25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464 S407

a relaxation group during two months with good recovery after- 1 Universidade Federal do Estado do Rio de Janeiro, Alfredo Pinto
wards. School of Nursing, Rio de Janeiro, Brazil
She is asymptomatic nowadays and has not been visited by any 2 Universidade Federal Fluminense, School of Nursing, Niteroi, Brazil

other specialist. ∗ Corresponding author.

Conclusions Women report more intense, numerous, frequent

Anxiety in elderly can be diagnosed based on a detailed history
bodily symptoms than men. This difference appears in samples of
and cognitive examination using various instruments. These instru-
medical patients and in community samples, whether or not gyne-
ments aim to obtain information that supports both the syndromic
cologic and reproductive symptoms are excluded, and whether all
and etiological diagnosis and the planning and execution of thera-
bodily symptoms or only those, which are medically unexplained
peutic and rehabilitation measures to be used in each case. During
are examined.
the nursing consultation with elderly people in the Federal Uni-
Women may be more aware of and more attentive to weak or dif-
versity of State of Rio de Janeiro (UNIRIO), many patients with
fuse bodily stimuli, which men do not perceive, and some studies
cognitive impairment showed anxious behavior. The study objec-
suggest that women have greater bodily vigilance and awareness.
tives to describe the factors related to the nursing diagnose anxiety
This could result from the experiences of menstruation,
in elderly patients attended in the nursing consultation. The con-
menopause, pregnancy, and lactation which all serve to repeatedly
sultations are based in the application of the nursing process. After
call women’s attention to their anatomy and physiology and to
the symptoms analysis, the nursing diagnosis anxiety is comple-
sensitize them to bodily changes.
mented with the related factors. The principals are death threat
Disclosure of interest The authors have not supplied their decla-
(64%), stressors (19%) and not needs met (17%). The data found are
ration of competing interest.
associated with cognitive impairment. Cognitive impairment in the
[Link] elderly can lead to anxiety, depression and hopelessness, according
to many studies.
EV0007 Conclusions Working the cognitive needs, and reducing stressors
are appropriate strategies to reduce the anxiety. The care with the
Nursing consultation and the care to health professionals is important to notice the related factors early
depression in elderly and improve the strategies.
C.M. Carvalho ∗ , T.V. Cardoso Vernaglia , D. de Assis Correa Sória , Disclosure of interest The authors have not supplied their decla-
T.D.J. Espirito Santo da Silva , S.R. Souza , R. Mello ration of competing interest.
Universidade Federal do Estado do Rio de Janeiro, Alfredo Pinto
School of Nursing, Rio de Janeiro, Brazil [Link]
∗ Corresponding author.
EV0009
Depression is a major mental illness affecting the elderly. About 15%
of the elderly have some depressive symptoms and about 2% have “Mom, there is a monster in the
severe depression. This study was conducted in an Extension Pro- closet”: The impact of early
gram of the Federal University of the State of Rio de Janeiro (UNIRIO) attachment trauma (EAT) on the
and the aims are: to identify the prevalence of depression in the
development of anxiety disorders and
elderly attended by the community center “Project Rebirth” in Rio
de Janeiro-RJ, and discuss strategies developed in consultation to treatment possibilities
care the depression. D. D’Hooghe (Clinician)
Methodology The elderly are registered in the program and Traumacentre Belgium, Bruges, Belgium
accompanied by a multidisciplinary team. In nursing consulta- Objectives In this workshop, I want to broaden the vision on
tions, whose base is in the realization of Nursing Process, there attachment trauma and highlight the importance to acknowledge
is the application of the Geriatric Depression Scale named Yesav- EAT as a hidden epidemic.
age – reduced version (GDS-15) held by students under the The significance of EAT in the development of anxiety symptoms
supervision of the teacher. After classification of the patient becomes more and more apparent.
on the scale, they develop the care plan based in the Nurs- Methods Recognizing the effect, that the quality of the attach-
ing Interventions Classification (NIC), and the nursing diagnoses ment relationship has on the development of a secure attachment
that have among their factors related to depression and its bond, is important to understand the factors underlying the devel-
symptoms. opment of anxiety symptoms.
Results and conclusions In addition to interventions carried out The availability, responsiveness, mentalizing possibilities. . . of the
in consultation, involving recovery of self-esteem, encouragement parent create a secure base from which the child can explore and
of leisure and recreational activities, and supported self-care, the develop.
program staff (psychologists, doctors, nurses and occupational The absence of those features in the child–parent relationship,
therapists) works in partnership in support group health educa- causes traumatic stress in the child and impacts his psychological
tion, encouraging the integration of the elderly. The well-being and and neurological well-being.
self-esteem of the elderly, thus, reduce the triggers of depression, Results Insecure attachment influences the neurobiology and
with the integration of participants, students and professionals. results in dissociative processes (hyper- and hypo-aroused)
Disclosure of interest The authors have not supplied their decla- expressed in different types of anxiety disorders.
ration of competing interest. Derived from the neurobiology there is a clear link between anxiety,
[Link] depression and aggression.
The internal working model (IWM), rises from insecure attach-
ment, influences adversely the child’s capability to regulate and
EV0008
relate.
Related factors of anxiety in elderly From an intergenerational point of view, an insecure attachment
assisted in nursing consultation style of the parent implements the absence of affect en stress regu-
C.M. Carvalho 1,∗ , T.V. Cardoso Vernaglia 1 , lation capabilities and leave the child with the inability to regulate
D. de Assis Correa Soria 1 , T.D.J. Espirito Santo da Silva 1 , his anxiety.
S.R. de Souza 1 , R. Mello 1 , G. Ribeiro Bitencourt 2 , M. Gripp 1 , Conclusion There is a clear link between EAT and different types
M. Guimaraes 1 , A. Goncalves 1 , I. Felippe 1 of anxiety disorders.