European Psychiatry - Volume 33

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

S535

Hospital Universitario de Móstoles, Psiquiatría, Madrid, Spain

Hospital Universitario de Móstoles, Psiquiatría Infanto-Juvenil,

Madrid, Spain

∗

Corresponding author.

Introduction

Anorexia nervosa is a disorder of eating behavior

that is a major health problem on our society. It is characterized by

three main criteria: self-induced starvation, desire for thinness or

fear of obesity, and the presence of medical signs and symptoms

due to improper feeding. This work is focused on its treatment.

The biopsychosocial approach allows the design and application of

effective therapeutic strategies and a multidisciplinary team col-

laboration is essential.

Objectives

Research of current pharmacological and psychother-

apy treatments options of the disease.

Material and methods

Literature review based on articles and

publications on this topic.

Results

In anorexia nervosa, it is necessary to establish a thera-

peutic alliance between doctor and patient. Patient usually feels no

motivation to improve. The different treatments options to com-

bine, in terms of the patient status, are: nutritional rehabilitation,

cognitive-behavioral, family and interpersonal psychotherapies

and pharmacological treatment. It can be carried out at the ambu-

latory, at the day-hospital or by medical stay, even beyond patient

will.

Conclusions

Nowadays, the nutritional rehabilitation is the best

treatment established and it is the core treatment. About the psy-

chotherapies, the cognitive-behavioral is the most used because

it has exposed better results in all different studies proved and

in clinical practices, followed by the family therapy which is the

responsible of the patient family’s treatment. Pharmacological

treatment should not be used systematically and its exclusive use

is not enough to resolve anorexia nervosa as there are needed also

other treatments combined.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1564

EV580

Prevalence of depression and anxiety

among over weight persons

Z. Sepehrmanesh

Kashan University of Medical Sciences, Kashan, Iran

Background and objective

Today, overweight, depression and

anxiety are the major diseases which are growing all over the

world and threat the human health. The findings of previous studies

concerning the association between overweight, obesity and psy-

chological disorders such as depression and anxiety are conflicting.

Some studies have reported a positive association and some a neg-

ative association while some found no association at all. This study

evaluates depression and anxiety in people who were overweight.

Method

In a cross-sectional study, 162 cases with overweight

(BMI above 25 and under 30) who referred to diet clinic of Kashan

University of Medical Sciences (IRAN, 2015) were selected by using

simple random sampling. Depression and anxiety severity were

determined by Beck Depression inventory and Beck Anxiety inven-

tory. Data were analyzed by using descriptive statistic and

-test,

and Chi

Results

The mean age of cases was 32.12

7.51 and the mean

score of BMI was 26.56

1.31.prevalence of anxiety in the subjects

was 63.1% and 8.8% of the subjects in the study have varying degrees

of depression. There was a significant correlation between mean

scores of anxiety and depression in cases with overweight. There

was no significant difference between sex, age, job and education

incases.

Conclusion

Anxiety in persons with overweight is prevalent.

Detection and treatment anxiety disorders are recommended for

better healthy life and prevention obesity in these cases.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1565

EV581

Eating disorders: How can it be

detected?

C.F. Silvi

∗

, P. C

ano Ruiz , A. Gómez Peinado

HNSPS, PSIQUIATRIA, Albacete, Spain

∗

Corresponding author.

Introduction

Disorders of eating behavior can affect all people

regardless of socioeconomic or cultural situation. More common in

females (90-95%), has its peak incidence in adolescence. These are

processes that can subtly start and go unnoticed at first.

Objective

To analyze the clinical, epidemiological, diagnostic

approach of the disorder, evolution and treatment of disordered

eating behavior.

Methods

Review of the subject and recent articles on eating

behavior disorders in Psychiatric guides and magazines.

Results

The eating behavior disorders arise as a result of three fac-

tors: predisposing, precipitating and perpetuating. We must take

into account the genetics and family history, dissatisfaction with

body weight resulting in a restriction of diet and multi-disciplinary

consequences of this disorder (physical, psychological and social)

as perpetuating factors. We consider the coexistence of comorbid-

ity between disordered eating behavior and personality disorders,

mood disorders (depression) and disorders of impulse control.

Conclusions

Eating behavior disorders represent a major health

problem that threatens the patient’s life. Very important are the

rapid detection of the same and the establishment of treatment.

Treatment should be multidisciplinary with the patient and fam-

ily, providing information on the approach to the patient, taking

into account the lack of awareness of disease that often exists in

patients.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.