European Psychiatry - Volume 33 - March 2016

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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.
EW256
Association between mental health
problems of stunted children and
common mental disorders of their
mothers in Brazil: A case control study
C. Miranda ∗, L. Santos , C.S. Paula , W. Ribeiro , T. Florencio
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.
EW257
Should I stay or should I go? Mobility
and migration among psychiatric
trainees in Europe – EFPT Brain Drain
Survey
M. Pinto da Costa ∗, E. Biskup , A. Giurgiuca , J. Kaaja ,
Ö. Kilic , T. Mogren , M. Stoyanova , V. Banjac ,
S. Tomori , E. European Federation of Psychiatric Trainee
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,