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

S337

et al., 2012). For some women to become mother is not only a

“happy event” as our cultural system wish or as say that should

be, but it can be a difficult moment.

Aims

To explore the level of post-natal depression (PND) and the

risk factors for PND onset 1 month after the delivery.

Methods

Eight hundred and eighty-seven participants were

recruited in an Italian hospital (mean age = 33.23 years; SD = 4.45).

The EPDS (Cox et al., 1987), the CES-D (Radloff, 1977) and a risk

factor data sheet were used.

Results

The CES-D and EPDS scores were significantly corre-

lated (

r

= .677;

P

< .001). Unexpected and not searched pregnancy

(

F

= 2.540;

P

< .05), experiencing episodes of sadness (

t

= 7.567;

P

< .001), uncontrollable crying (

t

= 7.579;

P

< .001), tendency to

reject the child (

t

= 3.241;

P

< .05), anxiety (

t

= 7.248;

P

< .001),

anguish (

t

= 4.221;

P

< .001) and loneliness (

t

= 6.209;

P

< .001) in the

perinatal period imply higher levels of EPDS in the post-partum.

Moreover, to have a planned caesarean delivery (

F

= 7.393;

P

< .001)

and experiencing physical health problems (

t

= 3.836;

P

< .001)

appeared to be additional risk factors.

Conclusions

The strong relation between the risk factors in the

perinatal period and PND onset is confirmed. Support during preg-

nancy could be a protection factor for PND and thus for possible

related difficulties in the relation between mother and child.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.749

EW632

Post-partum depression risk factors in

pregnant women

A. Ugarte

1 ,

, P. López

1

, C. Serrulla

2

, M.T. Zabalza

3

,

J.G. Torregaray

4

, A. González-Pinto

1

1

Hospital Universitario Araba-Sede Santiago-OSAKIDETZA,

Psychiatry, Vitoria-Gasteiz, Spain

2

Amara Berri Health Center-OSAKIDETZA, Matron, Donostia, Spain

3

Lakuabizkarra Health Center-OSAKIDETZA, Matron, Vitoria-Gasteiz,

Spain

4

Gros Health Center-OSAKIDETZA, Matron, Donostia, Spain

Corresponding author.

Introduction

Postpartum depression has a prevalence of 15% and

has consequences formother and baby (delayed physical, social and

cognitive development). It’s essential to prevent the illness with an

early identification of Risk Factors (RF).

Methods

Five hundred and seventy-two women in 3rd trimester

of pregnancy were evaluated and selected those with

1 RF

(

n

= 290). We re-evaluated in the postpartum with Edinburgh

Depression Scale and selected those with subsyndromal depressive

symptoms (

7.5) (

n

= 57). Clinical, demographic and functional

data were collected.

Results

A total of 50.7% had RF. A percentage of 48.6 had fam-

ily history of mental illness (MI), 34.1%had personal history of

(MI) and 34.1% had some pregnancy associated illness. Twenty

percent had needed some assisted reproductive technique, 14.1%

had little family support and 15.2% had little couple support, 3.8%

showed anxiety-depressive disorders during pregnancy, 19.7% had

depressive symptoms after delivery. The mean age was 33.67. No

significant differences between patients with and without RF (T-

1858,

P

0.064). Among women with RF, 59.6% were married, 35.1%

single and 3.0% had other situation. 89.5% live with their own fam-

ily, 8.8% with their family of origin, 1.8% alone. 50.8% had university

studies.

Conclusions

Assessing RF during pregnancy can help these

women, since we see that the 19.7% will have serious risk of devel-

oping postpartum depression. The RF to take more into account are

not those related to social-academic development, neither the pres-

ence of anxiety-depressive symptoms during pregnancy, but the

family or personal history of (MI) and the presence of a pregnancy

associated illness. Early detection and treatment may prevent the

development of this disease improving the quality of life of mother

and babies’ development.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.750

Others

EW633

Chronic rhinosinusitis and mood

disturbance

S.E. Erskine

1

, J. Beezhold

2 ,

, A. Clark

3

, C.M. Philpott

4

1

Norwich Medical School UEA, ENT Department James Paget

University Hospital NHS Foundation Trust, Great Yarmouth, UK

2

Norwich Medical School UEA, Central Acute Service, Hellesdon

Hospital, Norwich, Norfolk and Suffolk NHS Foundation Trust, UK

3

Norwich Medical School UEA, Norwich, UK

4

Norwich Medical School, UEA, ENT Department James Paget

University Hospital NHS Foundation Trust, Great Yarmouth, UK

Corresponding author.

Introduction

Chronic rhinosinusitis (CRS) is a condition of inflam-

mation of the nose and paranasal sinuses affecting 6.8 million

Britons. It has a great impact on quality of life and productivity. CRS

is currently subdivided into two main types – with and without

nasal polyps (CRSwNPs and CRSsNPs respectively. Allergic fungal

rhinosinusitis (AFRS) is severe subtype of CRSwNPs.

Objectives

This study is part of the Chronic Rhinosinusitis Epi-

demiology Study (CRES). The overarching aim is to determine

factors influencing onset and severity of CRS.

Aims

To determine whether those with CRS are more likely to

report mood disturbance compared with healthy controls.

Methods

CRES is study-specific questionnaire asking about

demographic and socioeconomic factors and past medical history

as well as a nasal symptom score (SNOT-22) and SF-36 (QoL – qual-

ity of life tool). Questionnaires were distributed to patients with

CRS attending ENT outpatient clinics at 30 centres across the United

Kingdom from 2007–2013.

Results

A total of 1470 participants were recruited

( Table 1 ).

Dif-

ferences between those with CRS and controls were found; those

with CRSsNPs reported significantly more consultations with their

GP for depression and anxiety. Patients with CRS also showed sig-

nificantly poorermental well-being than controls across themental

health and emotional well-being domains of the QoL tools used.

Those with CRSsNPs scored significantly worse than those with

nasal polyps across all domains.

Conclusions

Mood disturbance is significantly more common in

patients with CRS compared to healthy controls, especially in those

with CRSsNPs. This added mental health morbidity needs consid-

eration when managing such patients.