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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.402

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.403

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.404

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

1 ,

, C . P

aúl

2 , L. F

ernandes

3

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.