Trait), state positive and negative affects (PANAS state-Positive and Negative Affect Schedule Stait) and subjective satisfaction with life (SWLS). Results: Psoriasis patients reported higher values of expressive suppression compared with controls. Cognitive reappraisal showed no differences between the two groups, while trait positive and negative affect and state negative affect resulted higher in the psoriasis group. The mediation model, having emotion dysregulation as predicted variable and trait and state negative affect as predictors, indicated a signicant effect of trait negative affect on emotion dysregulation. In the second step, maintaining emotion dysregulation as the dependent variable, results of a regression method indicated a signicant effect of three trait emotions on emotion dysregulation: shame, nervousness and fear. Conclusion: The results suggest that psoriasis patients used more frequently a maladaptive emotion regulation mechanism (emotional suppression), experienced more negative trait emotions, and used more emotional dysregulation patterns such as lack of emotional clarity, impulse control difculties, non-acceptance of emotional responses. Three negative specic emotions resulted signicantly related to emotion dysregulation in persons living with psoriasis: shame, nervousness and fear. doi:10.1016/j.jpsychores.2018.03.038 28 A comparison of physical health in migrants and natives accessing Psychiatric Services: An explorative study on data from the Verona Psychiatric Case Register D. Cristofalo a , C. Bonetto a , M. Ballarin a , F. Amaddeo a , M. Nosè b , C. Barbui a,c , M. Ruggeri a,b a Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy, b Psychiatric Clinic, AOUI Hospital Trust of Verona, Verona, Italy, c WHO Collaborating Centre for Research and Training in Mental health and Service Evaluation, Section of Psychiatry, University of Verona, Verona, Italy Aims: The interplay between physical and mental illness in migrants has arisen a high degree of concern in the European countries. In spite of this, few studies have compared the health of migrant and natives. In this paper, we aim to describe differences in physical comorbidities between natives and migrants seeking psychiatric care in the catchment area of Verona, an afuent city located on the north of Italy. Methods: Using the Psychiatric Case Register covering the catchment area of Verona, all individuals with a rst ever psychiatric contact with the mental health services from 2000 to 2015 were identied and data were extracted. T and Chi-square tests (pb0.05) were applied for comparisons. Results: Data on physical comorbidities were available for 16.335 patients. Differences between natives and migrants were found for age (52.2 vs 36.5) and psychiatric diagnosis (psychotic disorders: 4.0% vs 10.0%), while no difference was found for sex (males: 40.6% vs 42.6%). 35.9% natives and 59.3% migrants had no physical comorbidities. Concerning physical illnesses, no differences were found in the frequencies and specic patterns, with the exception of cardiovascular disorders (16.0% vs 4.9%), infectious diseases (1.9% vs 4.0%) and multiple comorbidities (12.9% vs 3.9%). In the group below 30 years 70.8% natives and 74.5% migrants had no physical comorbidities. The prole of physical illnesses conrmed a difference only in infectious diseases (0.9% natives vs 4.3% migrants). In the group above 30 years, 28.9% natives and 51.3% migrants had no physical comorbidities. The prole of physical illnesses showed differences in cardiovascular disorders (18.7% natives vs 6.9% migrants) and multiple comorbidities (15.1% natives vs 5.4% migrants). Conclusion: This study shows a picture of the balance of physical and mental health that seems different from the perception of the local communities. It seems clear that environmental factors have a role in modulating the health of the migrants, as shown by the higher rate of psychosis and the susceptibility to infectious diseases, in front of an overall physical health that seems even better in migrants than in natives. These ndings might help to devise more targeted interventions in these disadvantaged subjects. doi:10.1016/j.jpsychores.2018.03.039 29 Sympathetic predominance of the autonomic nervous system in functional somatic syndromes. The DanFunD study T.M. Dantoft a , L. Brint b , M. Eliasen a , P.K. Fink c , L.F. Eplov d , B.H. Thuesen a , T. Jørgensen a,e a Center for Clinical Research and Prevention, Copenhagen, Denmark, b Coordinating Research Unit, Bispebjerg Frederiksberg Hospital, Denmark, c Research Clinic for Functional Disorders and Psychosomatics, Aarhus University, Denmark, d Mental Health Center Copenhagen, Capital Region of, Denmark, e Department of Public Health, University of Copenhagen, Denmark Aims: Earlier reports from smaller case-control studies have shown an association between sympathetic predominance of the autonomic nervous system (ANS) and functional somatic syndromes (FSS). The aim was to explore whether these associations are consistent in a large unselected general population sample. Methods: The Danish study of Functional Disorders (DanFunD) is a longitudinal population-based study of FSS, including bromyalgia (FM), irritable bowel syndrome (IBS), chronic fatigue syndrome (CFS), multiple chemical sensitivity (MCS), whiplash associated disorder (WAD) and bodily distress syndrome (BDS). This project is based on the second part of the DanFunD study comprising 7,493 persons aged 1869 years drawn at random from the general population. Function of the ANS was indirectly assessed by heart rate variability using standardized measurements of consecutive RR-intervals sampled in a supine resting position. Measures used were mean RR, time domain methods (RMSSD), frequency domain methods (LF, HF and LF/HF ratio) and non-linear measures (SD1, SD2). The various FSS were dened according to standard criteria based on symptom reports in questionnaires. Bivariate logistic analyses were performed adjusting for age and sex. Results: Compared to healthy controls not fullling criteria for any FSS (N=5425), FM (N=341) differed on all measures investigated except for LF/HF ratio, i.e. MeanRR, RMSSD, SD1, SD2, LF and HF (pb0.05) whereas BDS (N=1269) differed on MeanRR, RMSSD, SD1, SD2 and HF (pb0.05). Findings in both the BDS and FM groups indicate lower variability and higher predictability in heart rate suggesting sympathetic predominance. Persons fullling criteria for CFS (N=690) and MCS (N=156) differed on MeanRR (pb0.05), whereas no differences were observed for IBS (N=269) and WAD (N=121). Conclusion: Our data support a sympathetic predominance of the ANS associated with symptom-dened FSS, but considerable varia- tions were observed between the included syndromes. Our data conrmed autonomic imbalance as a central pathological mechanism Abstracts 96