ABSTRACTS - World Psychiatric Association

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PO3.91. EFFECTIVENESS OF PSYCHOEDUCATIONAL GROUP THERAPY IN AN ACUTE PSYCHIATRIC WARD F. Margari, G. Viola, P. De Luca, M. Lorusso, G. Punzi, R. Mianulli, M. Achille, O. Todarello L. Bini Unit, University Hospital of Bari, Italy The aim of this study was the evaluation of a psychoeducational intervention in an acute ward, based on a cognitive-behavioural approach implemented by two weekly groups. The data analysed are based on a sample of 114 male inpatients, divided in an experimental group (61 patients taking part in the psychoeducational groups) and a control group (53 patients not involved in any of these activities). Psychopathological symptoms were assessed through BPRS and CGI scales administered at the first (T0) and the last day (T1) of hospitalization. Preliminary data of this study confirm the effectiveness of the psychoeducational groups in the implementation of the process of care in acute inpatients, fostering reciprocal aid-mechanisms among them and increasing their awareness of the symptoms. PO3.92. HEART RATE VARIABILITY BIOFEEDBACK FOR NON-INVASIVE STIMULATION OF VAGAL OUTFLOW M. Mück-Weymann, R. Beise, D. Löllgen Clinic of Psychotherapy and Psychosomatic Medicine, Dresden University of Technology, Dresden, Germany; Institute of Behavioural Medicine and Prevention, UMIT, Hall, Austria In recent years, heart rate variability (HRV)-biofeedback has been proposed as a helpful tool to treat stress symptoms, asthma, hypertension, depression and panic disorders among others. HRV is characterised by multi-frequent oscillations during rest or states of relaxation, whereat the so-called respiratory sinusarrhyhtmia (RSA) is dominant. A relative stable rhythm is found around 0.1 Hz (6/min), representing the activity of the baroreflex loop. During RSA training the patient is asked to preferably breathe in the baroreflex-rhythm, resulting in a harmonized or coordinated state of heart rate, blood pressure and breathing frequency. A successful HRV-biofeedback can increase psychophysical relaxation as well as the vagal outflow to the heart. Possibly via a vagal pathway, it might have an impact on central nervous processes also (like an implemented “vagus pacemaker”). PO3.93. CONSULTATION-LIAISON PSYCHIATRY IN PRIMARY CARE: AN EXPERIENCE IN MODENA, ITALY E. Tedeschini, N. Colombini, E. Simoni, S. Ferrari, M. Rigatelli Psychiatry Unit, University of Modena and Reggio Emilia, Modena, Italy We report on a collaborative project between a primary care and a mental health service to improve treatment of common psychiatric disorders. Two groups of consultations for general practitioner (GP)- referred patients were defined: those at the mental health service in the years 2003-2004 and those at the GP clinic in 2006-2007. Sociodemographic and clinical data were collected by reviewing clinical charts. Sixty-one patients were referred and assessed at the GP clinics in the 8 months considered; 289 at the MHS in years 2003-2004. Comparing the two groups, no statistical differences were found as to diagnoses (p>0.05) and outcomes (p>0.05). PO3.94. SUCCESSFUL TREATMENT OF CO-MORBID CHRONIC PAIN AND MAJOR DEPRESSION WITH ECLECTIC/INTEGRATIVE PSYCHOTHERAPY AND PHARMACOTHERAPY: A CASE REPORT K. O’Connor, S. Aslam Division of Consultation Liaison Psychiatry, SUNY Upstate University, Syracuse, NY, USA Patients with co-occurring chronic pain and depression are common and often challenging to treat. Chronic pain is a disorder with multifactorial origins, which include the original physical injury, but is also associated with abuse, “victimization”, childhood neglect and a range of psychosocial stressors. Various medications, such as anti-depressants, anti-epileptics, non-steroidal anti-inflammatories, muscle relaxants and opioids, are commonly used as first line interventions. Medications alone can be effective, but a multidisciplinary approach which includes psychotherapy is often necessary. Cognitive behavioral therapy (CBT) has been shown to improve mood, decrease pain, improve fatigue and insomnia, as well as increase physical functioning and stress management. Deconstructive dynamic psychotherapy (DDP) has shown to be an effective treatment for the core symptoms of borderline personality disorder (BPD). We suggest that similar “core” symptoms can also arise in patients who are attempting to cope with chronic pain, including unstable self image, feelings of emptiness, fear of abandonment, intense interpersonal relationships, and reactivity of mood leading to episodes of depression, anxiety and possibly intense anger. We present a case of a 54 year old female patient with comorbid chronic pain and depression who improved significantly after treatment in the outpatient psychiatry clinic with medication management and eclectic psychotherapy. Combined CBT, DDP and supportive therapy techniques were utilized in this patient’s care. PO3.95. CHANGE THE MIND AND YOU CHANGE THE BRAIN: FUNCTIONAL MAGNETIC RESONANCE IMAGING INVESTIGATES TREATMENT RESPONSE TO COGNITIVE BEHAVIORAL THERAPY IN PATIENTS WITH CHRONIC PAIN M. Naylor, M. Krauthamer, J. Dumas, C. Filippi, P. Newhouse Departments of Psychiatry and Radiology, University of Vermont, Burlington, VT, USA This study aimed to investigate whether cognitive behavioral therapy (CBT) modifies the dysfunctional neural circuitry associated with chronic pain, as examined by functional magnetic resonance imaging (fMRI) using the emotional stimuli from the Ekman’s Picture Set and from the International Affective Picture Set (IAPS). A two step experiment was carried out to test: a) whether there is a difference in amygdala reactivity to emotional stimuli between chronic pain patients and healthy controls; b) whether 11-week CBT has the potential to modify the dysfunctional neural circuitry associated with chronic pain. Nine patients with musculoskeletal chronic pain were enrolled and compared to healthy controls. Exclusion criteria were major depression, dysthymia, panic disorder, post-traumatic stress disorder (PTSD). In the first experiment, chronic pain patients showed increased amygdala activation relative to controls (p
ment before and after 11-week CBT. Results showed decreased activation in amygdala and the primary somatosensory cortex (S-1) and increased activation in the medial frontal gyrus after 11-week CBT as compared to baseline (p
