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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1397

EV413

A study to assess the prevalence of

depression and impact on social

functioning in patients post stroke

C. Daly

, H. P

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1398

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1399

EV415

The prevalence of substance abuse in

hospitalized medically ill patients in

Rasoul-Akram hospital

A. Ghanbari Jolfaei

1 ,

, N. Norouzi

2

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.