European Psychiatry - Volume 33 - March 2016

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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
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.
EV564
The effects of shame, self-compassion
and perfectionistic self-presentation
of body image on eating
psychopathology
A.L. Mendes , C. Ferreira ∗, J. Marta-Simões , I.A. Trindade
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.
EV565
A clinical case of a patient with
anorexia nervosa and bizarre behavior
A. Fonseca ∗, A. Poc¸ as , J. Melim , R. Araújo
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/m2. 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.
EV566
Anger expression, impulsivity and
expressed emotion: A comparison
between patients with eating disorder
and schizophrenia
E. Gambaro ∗, C. Gramaglia , D. Cenci , C. Delicato ,
A. Lombardi , C. Rizza , L. Girardi , V. Binda , N. Chieppa ,
P. Prosperini , F. Bert , R. Siliquini , P. Zeppegno
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