Psychosomatics and Mentalization

S1024 E-Poster Viewing
Methods: Research, book summaries, practical experience EPV0872

Results: Poster presentation
Conclusions: Poster presentation Psychosomatics and mentalization
Disclosure of Interest: None Declared A. M. Delgado Campos*, P. Alcindor Huelva, A. Alvarez Astorga,
S. Rubio Corgo, E. Pérez Vicente, M. Arrieta Pey, C. Diaz Gordillo,
P. Del Sol Calderón and A. C. Martín Martín
Departamento Psiquiatría CSM, Hospital Universitario Infanta
EPV0871 Leonor, Madrid, Spain
Psychotherapy program as an additional treatment *Corresponding author.
doi: 10.1192/j.eurpsy.2023.2174
method for patients with rheumatoid arthritis,
multidisciplinary approach Introduction: We have investigated the relationship between the
A. Matic1*, A. Gudelj Gračanin2, I. Tonković3, L. Mužinić Marinić4 Psychosomatic Classification method (Marty) and the Rorschach
and J. Morović-Vergles5 Test, with respect to the diagnosis of psychosomatic disorders,
1 within the framework of the degree of mentalization measured
Department of Psychotherapy, University Psychiatric Hospital
Vrapče; 2Department of Clinical Immunology, Rheumatology and
by both.
Pulmonology, Clinical Hospital “Sv. Duh”; 3retired; 4Department of Objectives: A) To verify statistical coincidence with respect to the
psychiatry and 5Department of Immunology, Allergology and degree of mentalization (risk of generating psychosomatic dis-
Rheumatology, University Hospital Dubrava, Zagreb, Croatia orders in a subject) between the Rorschach Test and the diagnostic
*Corresponding author. technique Psychosomatic Classification, by P. Marty. B) To test the
doi: 10.1192/j.eurpsy.2023.2173 hypothesis: Patients diagnosed with infertility, whose degree of
mentalization is good, will have a greater probability of achieving
Introduction: Chronic diseases, with the development of medicine, a successful pregnancy throught Assisted Reproduction Tech-
the extension of life expectancy and the reduction of dying from niques.
infectious diseases, have become a leading public health problem. Methods: Two evaluation tools were used: a) Psychosomatic Clas-
Rheumatoid arthritis (RA) is a chronic, progressive, multifactorial, sification based on the criteria established by this diagnostic
autoimmune, systemic inflammatory disease of connective tissue, method; b) The Rorschach test (based on the evaluation of 29 indi-
and sufferers are at greater risk of developing psychological dis- cators, selected according to their greater relevance in the gener-
orders, depression and anxiety being the most common. Optimal ation of somatic symptoms).
treatment of RA should include periodic screening of somatic and A sample of 120 patients (women) diagnosed infertility at the
psychological comorbid disorders and diseases with a multidiscip- Assisted Reproduction Unit (U.R.A.) at Hospital Universitario
linary approach to treatment. 12 de Octubre in Madrid was recruited. The method of ‘statistical
Objectives: Presenting a psychotherapy program as an additional correlation of coincidence’ between the results of the two diagnostic
method of treating patients with rheumatoid arthritis. instruments used was used. Once both tests had been assessed by
Methods: In University Hospital Dubrava, a psychotherapy pro- the “inter-judge” method and the quantitative values of the selected
gram was organized for patients with rheumatoid arthritis, which items had been weighted, the KAPPA statistical method was
took place once a week for 12 weeks, and consisted of autogenic applied to establish the “correlation of coincidence” between the
training, education about the disease and group psychotherapy. results of the two assessment instruments.
The program would begin with autogenic training held by a clinical Results: Considering that the KAPPA method takes values between
psychologist, and the main goal was to achieve psychophysical “0" and ”1" and that between 0.6 and 0.8 the agreement or coinci-
relaxation. This was followed by an education on rheumatoid dence is considered good, and above 0.8 very good, the result
arthritis, in which a clinical rheumatologist was involved, and the applied to the hypothesis is 0’76 (’good’).
goal was to provide basic information about the disease, thereby Conclusions: A) Using the Rorschach Test and P. Marty’s Psycho-
achieving better cooperation with health care personnel and a more somatic Classification in a complementary manner, these two
active role in their own treatment. In the end, there would be a time- instruments together provide high reliability, with respect to the
limited dynamic group psychotherapy conducted by a psychiatrist/ degree of mentalization (a subject’s risk of suffering psychosomatic
psychotherapist with the basic therapeutic effects of group therapy. disorders). B) The degree of mentalization has a significant impact
Results: As a result of a 12-week psychotherapy program for somatic on the success or failure in the application of Assisted Reproduction
patients, which was held in a clinical hospital, patients’ anxiety and Techniques in infertile women.
depression decreased, the experience of pain decreased, and there Disclosure of Interest: None Declared
were positive changes in the perception of the quality of life.
Conclusions: A multidisciplinary approach is recommended in
treating patients with rheumatoid arthritis and psychotherapy
progam can be used as an additonal way of treatment.
Disclosure of Interest: None Declared
https://doi.org/10.1192/j.eurpsy.2023.2174 Published online by Cambridge University Press

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Psychosomatics and Mentalization

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S1024 E-Poster Viewing

Methods: Research, book summaries, practical experience EPV0872

https://doi.org/10.1192/j.eurpsy.2023.2174 Published online by Cambridge University Press

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