European Psychiatry - Volume 33 - March 2016

485 / 812

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S481
Methods This study was a cross-sectional study. The sampling
methodwas convenient. Demographic data and the data about sub-
stance use disorders were gathered through a clinical interview by
a psychiatrist. Inclusion criteria included informed consent to par-
ticipate in the study, an appropriate level of consciousness and the
ability to talk in Persian.
Results From 423 patients participating in the study, 205 were
female (48.5%). The average age of the patients was 18.4 ±48.4
years. The prevalence of substance abuse was 39.7%, of which 60%
were consuming daily. The prevalence of substance abuse between
male and female was not significantly different. Marital status and
low education and older age had significant association with sub-
stance abuse. Smoking and opioids followed by alcohol, cannabis
and benzodiazepines were the most substances used by patients.
Conclusion The prevalence of substance use disorders in hospi-
talized patients in General hospital is high and it is crucial to assess
substance use disorders in these patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV416
Depression, somatic complaints and
medical help-seeking in a Romanian
sample
C. Giurgi-Oncu ∗, C. Bredicean , F. Giurgi-Oncu , R. Romosan ,
M. Ienciu
1 “Victor Babes” university of medicine and pharmacy of Timisoara,
Timisoara, Romania
2 Timis¸ oara County emergency clinical hospital, psychiatry, Romania
∗ Corresponding author.
Introduction Depression as a disorder, with all its intensities and
clinical forms, requires to be projected on the backdrop of human
suffering. In evaluating a depressive episode of a somatically ill per-
son, it is important to assess personality and social context as a
whole.
Objectives To establish the degree of somatic comorbid-
ity/somatization in depressive patients and the correlation with
their social support network.
Aims To recommend cost-effective psycho-social interventions
to offer relief and support.
Method We evaluated 60 patients with depression of vari-
ous etiologies (Recurrent depressive disorder, Paranoid-depressive
disorder, Anxious-depressive disorder). Self-report and observer
rating scales were used (SCL-90, Beck, Hamilton) alongwith a supli-
mentary consult (where required) by different specialists. Direct
observations were made regarding the social support network, in
terms of evaluating their scale and efficiency.
Results The majority of patients included showed an obvious
inconsistency in terms of objective and subjective symptoms, cor-
related with the lack of an adequate social support network.
This resulted in more medical help-seeking, a polymorphic array
of somatic symptoms, oscillations of somatic complaints, some
showing lack of adherence and only mild improvement with psy-
chotropic therapy. Most of the somatized complaints were gastro-
intestinal, respiratory, pain-related and pseudo-neurological, with
an increased overall evidence-based cardio-vascular comorbidity.
Conclusions We suggest that in order to help support patients
and ensure fluidization of medical services, mental health care
could also be delivered effectively in primary care settings, through
community-based programmes and task shifting approaches that
engage and support skilled non-specialist health professionals, lay
workers, affected individuals, and caregivers (Kakuma, 2011).
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV417
Burnout in pediatric oncology
healthcare providers: Protection and
vulnerability
C. Araújo , R. Gonc¸ alves ∗, J.M.V.D. Ferreira , S. Pedroso ,
C. Pinho , S. Silva , M.J. Brito
1 Hospital Pediátrico - Centro Hospitalar e Universitário de Coimbra,
child and adolescent psychiatry, Coimbra, Portugal
2 Hospital Pediátrico - Centro Hospitalar e Universitário de Coimbra,
pediatric oncology unit, Coimbra, Portugal
∗ Corresponding author.
Introduction Burnout is a condition characterized by emotional
exhaustion, depersonalization and reduced personal accomplish-
ment, resulting from the inability to cope with chronic job stress.
Healthcare providers at pediatric oncology units, who care for chil-
dren with life-threatening illnesses, are exposure to high levels of
stress, which increases the risk for developing burnout, with con-
sequences in their personal health and quality of patient care.
Objective To assess the prevalence and sources of burnout on a
multidisciplinary team of a pediatric oncology unit.
Methods Participants were a convenience sample of 16 pediatric
oncology professionals, including medical, nursing, and related
health staff from a Portuguese pediatric oncology center. Par-
ticipants completed the Portuguese version of the Copenhagen
Burnout Inventory.
Results All three subscales that compose this Inventory were
found to have burnout below normal levels (cut-off≥ 50 points).
However, personal and work-related subscales showed mean val-
ues in the superior limit of normality (48 ±14, 18 points and 49,
48 ±12, 23 points, respectively). Nevertheless, when analyzed the
patient-related subscale, we found low levels of burnout in the
majority of responders. These findings are similar to the existing
literature, which suggests that patient care and interactions with
children are the least stressful aspect of working in this specialty.
Conclusion Despite the high levels of stress exposure in pediatric
oncology units, results suggest that the majority of professionals
are not actually in burnout. However, the obtained values advice for
the need of prevention and workplace approaches to staff’s well-
being and stress reduction, in order to avoid burnout development.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV418
Liaison psychiatry as a part of a
multifocal treatment in a general
hospital
D. Goujon ∗, R. Muto , C. Vayssier-Belot , H. Masson ,
P. Grandin
1 CHI Poissy-Saint Germain en Laye, Secteur 78G04, Poissy, France
2 CHI Poissy-Saint Germain en Laye, medecine- nephrology and
hemodialysis, Poissy, France
∗ Corresponding author.
We report here three clinical cases as exemples of our rich and
frequent collaboration between the department of psychiatry and
the department of medecine, nephrology and hemodialysis. This
work can serve as a basis for further reflection in order to improve
mutual demands. We based our description on three patients cho-
sen for their homogeneity in demand, rapidity of evaluation, the
same clinician who evaluated the demand. Either case: a 42-year-
old woman, who was admitted for alteration of general state,
severe headaches and chronic addiction to alcohool, 71-year-old
woman sufferring from recurrent unipolar depression who came
for somatic exploration and severe weight loss or 55-year-old man
who was transferred from cardio-pulmonary intensive care unit
after a volontary ingestion of neuroleptic- were reevaluated by