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

S219

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.419

EW302

Burden of informal carers in

northwest Ireland: A pilot study of

factors that influence burden

G. McCarthy

1 ,

, I. G

resswell

2 , D.

Adamis

3

1

Sligo Medical Academy NUI Galway, Psychiatry, Sligo, Ireland

2

NUI Galway, Psychiatry, Galway, Ireland

3

Sligo Mental Health Services, Psychiatry, Sligo, Ireland

Corresponding author.

Introduction

Research has shown that approximately 67% of car-

ers experience extrememental tiredness, a decrease in their quality

of life and a deterioration in their physical health since taking on a

care-giving role.

Aims and objectives

This study aims to identify factors that influ-

ence carer burden and in doing so, identify the sub-populations of

carers who are most susceptible to burden.

Methods

In northwest Ireland, 53 informal carers referred to the

Carers Association, Sligo were contacted and met for a face-to-

face interview. Measurements used included demographic data,

the Neuropsychiatric Inventory, Zarit Burden Interview, Social Net-

work Index and Brown’s Locus of Control Scale.

Results

Of the 53 carers, 43 were females and 10 males (age

range: 32–81 years, mean age of 64.5 years). Of the correspond-

ing 53 patients, 21 were females and 32 males (age range: 17–92

years, mean age of 72.1 years). Multiple linear regression anal-

ysis showed that sex of carer, marital status and the patient’s

behavioural problems were statistically significant independent

factors, which influenced carer burden (p < 0.01). Female sex and

greater patient behavioural problems increased susceptibility to

burden and being married increased resilience towards burden.

Conclusions

The ability to predict which carers are more suscep-

tible to burden allows physicians to more quickly identify “higher

risk” carers, facilitating routine check-ups by physicians and carer

support services. Further research should explore why female and

unmarried carers are more susceptible to burden and whether it is

possible to tailor support services to their individual needs.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.420

EW303

Attachment representations in a

population of elderly subjects

M. Moalla

1 ,

, I. Feki

1

, A. Ktata

2

, R. Sellami

1

, D. Triqui

1

, I. Baati

1

,

I. Abida

1

, J. Masmoudi

1

1

CHU Hédi Chaker S department of psychiatry “A”, Sfax, Tunisia

2

Manzel Bouzayen Hospital, consultation, Sidi Bouzid, Tunisia

Corresponding author.

Introduction

According to attachment theory, attachment rela-

tionships have a lasting impact on the functioning of the individual.

If this impact has been much studied in children, few studies have

been conducted in the elderly.

Objectives

Explore the representations of attachment in a popu-

lation of elderly subjects.

Methods

The sample consists of 90 consultants over the age of

65. Each participant filled out demographic questionnaire, Rela-

tionship ScaleQuestionnaire (RSQ): questionnaire of 13 items, each

item rated from 1 to 5, a lower score attests a more secure attach-

ment and Adult Attachment Questionnaire: a categorical scale of 3

statements. Statement 1 corresponds to secure attachment style, 2

to avoidant attachment style and 3 to anxious-ambivalent attach-

ment style.

Results

The age of participants ranged from 65 to 95 years with

an average of 68.14. The sex ratioM:Fwas 0.8. The RSQ Score ranged

from 16 to 56 with an average of 37.27. Of the participants, 72.2%

have secure attachment style, 24.4% have an avoidant attachment

style and 3.3% have an anxious-ambivalent attachment style. The

study of correlations showed strong correlation between the two

scales (

P

= 0.00) and the RSQ score was significantly associated with

poor satisfaction of married life (

P

= 0.025), presence of psycholog-

ical trauma in childhood (

P

= 0.016) and a separation experience

(

P

= 0.029).

Conclusion

Our study highlights the importance of early child-

hood experiences that may impact late adult life. These finding are

in accordance with attachment theory.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.421

EW304

A proactive geriatric liaison service to

assess and manage medical problems

on old age psychiatry wards

U. Narayana

1 ,

, O.J. Corrado

2

, S. Kaur

3

1

Health Education Yorkshire and Humber, ST5 Old Age Psychiatry

and Leadership fellow, Hull and East Yorkshire NHS Trust, United

Kingdom

2

Leeds Teaching Hospitals NHS Trust, Consultant Geriatrician, Leeds,

United Kingdom

3

Bradford District Care Trust, Audit Officer, Bradford, United

Kingdom

Corresponding author.

Introduction

Older people with mental ill health are more likely

to receive lower quality of healthcare, inappropriate prescrip-

tions and reduced access to services, leading to increased rates

of mortality

1,2,3

. The NHS mandate 2015 to 2016 emphasises the

need to deliver care, which is joined up and seamless for users of

services

4

.

Aims and objectives

To identify the common medical comorbidi-

ties on the Old Age PsychiatryWards and to assess themanagement

outcomes.

Methods

We audited all patients referred to the Liaison Geriatri-

cian from 2008 to October 2015 from the Mount Hospital Leeds,

which consists of 4 Old Age Psychiatry Wards. Data was collected

in October 2015 and included referral date, patients’ age and sex,

number of referrals, reason for referral and the outcome.

Results

We assessed 339 (142 F, 197M) patients with a mean age

of 77 (range: 56–94). Cardiovascular problems were the biggest

group of referrals (in particular oedema, hypotension and rhythm

disturbances) (34%) followed by central nervous system problems

(11%), respiratory (8%), gastrointestinal (8%) and infection (8%).

Some unusual problems were diagnosed including a spontaneous

pneumothorax, primary biliary cirrhosis. The most common inter-

ventionwas advice on treatment or investigation, very fewpatients

needed acute admission and some unnecessary admissions were

aborted as a result of the physician’s intervention.

Conclusions

This audit emphasises the need for a joint coordi-

nated approach between psychiatry and medicine in managing

health problems in older people. A dedicated Geriatric Liaison

service can improve care, avoid unnecessary acute admissions

and is more convenient for patients who would otherwise attend

repeated outpatient appointments.

References are not available for this abstract.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.422