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P World Psychiatry OFFICIAL JOURNAL
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WORLD PSYCHIATRIC ASSOCIATION INTER
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RS2. New advances in diffusion magn
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SW8. Treatments for pregnant women
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cologic treatment options are now a
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elation to particular treatments an
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chotherapy (TFP), an outgrowth of p
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obtaining open employment. Secondar
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tion of diagnosis-specific suicide
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US7. ADVANCES IN THE MANAGEMENT OF
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those following birth. Very little
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US14.2. COMMON AND RARE GENETIC VAR
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cause within 12 months was 63 (Kapl
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sentations, and the onset of effica
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US23.3. NEUROGENETIC MECHANISMS OF
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and physical disorders meets proble
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parent-child relationship. A ration
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specifically, these studies have ei
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RS3.5. USING ANTIDEPRESSANTS (PLUS
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BOLD signal differences in prefront
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affective states and to increase in
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account for over fifty per cent of
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sequencing of the pathway to care o
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RS14.2. OBSESSIVE-COMPULSIVE DISORD
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RS16. SUPPORTED EMPLOYMENT FOR PEOP
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RS18. CURRENT STATE AND FUTURE PROS
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RS20. BRAIN SYSTEMS AND PSYCHOSIS R
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andomly recruited from the Montpell
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model requires a conceptual shift f
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familiar with psychological vulnera
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RS26.5. IMPLICATIONS OF RECOVERY: A
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cotherapy, remain unclear. These ar
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RS30.2. COMBINATION THERAPIES FOR P
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RS32.2. CHRONOTHERAPEUTICS TO TREAT
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RS34. THE EFFECTS OF PSYCHIATRIC CO
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teristics than an African American
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WO6. MANAGEMENT OF MENTALLY DISORDE
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WO14. PRACTICAL ISSUES IN THE LONG-
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espectively; for women with any psy
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SS3. THE ASSOCIATION BETWEEN IMPULS
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and blood samples were used for tol
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(the need to avoid harm to a patien
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SS9. IMPLEMENTING MENTAL HEALTH CAR
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SS11. RECOVERY BEYOND RHETORIC (org
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Romanian admission to the European
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SS14.2. SUBJECT-SPECIFIC EEG ANALYS
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SS16. HOPE IN PSYCHIATRY (organized
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SS18. TOWARDS A CONSENSUS ON ETHICS
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duced drugs that were marketed as a
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treated for unipolar and bipolar de
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long-term individual therapy, the t
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provide a defence or to accept a de
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SS28.2. DOCTORS’ HEALTH AND ADDIC
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SS30.3. EVIDENCE-BASED PSYCHOTHERAP
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has created a unique challenge for
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SS35. ACCESS TO MENTAL HEALTH CARE:
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SS36.3. BEHAVIOURAL AND COGNITIVE-B
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SS38.2. DEPRESSION AND DEMENTIA: LE
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need to show what it is doing to ad
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the individual’s personhood (in e
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taken into account and mood disorde
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and psychiatric services at all lev
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chose the field of psychoneuroimmun
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ices to families (particularly chil
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suffer from comorbid depression. In
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American countries, that the majori
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ZS10.5. STIGMA IN UKRAINE AND POST-
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chotherapeutic schools, such as the
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NRS2. GENETICS AND MOLECULAR BIOLOG
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NRS3.2. EARLY DETECTION AND INTERVE
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NRS4.4. DEPRESSIVE PERSONALITY AND
