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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

1 ,

, M. Soltanabadi

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.261

EW144

Burnout among Portuguese oncology

healthcare providers – Differences

between pediatric an adult teams

R. Gonc¸ alves

1 ,

, J.M.V.D. Ferreira

1

, C. Araújo

1

, M. Gonc¸ alves

2

,

S. Pedroso

3

, C. Pinho

3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.262

EW145

Liaison psychiatry: Its impact in an

intrahospital treatment for a

psychotic patient

D. Goujon

1 ,

, D.E. Chouillard

2

, D.B. Abdullah

2

, D.B. Dew

2

,

D.L. Beer

3

, D.P. Grandin

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.263