European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S341
SD = 1.434) compared to individuals who had not experienced
such a reduction (M= 17.957, SD = 2.611). There was a significant
effect of annual income on BMI (F(4.10) = 3.74, P = 00.01, p2 = 0.96),
after controlling for the effect of exercise intensity (F(1.10) = 4.58,
P = 0.034, p 2 = 0.31). However, the financial crisis did not signifi-
cantly affect exercise, smoking behaviour or eating habits (P > 0.05).
Significant correlations between tobacco use and drinking were
found (r(206) = 0.22, P < 0.001). A significant correlation was also
found between exercise and the consumption of fruits and vegeta-
bles (r(174) = 0.26, P < 0.001).
Conclusion The financial crisis reduced alcohol consumption
whilst it did not affect physical activity, smoking or eating habits.
These findings allow us to propose that, despite the bleak reality of
a period of financial crisis, such periods could actually lead to the
reduction of unhealthy behaviours.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW642
Comparison of metabolic syndrome
between patients with severe mental
disorders
B. Mata Saenz ∗, S.L. Romero Guillena ,
B.O. Plasencia García de Diego
1 Hospital General Universitario de Ciudad Real, Psychiatry, Ciudad
Real, Spain
2 Hospital Universitario Virgen Macarena, Psychiatry, Seville, Spain
3 Hospital de la Merced, Psychiatry, Osuna, Spain
∗ Corresponding author.
Introduction Metabolic alterations are one of the main causes
of mortality and morbidity associated with cardiovascular disease
in patients with severe mental disorders. Polypharmacy has been
shown to increase the risk.
Objectives To check the patients with schizophrenia and bipolar
disorder admitted to our unit and their metabolic parameters.
Aims To assess the prevalence of thyroid dysfunction, diabetes
and dyslipidemia in patients diagnosedwith these disorders admit-
ted to our unit between 2013 and 2014, and compare the results.
Methods We conducted an epidemiological, observational, ret-
rospective study of patients with these disorders admitted to our
unit in this period. Clinical and socio-demographic variables were
collected and analyzed by The Statistical Package for Social Science
version 19.0.
Results No association was detected between treatment with
antipsychotics (typical/atypical) and metabolic variables. This may
be due to the fact that mostly of patients received a combination
treatment of both
Conclusions Dyslipidemia and diabetes seem to be more preva-
lent in patients with schizophrenia in our sample, but thyroid
dysfunction is more prevalent in patients with bipolar disorder.
However, the two samples are very different so more studies are
needed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
.
Table 1
EW643
The impact of anxiety and depression
on academic performance in
undergraduate medical students
A.I. Mih˘ailescu ∗, L.V. Diaconescu , A.M. Ciobanu , T. Donisan ,
C. Mihailescu
1 University of Medicine and Pharmacy “Carol Davila”, Medical
Psychology, Bucharest, Romania
2 University of Medicine and Pharmacy “Carol Davila”, Psychiatry,
Bucharest, Romania
3 CMI dr Mihailescu S. Cristian, Family Medicine, Bucharest, Romania
∗ Corresponding author.
Introduction Stress associated with medical education, corre-
lated with symptoms of depression and anxiety, has been involved
in generating academic performance problems and thus, long-term
consequences, such as poor quality of medical care. If anxiety and
depression are proved to influence quality of academic achieve-
ment, their prevention could lead to better outcomes also in the
quality of medical care.
Objective The objective of the study was to analyze if anxiety and
depression decrease academic performance in first and second year
medical students.
Methods As a measure of anxiety and depression symptoms
we used Zung Self-rating Anxiety score > 36, respectively Zung
Self-rating Depression Scale score > 40, in the periods before the
examination session, in the first semester (in no-stress conditions).
As a measure of academic performance, we have obtained the aver-
age grade at the end of the academic year from 254 of the total
population of 356 first and second year medical students. Statis-
tical analyses were carried out with SPSS version 16 (Spearman
correlations and logistic regression).
Results Academic performance decreases inversely in rapport
of anxiety (rho = –0.144, P < 0.05) and depression (rho = –0.192,
P < 0.05) scores in the period before the examination session. Also,
depression in this period predicts low levels of academic perfor-
mance with average grade in the inferior quarter (grades lower
than 7.52) particularly in first year students, irrespective of gender
( 2 = 8.922, P< 0.01, OR = 0.928; IC 95% = 0.864–0.997).
Conclusion These findings suggest the necessity of coming up
with prophylactic methods to prevent anxiety and depression