

Prior to discharge

BDI questionnaire 1.1

53.33

GAD questionnaire 4.55

400

QOL questionnaire 6.67

350

2 minute step

73 steps on average 114 steps on average

6 minute walk

440m on average 625m on average

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1548

EV564

The effects of shame, self-compassion

and perfectionistic self-presentation

of body image on eating

psychopathology

A.L. Mendes

1

, C. Ferreira

2 ,

, J. Marta-Simões

1

, I.A. Trindade

1

1

Faculty of Psychology and Educational Sciences, University of

Coimbra, CINEICC, Cognitive, Behavioural Centre for Research and

Intervention, Coimbra, Portugal

2

Faculty of Psychology and Educational Sciences, University of

Coimbra, CINEIC, Cognitive, Behavioral Research Centre, Coimbra,

Portugal

Corresponding author.

Shame is considered a painful emotion that emerges in social con-

texts when the individual perceives that others see the self as

inferior, inadequate or defective. This emotion is associated with

decreased levels of self-compassion and may trigger several defen-

sive responses, such as the need to present a perfect body image.

Furthermore, shame has been conceptualized as a key component

of eating psychopathology.

This study aims to explore the role of external shame in the engage-

ment in disordered eating attitudes and behaviours through the

mechanisms of self-compassion and body image-related perfec-

tionistic self-presentation. A path analysis testing a mediational

model was conducted in a sample of 469 women from the general

community, aged between 18 and 35 years old.

The tested model explained 49% of the eating psychopathology’s

variance and presented excellent fit indices. Results demonstrated

that external shame has a direct effect on disordered eating

behaviours and simultaneously an indirect effect through the

mechanisms of self-compassion and the need to present a perfect

physical appearance.

These results seem to corroborate the link between shame and

eating psychopathology. Additionally, these data suggest that

women who present higher levels of shame show decreased

self-compassion and tend to adopt compensatory maladaptive

strategies, such as striving for a perfect body. Furthermore, these

findings have significant clinical implications, highlighting the

importance of developing new programs focused on shame and

on the promotion of adaptive emotion regulation strategies, such

as self-compassion.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1549

EV565

A clinical case of a patient with

anorexia nervosa and bizarre behavior

A. Fonseca

1 ,

, A. Poc¸ as

1

, J. Melim

2

, R. Araújo

2

1

Centro Hospitalar de Leiria, Psiquiatria, Leiria, Portugal

2

Centro Hospitalar de Leiria, Psichiatry, Leiria, Portugal

Corresponding author.

Eating disorders (EDs) are mental illnesses, defined by abnormal

eating habits. EDs are chronic, severe and difficult to treat, and

cause psychological, social and physical consequences. It occurs

predominantly in adolescents and young adults women (around

90%), causing severely disability, major biopsychosocial losses, and

highmorbidity andmortality. EDs are considered byWHO as a pub-

lic health problem, affecting different ages, genres, times, regions

and contexts.

Objective

Case report of a patient with Anorexia Nervosa and

bizarre behavior.

Methods

Clinical observation in hospital.

Results

Woman with 43 years old, with a peace of 65 years, who

was hospitalized in Psychiatric Service – Eating Disorders, in

August 2015, because of its extreme thinness, with difficulty to

walk and with severe edema of the feet, ankles and legs. At the

entrance, she weighed 29 kg, after 4 days her weight reduced to

23 kg, reaching a BMI of 8.5 kg/m

2

. In the first week, she showed

a high cognitive impairment, confusional state and detailed and

ruminative speech about food. She had developed multiple tech-

niques to hide food and to hide and take dietary supplements for

weight loss. Furthermore, she had a bizarre behavior and marked

social isolation, not interacting with other patients.

Conclusion

Although the lowprevalence of EDs, these have a high

morbidity, and are one of the psychiatric disorders that most often

leads to a fatal outcome. Treatment is lengthy and cumbersome,

requiring serious investments under the personal point of view,

family and clinical, yet still, these patients can have a full life and

quality.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1550

EV566

Anger expression, impulsivity and

expressed emotion: A comparison

between patients with eating disorder

and schizophrenia

E. Gambaro

1 ,

, C. Gramaglia

1

, D. Cenci

1

, C. Delicato

1

,

A. Lombardi

1

, C. Rizza

1

, L. Girardi

1

, V. Binda

2

, N. Chieppa

2

,

P. Prosperini

2

, F. Bert

3

, R. Siliquini

3

, P. Zeppegno

1

1

Università del Piemonte Orientale, Dipartimento di Medicina

Traslazionale, Novara, Italy

2

Azienda Ospedaliera Universitaria Maggiore della Carità di Novara,

Medicina Traslazionale, Novara, Italy

3

Università degli Studi di Torino, Scienze della Sanità Pubblica e

Pediatriche, Torino, Italy

Corresponding author.

Introduction

The level of express emotion (EE) is ameasure of the

attitude of close relatives towards a patient and include dimensions

as critical comments, hostility and emotional over-involvement.

Anger and impulsivity may lead to self-injurious and aggressive

behaviours, and often represent an obstacle to treatment.

Aims

To compare anger expression, impulsivity and expressed

emotion in ED and SCHZ, and to explore the different level of care-

givers’ EE in the two groups.

Methods

Twenty-five female with ED diagnosis and 25 patients

with schizophrenia, were recruited at the Psychiatry Ward and

outpatient Service of AOU – Novara, during one year period.

Patient’s assessment included Global Assessment of Functioning