European Psychiatry - Volume 33 - March 2016

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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.
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.
EV398
Assessment of eating disorders in
patients diagnosed with major
depressive disorder
D. Vasile ∗ 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.
EV399
Obesity as a challenge in the
treatment of psychological disorders
S. Vuk Pisk ∗, A. Bogovi´c , N. Luˇcev , V. Groˇsi´c , I. Filipˇci´c
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).