European Psychiatry - Volume 33 - March 2016

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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.
EW632
Post-partum depression risk factors in
pregnant women
A. Ugarte ∗, P. López , C. Serrulla , M.T. Zabalza ,
J.G. Torregaray , A. González-Pinto
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.
Others
EW633
Chronic rhinosinusitis and mood
disturbance
S.E. Erskine , J. Beezhold ∗, A. Clark , C.M. Philpott
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 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.