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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

1 ,

, S. Benabarre-Ciria

2

, T. Lorente-Aznar

3

,

M. Rodríguez-Torrente

3

, C. Pelegrín-Valero

1

, A. Acín-Sampietro

3

,

J. Aguaviva-Bascu˜nana

3

, C. Alastrué-Pinilla

3

, J. Alcubierre-Cura

3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.423

EW306

Delirium as 12-month mortality

predictor

K. Paschalidis

1 ,

, P.P. Dalli

2

, P. Argitis

3

, C. Chatzidai

2

,

I.Z. Chaviaras

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.424

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.425