European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S213
Lin’s Concordance Correlation Coefficient (CCC) was 0.57 (95% CI
0.45–0.66). In the second sample, we convert the MoCA scores to
MMSE scores according to equating rule from the first sample and
after we examined the agreement between the converted MMSE
scores and the originals. The Pearson’s r was 0.89 (n = 65, P < 0.001)
and the CCC 0.88 (95% CI 0.82–0.92).
Conclusions Although the two scales overlap considerably, the
agreement is modest. The conversion rule derived showed promis-
ing accuracy in this population but need further testing in other
populations.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW285
Burden of care among relatives of
people with dementia attending
tertiary care in Oman
M. Al Maqbali ∗, H. A-Sinawi
Sultan Qaboos University Hospital, Behavioral Medicine, Muscat,
Sultanate of Oman
∗ Corresponding author.
Introduction Providing care to people with dementia is a stress-
ful experience and has been associated with high burden of care.
Such issue has been under-researched in Arabic/Islamic parts of the
world.
Aims and objectives The aim of this study is to determine the
degree of burden of care among caregivers of people with demen-
tia attending the Old-Age clinic, Sultan Qaboos University Hospital,
Oman.
Methods Fifty patients with dementia and their primary care
caregivers were included in the study. The diagnosis of dementia
was based onDSM 5 criteria and the severitywas rated according to
the Global Deterioration Scale for Assessment of Primary Degener-
ative Dementia and Clinical Dementia Rating. Level of dependency
was measured using the Katz Index of Independence in Activities of
Daily Living (ADL) and Lawton Instrumental Activities of Daily Liv-
ing (IADL) Scale. For the caregivers, burden of care was determined
by Zarit Burden Interview (ZBI).
Results The majority of caregivers were adult children (90%) who
are supported by other relatives. Overall, 70% of caregivers demon-
strated high degree of burden as quantified by ZBI. Factors such as
patient’s age, duration and severity of dementia, level of depend-
ency and female gender of the caregiver were associated with
higher burden.
Conclusion Burden is common among dementia caregivers and
several factors interplay to influence the perceived stress. As
increased burden was evidenced to be associated with higher
incidence of mental disorders, screening and early interven-
tion will impact positively on the caregiver as well as the
patient.
Keywords Dementia; Caregiver; Burden; Oman
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW286
First psychiatric hospitalization in
patients older than 65 years
J. Ballesteros , A. Uría , P. Rico∗
Hospital Universitario de Getafe, Psychiatry, Getafe, Spain
∗ Corresponding author.
Introduction Medical assistance for elderly people with mental
health problems increases at the same time that life expectancy
does.
Objectives The aim of this work is to describe several demo-
graphic and clinical characteristics of elderly patients admitted for
the first time to an acute inpatient psychiatry unit.
Methods Observational, descriptive, and retrospective study
from June 2013 to May 2015, where it is analysed patients older
than 65 years admitted to the acute psychiatric ward of Hospital de
Getafe in that period without psychiatric hospitalization in their
personal background.
Results Seventeen patients were included of a total of 428
patients admitted in that period (3.97%). Mean age: 70.7 ±4.7. A
total of 10 male (58.9%). The average stay in the studied group was
18.5 days, slightly lower than general average stay in that period
(19.2 days). No psychiatric backgroundwas found in 4 patients. The
most common diagnoses was depressive episode (5 patients) fol-
lowed by manic episode (4 patients) and delusional disorder. Every
of them but one, were taking at least one antipsychotic drug at
discharge.
Conclusions Elderly patients represent a low percentage of the
total of patients admitted to an acute inpatient psychiatry unit.
Many of them, despite having long-term ambulatory psychiatric
follow-up, require a first psychiatric hospitalization after 65 years,
as well as other patients begin their treatment in the mental health
services in that hospitalization. It is noteworthy that antipsychotic
drugs are used very commonly in those patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW287
Comparison of the frailty phenotype
and the Tilburg Frailty Indicator
regarding the prediction of quality of
life in a two-year follow-up
T. Coelho ∗ aúl ernandes
1 School of Allied Health Technologies, Polytechnic Institute of Porto,
Department of Occupational Therapy, Vila Nova de Gaia, Portugal
2 Institute of Biomedical Sciences Abel Salazar, University of Porto,
UNIFAI/CINTESIS, Porto, Portugal
3 Faculty of Medicine, University of Porto, UNIFAI/CINTESIS, Porto,
Portugal
∗ Corresponding author.
Introduction Frail individuals are highly vulnerable to minor
stressful events, presenting a higher risk for adverse health out-
comes (e.g. falls, disability, hospitalization), which can lead to a
decline in quality of life (QoL). In this context, an early screening of
elderly frailty is of crucial importance.
Objective To compare how the Frailty Phenotype (FP) and the
Tilburg Frailty Indicator (TFI) predict QoL in a two-year follow-up.
Methods A longitudinal study was designed recruiting 110
community-dwelling elderly (≥ 65 years). The presence of frailty
was assessed at baseline (FP≥ 3 and TFI ≥ 6), whereas QoLwasmea-
sured two years later with two different scales: the WHOQOL-OLD
and the EUROHIS-QOL-8. Hierarchical regressions were conducted.
Results The mean age of the participants at baseline was
77.7± 6.9 years, and most were women (75.5%). According to FP,
33.6% of the participants were classified as frail, while the TFI
detected frailty in50%of the elderly. After adjusting for age and gen-
der, the TFI significantly predicted QoL (WHOQOL-OLD: = −18.9,
t(106) = −6.97, P < 0.001; EUROHIS-QOL-8: = −6.1, t(106) = −6.71,
P < 0.001), whereas the effect of the FP on the outcome measures
was non-significant.
Conclusions Frailty at baseline was associated with a lower QoL
at follow-up. A multidimensional frailty operationalization (TFI)
showed a stronger predictive validity than an exclusively physical
one (FP). The option of which frailty measure to use in a clinical set-
ting should take into account its ability to predict specific adverse
outcomes, conducing to targeted and effective interventions.