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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

S475

Objective

The aim of our study was to assess self-esteem and

factors associated in patients suffering from epilepsy.

Methods

We conducted a cross-sectional, descriptive and ana-

lytic study, including 20 patients followed for epilepsy at neurology

outpatient department, Habib Bourguiba hospital, Sfax, Tunisia. We

collected socio-demographic and clinical characteristics, and used

the Rosenberg Self-Esteem Scale (RSES).

Results

The mean age was 35.9 ans. Sex-ratio (M/F) was 3. Hobby

practice was noted in 45% of cases. The disease evolves since 19.9

years on average. A worsening of health in the last year was felt

in 30% of cases. The stigma was reported in 30% of patients. Self-

esteem was: very low 5%, low 40%, average 40%, and high 15%. It

was better among married patients, living in family and those with

disease evolving sincemore than 10 years, but without a significant

correlation. The factors correlated with good self-esteem were:

practicing a hobby (

P

= 0.006) and absence of stigma (

P

= 0.001).

Poor self-esteemwas significantly correlatedwith perceived health

worsened during the last 12 months (

P

= 0.02). It was poor in unsta-

ble patients professionally, but without significant correlation.

Conclusion

Our study confirms the decline of self-esteem in

patients with epilepsy. A better education of these patients to

accept their illness, as well as raising public awareness on this

affection could facilitate social insertion and improve self-esteem.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1381

EV397

Interest of admission clinical and

paraclinical examinations for the

detection of organic comorbidities in

psychiatry

M. Turki

, N. Halouani , N. Hamza , R. Naoui , I. Gassara ,

J. Aloulou , O. Amami

Hedi Chaker university hospital, psychiatry department, Sfax, Tunisia

Corresponding author.

Introduction

Somatic comorbidities in patients with mental

disorders have become an important issue. They complicate ther-

apeutic management and aggravate the prognosis.

Objectives

Outline the nature of somatic disorders observed in

psychiatry and assess the different interactions between psychi-

atric pathologies and organic diseases.

Methods

We conducted a descriptive retrospective study includ-

ing 60 patients hospitalized in a psychiatry department during 2

years (2013 and 2014). We included patients having presented a

somatic disorder at their admission. Data collection was based on

psychiatric and clinical observations.

Results

At the admission, somatic examination was abnormal in

53.3% of cases: skin abnormalities 28.3%; blood pressure abnor-

malities 8.3%. An abnormality of the initial biological tests has

been reported in 51.7% of patients: leukocytosis 18.3%; liver test

abnormalities 13.3%; hematologic abnormalities 8.3%. The electro-

cardiograph was pathologic in 35% of cases. These anomalies

have required advices from medical and surgical services: cardi-

ology 33.3%; endocrinology 10%, orthopedics 10%. The relationship

between somatic and psychiatric pathology was: a comorbidity:

55%; a side effect of psychotropic drug: 5%; an organic origin of

the psychiatric disorder: 6.6% and a somatic disorder secondary to

the psychiatric pathology: 10%. In the course of this investigation,

6.6% of patients were transferred urgently to a specialist depart-

ment, the psychotropic treatment was stopped in 10% of cases, and

a therapeutic adjustment was necessary in 6.6% of cases.

Conclusion

Our study confirms the importance of somatic assess-

ment of patients with mental illnesses. This must be a systematic

practice in order to detect in time patients at risk of somatic com-

plications.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1382

EV398

Assessment of eating disorders in

patients diagnosed with major

depressive disorder

D. Vasile

, O. V

asiliu , D.G. Vasiliu , F. Vasile

Central University and emergency military hospital “Dr. Carol

Davila”, psychiatry, Bucharest, Romania

Corresponding author.

Introduction

Evaluation of eating disorders in patients with

major depression is an important part of the case management and

a comprehensive approach to both psychopathological dimensions

could lead to full remission of symptoms and a lower rate of relapse.

Objectives

To assess the incidence of eating disorders in patients

diagnosed with major depressive disorder (MDD).

Methods

A group of 40 patients (female

n

= 28, male

n

= 12)

diagnosed with MDD according to DSM 5 criteria, consecutively

admitted in our department, were screened for eating disorders

through a structured interview.

Results

A number of 12 patients (30%) reported a type of eat-

ing disorder: binge eating disorder (

n

= 6) of mild (

n

= 4), moderate

(

n

= 1) or severe (

n

= 1) intensity; night eating syndrome (

n

= 2);

purging disorder (

n

= 2); bulimia nervosa (

n

= 2) of mild (

n

= 1) and

moderate (

n

= 1) severity. Obesity was recorded in a number of 10

patients (25%). Also, a number of 7 patients (17.5%) had several

criteria for eating disorder (anorexia nervosa, bulimia nervosa or

binge eating disorder), but insufficient to formulate a DSM 5 based

diagnosis. A higher incidence of all the eating disorders and obesity

was observed in women comparative to men (35.7% vs. 25%).

Conclusions

A structured assessment of eating disorders in

patients diagnosed with major depressive disorder could bring to

the clinician’ attentionunderlying symptoms thatmay be neglected

during a usual psychiatric interview, also these symptoms have a

high impact over the case prognosis.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1383

EV399

Obesity as a challenge in the

treatment of psychological disorders

S. Vuk Pisk

1 ,

, A. Bogovi´c

2

, N. Luˇcev

1

, V. Groˇsi´c

3

, I. Filipˇci´c

4

1

Psyhiatric Hospital “Sv.Ivan”, Acute female department, Zagreb,

Croatia

2

Psyhiatric Hospital “Sv.Ivan”- Catholic University of Croatia, Acute

female department, Zagreb, Croatia

3

Psyhiatric Hospital “Sv.Ivan”, Acute male department, Zagreb,

Croatia

4

Psyhiatric Hospital “Sv.Ivan”- Josip Juraj Strossmayer University of

Osijek- Faculty of Medicine, integrative psychiatric department- head

of hospital, Zagreb, Croatia

Corresponding author.

Introduction

According to theWorldHealthOrganization (WHO),

in 2015, 300 million people will suffer from obesity. Obesity leads

to further health problems, which in return increase the prevalence

and resistance to treatment.

Objectives

The goals of this study are to determine the proportion

of obese patients and overweight patients treated at the Psychi-

atric Hospitality “Sveti Ivan” as well as determine whether there is

a difference in the frequency of comorbidity with somatic diseases,

suicidality and intensity of symptoms amongst the three tested

groups (obese, overweight and average body weight).