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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
S199
EW247
The evaluation of the effects of
daytime sleepiness, anxiety and
depression on the quality of life in 112
emergency medical staff
S. Cankaya
1 ,∗
, M. Topbas
1, N.E. Beyhun
1, G. Can
1,
P. Kizilay Cankaya
21
Karadeniz Technical University, Public Health, Trabzon, Turkey
2
Fatih State Hospital, Psychiatry Clinic, Trabzon, Turkey
∗
Corresponding author.
Introduction
One hundred and twelve emergency medical staff
are facedwithmany physical andmental problems due to the dete-
rioration of their sleep-wake cycle and getting out of their usual
work and social life.
Objectives
The aim of this study was to examine the effects of
anxiety, depression, day time sleepiness on the quality of life in
112 emergency medical staff.
Methods
Target population of this cross-sectional study was the
112 emergency medical staff in the province of Rize. We tried to
obtain all the universe (
n
= 154), so the sample was not selected.
One hundred and four people (67%) participated in the study. In the
data form, Epworth sleepiness scale, Beck Anxiety Inventory, Beck
Depression Inventory and the SF-36 quality of life questionnaire
were applied.
Results
The prevalence of pathological sleepiness was 14.4%
(
n
= 15), the prevalence of anxietywas 39,8% (
n
= 41), the prevalence
depression was 20,2% (
n
= 21), respectively
( Table 1 ).Conclusion
Based on high levels of anxiety and depression that
reduces quality of life compared to the general population in 112
emergency servicesworkers, motivational programs, coping strate-
gies, psychological counseling services are required. Also, against
the psychosocial risk factors forming anxiety and depression in the
working life, organizational measures must be taken.
Table 1
The correlation between depression, anxiety and sleepiness scores with the subscores
of the quality of life scale in 112 emergency medical staff.
Physical
functioning
Role
limitations
due to
physical
health
Role
limitations
due to
emotional
problems
Energy/
fatigue
Emotional
well being
Social
functioning
Pain General
health
Depression
r
−
0.12
−
0.32*
−
0.39*
−
0.47*
−
0.44*
−
0.32*
−
0.31*
−
0.44*
p
0.234
0.001
<0.001 <0.001 <0.001 0.001
0.002 <0.001
Anxiety
r
−
0.22*
−
0.33*
−
0.35*
−
0.31*
−
0.32*
−
0.27*
−
0.39*
−
0.25*
p
0.027
0.001
<0.001 0.002 0.002
0.007
<0.001 0.014
Sleepiness
r
−
.024*
−
0.22*
−
0.12
−
0.24*
−
0.11
−
0.27*
−
0.30*
−
0.06
p
0.019
0.035
0.268
0.019 0.305
0.008
0.003 0.592
Disclosure of interest
The authors have not supplied their decla-
ration of competing interest.
http://dx.doi.org/10.1016/j.eurpsy.2016.01.365EW248
Is body weight dissatisfaction
associated with depression?
M. Eichholzer
∗
, A. Richard , S. Rohrmann
Epidemiology- biostatistics and prevention institute EBPI- university
of Zurich, chronic disease epidemiology, Zurich, Switzerland
∗
Corresponding author.
Introduction
Body image dissatisfaction is a risk factor for depres-
sion. Research has focused on female adolescents; yet little is
known about sex and age differences.
Objectives/aims
The aim of our study was to evaluate the associ-
ation of body weight dissatisfaction, a component of body image,
with depression overall, and for different sex and age-groups inde-
pendent of body weight.
Methods
We analyzed data of 15,975 individuals from the cross-
sectional 2012 Swiss Health Survey. Participants were asked about
their weight satisfaction. Patient Health Questionnaire (PHQ-9)
was used to ascertain depression. Age was stratified in three
groups (
≥
18-29;
≥
30-59;
≥
60 years). Body mass index (BMI)
was self-reported and categorized into normal weight (BMI: 18.5-
24.9 kg/m
2
), overweight (BMI: 25.0-29.9 kg/m
2
), and obesity (BMI:
≥
30 kg/m
2
). The association between weight dissatisfaction and
depression was assessed with logistic regression analyses and
adjusted for known confounders (including BMI).
Results
Weight dissatisfaction was associated with depression in
the overall group (OR: 2.04, 95% CI: 1.66-2.50) and in men (1.85,
1.34-2.56) and women (2.25, 1.71-2.96) separately, independent of
body weight (multivariable adjusted). Stratification by age groups
revealed associations of weight dissatisfaction with depression in
young (1.78, 1.16-2.74), middle-aged (2.1, 1.61-2.74) and old indi-
viduals (2.34, 1.30-4.23) independent of BMI. A sub-analysis in the
overall group revealed statistically significant positive associations
of weight dissatisfaction with depression in underweight, normal
weight, overweight and obese individuals.
Conclusion
Body weight dissatisfaction is associated with
depression inmen, women, young, middle-aged and old individuals
independent of BMI.
Disclosure of interest
The authors have not supplied their decla-
ration of competing interest.
http://dx.doi.org/10.1016/j.eurpsy.2016.01.366EW249
Fraction of suicides attributable to
alcohol in Belarus
Y. Razvodovsky
Grodno state medical university, pathological physiology, Grodno,
Belarus
Introduction
Suicide is one of the main causes of premature mor-
tality in Belarus. There is strong evidence of a crucial role of alcohol
in explanation of high suicide rate in this country.
Objectives
The aim of the present study was to estimate the
suicides mortality attributable to alcohol abuse in Belarus using
aggregate- and individual-level data.
Methods
The alcohol effect will be expressed in terms of alcohol-
attributable fraction (AAF). The results of AAF estimates were
compared with the data on BAC (blood alcohol concentration)-
positive suicides based on the autopsy reports of the Bureau of
Forensic Medicine.
Results
The proportion of BAC-positive suicides and AAF esti-
mates are presented in
Table 1 .BAC-positive suicides were found
more frequently in men (60.2%) than in women (30.6). Similarly,
the estimates of AAF for males (63.4%) were considerably higher
than the estimates for females (35.2%). We also found that the rela-
tionship between alcohol consumption and suicides was stronger
for male age groups 30-44 and 45-59 years.
Conclusions
The outcome of this study provides support for
the hypothesis that alcohol plays an important role in Belaru-
sian suicide mortality crisis. The fact that the AAF estimated
from aggregate-level data is similar to individual-level estimates
suggests that this method produces reliable estimates of alcohol-
attributable suicides.