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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1400

EV416

Depression, somatic complaints and

medical help-seeking in a Romanian

sample

C. Giurgi-Oncu

1 ,

, C. Bredicean

1

, F. Giurgi-Oncu

2

, R. Romosan

1

,

M. Ienciu

1

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1401

EV417

Burnout in pediatric oncology

healthcare providers: Protection and

vulnerability

C. Araújo

1

, R. Gonc¸ alves

1 ,

, J.M.V.D. Ferreira

1

, S. Pedroso

1

,

C. Pinho

1

, S. Silva

2

, M.J. Brito

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1402

EV418

Liaison psychiatry as a part of a

multifocal treatment in a general

hospital

D. Goujon

1 ,

, R. Muto

2

, C. Vayssier-Belot

2

, H. Masson

2

,

P. Grandin

1

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