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S202

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348

Introduction

Depressive disorders have been related to increased

health service utilization, but specific information about associa-

tions between health professional-diagnosed depression and the

utilization of health care and preventive services in the general

population is limited.

Objectives

To compare the use of health care and preventive

services among men and women with and without diagnosed

depression in the general population in Germany.

Aims

To examine the association of diagnosed depression with

the utilization of healthcare and preventive services.

Methods

Cross-sectional analysis of data from the representative

telephone survey German Health Update (GEDA) 2009 and 2010

(

n

= 43.312 residents in private households 18 years and older). We

analyzed associations between self-reported health professional-

diagnosed depression (past 12 months) and the use of a range of

healthcare services and preventive services covered by statutory

health insurances using multivariable regressions adjusted for age,

socio-economic status, marital status, employment and number of

chronic somatic conditions.

Results

Twelve-month diagnosed depression was associated

with increased health care service utilization (physician contacts,

hospital admissions, rehabilitation) in both sexes. Of the preven-

tive services, diagnosed depression was associated with increased

use of general health check-ups, cancer screening and flu vaccina-

tion among women, while there was no association with dental

check-up and tetanus and pertussis vaccination. Among men, no

association of diagnosed depression with any preventive service

was found except for cancer screening.

Conclusions

Health professional-diagnosed depression is asso-

ciated with increased health service utilization independent of

somatic comorbidity and socio-demographic confounders. This

includes some preventive services in women and only one preven-

tive service in men.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.373

EW256

Association between mental health

problems of stunted children and

common mental disorders of their

mothers in Brazil: A case control study

C. Miranda

1 ,

, L. Santos

2

, C.S. Paula

3

, W. Ribeiro

4

, T. Florencio

5

1

Maceio, Alagoas, Brazil

2

Universidade Federal de Alagoas, Instituto de Ciencias Basicas da

Saude, Maceio, Alagoas, Brazil

3

Universidade Presbiteriana Mackenzie, Programa de Pos Graduac¸ ão

em Disturbios do Desenvolvimento, Sao Paulo, Brazil

4

Kings College London, Institute of Psychiatry, London, United

Kingdom

5

Universidade Federal de Alagoas, Faculdade de Nutric¸ ao, Maceio,

Alagoas, Brazil

Corresponding author.

Introduction

In deprived environments, mental health problems

for both the mother and her stunted child may be related.

Objective

To verify possible association between a child’s nutri-

tional and mental health status with common maternal mental

disorders (and associated impairment).

Aims

To contribute to management of malnutrition and mental

health in low-income populations.

Methods

Case-control study in which 48 malnourished children

(aged 48 to 72 months) were compared with 50 eutrophic chil-

dren. The child’s nutritional status, the children’s mental health,

the maternal mental health, and the associated disability were

evaluated by using the WHO criteria, the “Strengths and Diffi-

culties Questionnaire” (SDQ), the “Self-Report Questionnaire”-20

(SRQ-20), and the “Sheehan Disability Scale” (SDS), respectively. In

addition, selected socio-economic aspects were considered.

Results

Variables with significant odds ratio (OR) in the uni-

variate analysis were: maternal education (OR: 2.96, 95% CI:

1.30–6.75), number of residents in the household (OR: 0.32, 95%

CI: 0.14–0.74), number of children in the household (OR: 0.25, 95%

CI: 0.10–0.61), and social class (OR: 2.30, 95% CI: 1.02–5.18). The

only SDQ dimension that tended to be associated with malnutri-

tionwas conduct problems (

P

= 0.08). The disability associatedwith

probable common maternal mental disorders (CMD) also showed

statistically significant association (

P

= 0.02). In the logistic regres-

sion, child malnutrition remained associated with child conduct

problems and disability associated with probable CMD.

Conclusions

Conduct problems in stunted children are positively

associated with CMD and related disability. Longitudinal studies

are necessary to confirm these hypotheses.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.374

EW257

Should I stay or should I go? Mobility

and migration among psychiatric

trainees in Europe – EFPT Brain Drain

Survey

M. Pinto da Costa

1 ,

, E. Biskup

2

, A. Giurgiuca

3

, J. Kaaja

4

,

Ö. Kilic

5

, T. Mogren

6

, M. Stoyanova

7

, V. Banjac

8

,

S. Tomori

9

, E. European Federation of Psychiatric Trainee

s 10

1

Hospital de Magalhães Lemos, University of Porto, Porto, Portugal

2

Universitätsspital Basel, Universitätsspital Basel, Basel, Switzerland

3

Carol Davila, University of Medicine and Pharmacy, Bucharest,

Romania

4

University of Eastern Finland, Hospital District of Eastern Savonia,

Savonlinna, Finland

5

Beykent University, Beykent University, Istanbul, Turkey

6

Länsvuxenpsykiatri Falun/Säter, Allmänpsykiatriska kliniken, Säter,

Sweden

7

Sv. Naum, University Hospital in Neurology and Psychiatry, Sofia,

Bulgaria

8

University Clinical Center, Clinic of Psychiatry, Republic of Serpska,

Bosnia and Herzegovina

9

Mother Teresa, University Hospital Center, Tiranaa, Albania

10

EFPT, EFPT, Brussels, Belgium

Corresponding author.

Introduction

Workforce migration of mental health profession-

als seems to have a significant impact on mental health services,

both in the donor and host countries. Nevertheless, information on

migration in junior doctors within Europe is very limited. There-

fore, the European Federation of Psychiatric Trainees (EFPT) has

conducted the Brain Drain Survey.

Objectives

To identify, in junior doctors training in psychiatry, the

impact of international short-termmobility experiences, towards a

future workforce migration across countries, exploring its patterns

and reasons.

Methods

In this cross-sectional international study, data were

collected from 2281 psychiatric trainees in 33 countries. All par-

ticipants answered to the EFPT Brain Drain Survey reporting their

attitudes and experiences on mobility and migration.

Results

Only one-third of the trainees had a short-mobility expe-

rience in their lifetime, being education the main purpose for

these experiences. Interestingly, the main predictors for future

migratory tendency were not only the having a income and being

dissatisfied with this income, but having a short-mobility experi-

ence. In fact, people that had short-mobility experiences were two

times more likely to express a migratory tendency. Trainees that

went abroad were predominantly satisfied with their experiences,