European Psychiatry - Volume 33 - March 2016

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S480 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
2 Ng Teng Fong general hospital, dietetics & nutrition, Singapore,
Singapore
3 National university of Singapore, public health, Singapore,
Singapore
4 Ng Teng Fong general hospital, nursing, Singapore, Singapore
5 Ng Teng Fong general hospital, psychiatry, Singapore, Singapore
6 Ng Teng Fong general hospital, renal medicine, Singapore, Singapore
∗ Corresponding author.
Introduction Anxiety and depression are distinct clinical entities
associated with mortality in haemodialysis (HD) patients.
Aims This study aims to identify the prevalence of anxiety and
depression in HD patients and uncover the association of anxiety
and depression in relation to the dialysis adequacy and nutritional
status.
Objective This would help reinforce early detection and treat-
ment to improve quality of life and patient’s outcome in HD
treatment.
Method Forty HD patients were assessed for anxiety and depres-
sion with the Generalised Anxiety Disorder Assessment (GAD-7
and Patient Health Questionaire [PHQ-9]). The scores of GAD-7 and
PHQ-9 were correlated with the demographic, clinical and labora-
tory variables and nutritional status assessed by a dietician through
the Subjective Global Assessment (SGA).
Results Out of the 40 HD patients, 7 (17.5%) were anxious
and 15 (37.5%) were depressed. Patients were more anxious and
less depressed with better nutrition. They were less anxious and
depressed with increasing albumin levels, Charlston comorbidity
index based on combined condition and age-related score and Kt/V.
The univariate logistic regression analysis showed only a signif-
icant inverse correlation between depression and albumin level
(P = 0.041, OR = 0.88 [95% CI = 0.78 to 0.99]) and Kt/V (P = 0.054,
OR = 0.03 [95% CI = 0.01 to 1.07]).
Conclusion Depression is more prevalent than anxiety in HD
patients. The risk of depression also increases with poorer dial-
ysis adequacy and nutritional status. Thus, by improving dialysis
adequacy and nutritional status, we can reduce the incidence of
depression. However, a significant correlation cannot be drawn for
anxiety.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV413
A study to assess the prevalence of
depression and impact on social
functioning in patients post stroke
C. Daly ∗ arvathaiah , S. Macsuibhne
Department of psychiatry- St. Lukes hospital, psychiatry, Kilkenny,
Ireland
∗ Corresponding author.
Introduction Depression is a common and serious complication
following stroke which is largely underdiagnosed by non psychi-
atric physicians in 50-80% of cases. Untreated depressionmay affect
functional recovery, quality of life and lead to poorer rehabilitative
outcomes. Although depression is common in patients following
stroke, it is not routinely assessed for in a hospital setting. To date,
few studies have been carried out in an Irish context. The aim of
this study was to assess the prevalence of depression and impact
on social functioning in post stroke patients in a local setting.
Methods Post stroke patients (n = 18) were screened for the pres-
ence of depression greater than 6 weeks post stroke using the
Montgomery Asberg Depression Rating Scale (MADRS) at the stroke
clinic in a local hospital. The inclusion criteria were those > 6 weeks
post stroke, > 18 years, those without cognitive impairment, with-
out a prior history of depression or substance misuse. A 5-item
work and social functioning questionnaire was also administered
to assess the impact on the patients social functioning.
Results Of the 18 participants, 7 scored within the normal range,
6 had evidence of mild depression, 3 showed moderate depression
and 2 were in the severe depression range. Nine of 18 (50%) of
participants believed their occupational functioning to be affected.
Conclusion Sixty-one percent of participants showed evidence of
depression, and their ability to work following their stroke was
either markedly or very severely affected. Screening for depression
should occur in order to ensure early identification.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV414
Liasion psychiatry–1 year review in
psychiatry department of centro
hospitalar Trás-os-Montes e Alto
Douro, Portugal
A.R. Figueiredo ∗, M. Silva , A. Fornelos , P. Macedo , S. Nunes ,
M. Viseu
Centro hospitalar Trás-os-Montes e Alto Douro, psychiatry and
mental health department, Vila Real, Portugal
∗ Corresponding author.
Introduction Liasion psychiatry is a clinical area of psychiatry that
includes psychiatric assistant activities in other medical and surgi-
cal areas of a general hospital. In Portugal, it has developed as a
result of psychiatry integration in general hospitals. Historically, it
started at the beginning of 1930s in USA. In Portugal, the law 413 of
1971 definned the articulation of mental health services with other
health services–liasion psychiatry.
Objective We aim to define patients evaluated in the context of
liasion psychiatry, as well as other medical and surgical areas needs
of psychiatry collaboration.
Methods Retrospective analyses of collaboration requests real-
ized to psychiatry department of centro hospitalar Trás-os-Montes
e Alto Douro–Vila Real, between October 2014 and October 2015.
Discussion Most of collaboration requests came from Internal
Medicine Service. Authors systematize the reasons for the requests,
the time of response to those, the existence of psychiatric history,
the type of intervention, the number of observations in the same
patient, the most frequent diagnosis and treatment. This psychi-
atric service consists of four specialists and activity evaluated in
this article is one of the clinical areas where these professionals
intervene. Depending on the results, it is interesting then to assess
needs and optimize available resources.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV415
The prevalence of substance abuse in
hospitalized medically ill patients in
Rasoul-Akram hospital
A. Ghanbari Jolfaei ∗, N. Norouzi
1 Hazrat-Rasool Hospital, Psychiatry, Tehran, Iran
2 Mental Health Research Center, Psychiatry, Tehran, Iran
∗ Corresponding author.
Introduction Substance abuse can lead to increased risk of acci-
dents leading to serious physical damage and can also cause
medical diseases. On the other hand, patients withmedical diseases
may self-medicate with substances to improve some of their med-
ical symptoms such as pain. Therefore, the risk of hospitalization of
patients with substance abuse can be higher. Substance abuse can
affect the course and prognosis of medical diseases.
Aims The aim of this study was to investigate the frequency of
substance abuse in medically ill patients in Rasoul-Akram hospital.