European Psychiatry - Volume 33 - March 2016

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S220 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
EW305
Depression, physical illness and
mortality in a Spanish
community-dwelling elderly people
J. Olivera-Pueyo ∗, S. Benabarre-Ciria , T. Lorente-Aznar ,
M. Rodríguez-Torrente , C. Pelegrín-Valero , A. Acín-Sampietro ,
J. Aguaviva-Bascu˜nana , C. Alastrué-Pinilla , J. Alcubierre-Cura
1 Hospital San Jorge, Psychiatry, Huesca, Spain
2 Fundación Agustín Serrate, Psychology, Huesca, Spain
3 Atención Primaria, Unidad Docente, Huesca, Spain
∗ Corresponding author.
Objectives The aim of this study is to investigate the associa-
tion between depression, physical factors and mortality in elderly
people living in the community.
Methods Prospective longitudinal multicenter study for 5 years.
Cohort of 293 people aged 65 years and older living in the province
of Huesca (Spain). Individual face-to-face interviews and with
appropriate caregiver. The following information was collected:
– demographic data;
– psychosocial factors: sex, age, education, marital status, live-in
family members, social relationships, life events;
– physical factors: severity of physical illness, comorbidity (Cumla-
tive Illness Rating Scale);
– psychiatric factors: cognitive function (Spanish version of
Mini-Mental State Examination), depression (Geriatric Depression
Scale), diagnostic criteria according DSM-IV-TR.
Statistical analyses:
– a bivariate analysis;
– a multivariate analysis. Cox regression model (explanatory vari-
ables).
Results Two hundred ninety-three participants, simple repre-
sentative of people aged 65 years old or more in province of
Huesca (Spain). Monitored 5 years follow-up study. Sixty-four peo-
ple died (21.8%), annual mortality rate: 5.3%. Depression: 66 people
(22.5%), (32.2% women, 13.3% men). Cognitive impairment: 51
people (17.4%). Bivariate: factors associated ( P < 0.005) with mor-
tality: functional impairment, living in nursing home, sensorial
impairment, polypharmacy, severe physical illness and psychiatric
comorbidity: depression (34.8 vs 18.1%), cognitive impairment
(49.1 vs 15.8%). Association between some factors and mortal-
ity was nullified after multivariate statistical model; the case for
depression (Hazard Ratio: 1.1), cognitive impairment (HR: 1.2) or
functional impairment (HR: 1.3).
Conclusions Depression and cognitive impairment are associated
with mortality in elderly community living people in bivariate
analysis, therefore, this association disappears after multivariate
analysis. Severity physical illness seems to nullify the effect of other
variables, such as depressive symptomatology.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW306
Delirium as 12-month mortality
predictor
K. Paschalidis ∗, P.P. Dalli , P. Argitis , C. Chatzidai ,
I.Z. Chaviaras
1 Papanikolaou General Hospital, Psychiatric Hospital of Thessaloniki,
Thessaloniki, Greece
2 General Hospital of Corfu, Psychiatric Department, Corfu – Ionian
Islands, Greece
3 University Hospital of Ioannina, Psychiatric Clinic, Ioannina, Greece
∗ Corresponding author.
Introduction The delirium of the elderly is defined as an acute
confusional state, with variation during the day, characterized by
impaired consciousness, orientation, memory, thinking, attention
and behavior. It is a clinical syndrome with poor prognosis in hos-
pitalized patients over 65 years.
Purpose The purpose of this research is to investigate whether
the organic psychosyndrome of the elderly is a mortality predictor.
Material It was used material from patients with organic psy-
chosyndrome older than 60 years, who were hospitalized in
pathological clinics of the Hospital of Corfu and it was diagnosed
by the linker portion of the Psychiatric Clinic.
Methodology During the research, it was studied that themedical
record of the patient and telephone calls were made for more com-
plete monitoring at intervals of 3, 6 and 12 months. The patients
diagnosed with organic psychosyndrome neither suffered from a
psychiatric disorder psychotic type in the past, nor previously pre-
ceded anaesthesia in the context of physical disease.
Results According to the analysis of the data of the study, 50
patients met the criteria of research. Eight percent of patients died
during hospitalization, in the first 3 months after diagnosis 28% of
the initially hospitalized patients, in 6 months 42%, while in the
year, 48% of the initial total patients.
Conclusions The analysis of the survey results shows that about
half of the patients die from pathological causes in the first 12
months after the diagnosis of the organic psychosyndrome, which
means that the organic psychosyndrome could be considered as a
poor prognostic marker for the pathological cases.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW307
Religiosity and its influence on mental
health of late age persons
L. Pishchikova
Moscow, Russia
Christian anthropology considers personality as a unity of spiritual,
emotional and corporal manifestation. Spirituality is defined as
highest level of development and self-control of mature personal-
ity, ignoring which leads to moral dissonance and spiritual conflict.
For the believing person, it is indisputable that belief, church sacra-
ments and practices are capable to facilitate not only corporal, but
also spiritual diseases. Clinical and expert analysis of 235 late age
patients (> 60 years), who underwent forensic psychiatric exami-
nation in criminal and civil cases, helped to identify the influence of
religiosity onmental health of late age persons. At late age, appeal to
spirituality defines further evolutionary development of the person
and favorable forms of aging. It is noted that elderly believers have
no expressed cognitive and emotional frustration. When develop-
ingmental disorders, they resort to church sacraments and prayers.
Thus, a patient with visual hallucinosis noted that during a prayer
“visions calmed down, left or started listening”. A patient with
acoustical hallucinosis (“blasphemous” voices) considered them
as manifestation of “dark powers”, fought them by appeal to the
icon of the Mother of God. A patient with menacing acoustical hal-
lucinations read Psalmbook, dawned on them a cross sign with
“consecrated hand” (venerated to Sacred relics) and “locked” them
in room corner. Ignoring spirituality, which is observed in psychia-
try, is connected with incompatibility of representations based on
science and belief; low level of religiousness among psychiatrists;
underestimation of religion role in life of patients; lack of special
knowledge of this area.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.