European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S165
EW143
Which percentage of patients with
coronary artery disease and
depression has been referred a
psychiatrist?
A. Ghanbari Jolfaei ∗, M. Soltanabadi
1 Hazrat-Rasool Hospital, Psychiatry, Tehran, Iran
2 Mental Health Research Center, Iran University of Medical Sciences,
Psychiatry, Tehran, Iran
∗ Corresponding author.
Introduction Recent studies indicate high prevalence of clinical
depression and use of antidepressants in patients with coronary
artery disease, but the evidence and data about these topics is scant
in our country.
Aims The aim of the present study was to investigate the preva-
lence and severity of depression, risk factors associated with
depression, the prevalence of use of antidepressants, specialty
of the physician who prescribed the antidepressants and type of
antidepressants in patients with coronary heart disease.
Methods In this cross-sectional study, the information of 540
patients with coronary artery disease were collected through their
records. In determining the frequency and severity of depression,
Hospital Anxiety and Depression Scale (HADS) test was used.
Results From 540 patients, 321 cases (4/59%) were male. Preva-
lence of depression among patients with coronary heart disease
was 29.6%. The average score of Hospital Anxiety and Depression
Scale was 6.31 ± 3.91. Also, the prevalence of antidepressant use
was 14.6% and 8.7% had a history of using SSRIs. Depression was
associated with severity of coronary atherosclerosis, hypertension
and diabetes. In three forth of patients the antidepressants were
prescribed by a cardiologist or internist without referral to a psy-
chiatrist and only 25% reported were referred to a psychiatrist.
Conclusion Approximately one third of patients with coronary
artery disease suffered from depression and this depression
were associated with more severe coronary artery disease and
hypertension and diabetes. Less than one in five patients taking
antidepressants mentioned referral to a psychiatrist.
Keywords Depression; Coronary artery disease; SSRI
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW144
Burnout among Portuguese oncology
healthcare providers – Differences
between pediatric an adult teams
R. Gonc¸ alves ∗, J.M.V.D. Ferreira , C. Araújo , M. Gonc¸ alves ,
S. Pedroso , C. Pinho
1 Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra,
Child and Adolescent Psychiatry, Coimbra, Portugal
2 Centro Hospitalar e Universitário de Coimbra, Psychiatry
Department, Coimbra, Portugal
3 Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra,
Child and Adolescent Psychiatry, Liaison Psychiatry Unit, Coimbra,
Portugal
∗ Corresponding author.
Introduction Burnout is characterized by emotional exhaustion,
depersonalization and reduced personal accomplishment, result-
ing from the inability to cope with chronic job stress. The literature
suggests that staffs working in adult oncology are at risk of burnout.
At the same time, research found that pediatric staff experiences
a different set of stressors when compared with colleagues work-
ing in adult oncology. However, no studies were identified which
directly compared prevalence and sources of Burn-out on pediatric
and adult oncology staff.
Objectives To compare the differences on prevalence and sources
of burnout between pediatric and adult oncology multidisciplinary
teams.
Methods Pediatric and adult oncology professionals, including
medical and nursing from a Portuguese oncology center completed
the Portuguese version of the Copenhagen Burnout Inventory. Data
was analyzed using SPSS.
Results Since the study is currently ongoing the authors will only
be able to provide final results and conclusions by the time of
submission of our work presentation, in March 2016. However,
according to the literature available, we are expecting to found
symptoms of Burnout in the superior limit of normality, with dif-
ferences in the major sources of stress between adult and pediatric
professionals.
Conclusion The differences in the challenges experienced by
adult and pediatric teams highlight the importance of adequate
prevention strategies to specific needs of each unit. Further inves-
tigation of stress across a wider range of professional disciplines is
required in order to explore this gap.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW145
Liaison psychiatry: Its impact in an
intrahospital treatment for a
psychotic patient
D. Goujon ∗, D.E. Chouillard , D.B. Abdullah , D.B. Dew ,
D.L. Beer , D.P. Grandin
1 CASMP, Secteur 78G04, Conflans Sainte-Honorine, France
2 Centre hospitalier intercommunal Poissy–Saint-Germain en Laye,
Department of Psychiatry, Poissy, France
3 Institut “Théophile-Roussel”, Montesson, France
∗ Corresponding author.
Differentmanners of non-suicidal self-injuries are commonways to
deliberately hurt oneself in order to aliviate suffering. It can be seen
in various psychiatric affections. The ingestion of bizarre objects in
psychotic patients is part of aggressive behaviour as a reaction to
massive anxiety. We hereby present the case of a schizophrenic
patient who presented to the Emergency Department for a sec-
ond episode of ingestion of numerous metallic objects (screws,
coins, knives, spoon, handles, . . . ). Physical examination showed
no abdominal guarding. CT scan revealed the presence of multi-
ple metallic objects, which seemed impossible to go through the
pylorus. Surgical transgastric extraction was performed. Outcome
was uneventful. Patient was discharged and followed-up in a pri-
vate structure. Three months later, the patient was readmitted for
the same reason. Flexible endoscopy allowed this time complete
extraction of the ingested objects. He recovered rapidly and was
allowed to discharge from the surgical ward. The psychiatrist took
decision with family to transfer him into a psychiatric hospital for
the first time. His treatment was: chlorpromazine, Proton pump
inhibitor, pain killers. Patient was treated by means of medication,
psychotherapy, daily activities and family, preparation him for a
day hospital.
Conclusion We discuss here the beneficial multifocal treatment
of a 42-year-old man suffering from schizophrenia. The life threat-
ening ingestion of sharp and other metallic objects three times in a
year was treated surgically with success. The psychiatric affection
including invalidating acoustic-verbal delusions and severe nega-
tive signs were treated in pcychiatric hospital. The definite results
will be discussed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.