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patients were enrolled; 38 were ran
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NRS7.2. THE USE OF THE MOOD DISORDE
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What were the missed opportunities
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compared with those without rapid c
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and poor control of impulsivity. Th
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tainty, which, in turn makes it pos
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they “did not want anyone to know
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the SOHO studies and followed up to
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occurring in the brain during REM s
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(28.6%/44.0%), and after 12 months
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adverse events (AEs). Eighty-one pa
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and worse global functioning (as ev
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ment response is defined primarily
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domized to treatment with either us
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PO1.56. RISPERIDONE AND HYPERPROLAC
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understanding and self-awareness (4
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five healthy subjects, genotyped fo
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patients and their relatives, the a
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PO1.86. VALACYCLOVIR-ASSOCIATED PSY
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effects of prenatal selective serot
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of these recovered patients, 10% re
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assess functional impairment. The F
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to recurrence of any mood event was
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demonstrated that declined group ha
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PO1.130. ARIPIPRAZOLE IN ACUTE MANI
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in maintenance therapy could be the
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PO1.145. BIPOLAR DISORDER WITH A DE
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the Consort Statement guidelines. R
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for evaluation and a diagnosis of t
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PO1.170. EVALUATION OF LIOTHYRONINE
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only up to primary level education
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sistencies among magnetic resonance
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suppression of the immune system in
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isk factor unique to this populatio
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went functional magnetic resonance
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study we generated the stable MES23
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control group from the general popu
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PO2.14. AUGMENTATION WITH COGNITIVE
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PO2.22. FREQUENCY AND CLINICAL CORR
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CI -0.75; -0.14, p=0.004). In addit
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PO2.38. SPECTRUM OF SOCIAL ANXIETY
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PO2.46. CLINICAL HETEROGENEITY OF O
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Page 238 and 239: PO2.80. PERCEIVED FAMILY CONFLICTS
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Page 242 and 243: tions of self and others. These fea
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Page 248 and 249: PO2.120. DEMOGRAPHIC AND CLINICAL F
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Page 262 and 263: PO3.10. METHYLPHENIDATE TRANSDERMAL
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Page 266 and 267: PO3.26.2 IMPROVEMENTS IN MENTAL HEA
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Page 274 and 275: PO3.58. EFFICACY OF LAMOTRIGINE IN
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Page 278 and 279: PO3.74. PSYCHIATRIC COMORBIDITY IN
Page 280 and 281: in whom this type of intervention m
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Page 292 and 293: PO3.133. PATTERNS OF CARE IN PATIEN
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Page 296 and 297: who were living part or full time w
Page 298 and 299: developed by a task force appointed
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Page 302 and 303: PO3.174. THE EMILIA PROJECT: THE ST
Page 304 and 305: ecovered better from depression tha
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Page 312 and 313: models of circadian disturbances. M
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Page 316 and 317: SPS9.5. IMPROVING CARDIOVASCULAR HE
Page 318 and 319: although preliminary, are promising
Page 321 and 322: INDEX OF AUTHORS Abbate A. 270 Abde
Page 323 and 324: Benítez-Hernández M.M. 297 Benito
Page 325 and 326: Centanaro F. 164 Cercignani M. 32 C
Page 327 and 328: Diez T. 164 Dimitrijevic I. 244 Din
Page 329 and 330: Gates D. 280 Gaviria S.L. 73 Gelao
Page 331 and 332: Hua-Min Xu 210 Huang H. 247 Huang J
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Kundi P.S. 257 Kunugi H. 248 Kupfer
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Marder S.R. 103 Margari F. 274, 275
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Napo F. 175 Narayana P.A. 76 Nardi
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Pieper S. 31 Pierantozzi E. 193 Pie
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Rybakowski J. 171 Ryder A.G. 138 Ry
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Stoduto G. 280 Stone M.H. 5, 38 Sto
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Villaseñor Bayardo S. 118 Vinberg
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© 2009 by WPA Printed in Italy by
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ABSTRACTS - World Psychiatric Association

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