European Psychiatry - Volume 33 - March 2016

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S482 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
the psychiatrist and the special follow-up was indicated as the
patient was discharded from internal medecine department. We
were interested in studying how important to the patient this indi-
cation turned to be on time.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV419
Healthy living and smart choices - A
project for developing a web-based
Turkish obesity treatment program
C. Hepdurgun ∗, H. Elbi , S¸ . Pırıldar , F.L. Saygılı , M.O. Ünalır ,
Ö. Can , G. Rudarlı Nalc¸ akan , E. Sezer , S. Sec¸ kiner
1 Ege university school of medicine, department of psychiatry, Izmir,
Turkey
2 Ege university school of medicine, deparment of endocrinology and
metabolism, Izmir, Turkey
3 Ege university school of engineering, deparment of computer
engineering, Izmir, Turkey
4 School of physical education and sport, deparment of sports health
sciences, Izmir, Turkey
∗ Corresponding author.
Introduction Obesity is a major public health problem in the
world and getting obesity under control is one of the most impor-
tant goals of the World Health Organization. Cognitive behavioral
therapy techniques are helpful for adjusting lifestyle to stay at
a healthy weight range. Success of web-based programs which
designed with evidence-based behavioral strategies has been
provenwith different studies. However, aweb-based programsuit-
able for Turkish culture and eating habits is still missing.
Objectives Primary objective of this project is to develop and test
a web-based obesity behavioral treatment program in collabora-
tion with experienced academicians from different disciplines.
Aims The aim of this project is to develop a program which will
help Turkish primary care physicians in treating and tracking obe-
sity patients.
Method The web-based program will include a 12-week-long
core behavioral program. Participants will be asked to record their
daily dietary intakes and automatic feedback will be given by the
system. Weekly behavioral training videos will be available dur-
ing the core program. As participants watch the videos and record
their daily intakes, they will get instant awards such as virtual diet-
coin which they will be able to spend for gifts such as low calorie
recipes. One hundred obese patients (with bodymass index greater
than 30 kg/m2) will be recruited to evaluate the effectiveness of the
program. The changes in their blood pressures, body weights and
waist circumferences will be recorded.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV420
Depression and quality of life in
hospitalised patients with congestive
heart failure (CHF): A cross-sectional
study from Karachi, Pakistan
M. Husain ∗ ayyeba Husain atima
S.U.H. Ansari , R. Rahman , I.B. Chaudhry , N. Husain
1 Institute of psychiatry - psychology and neuroscience, centre for
affective disorders, London, United Kingdom
2 University of Manchester, brain- behaviour and mental health,
Manchester, United Kingdom
3 South London and Maudsley NHS Foundation Trust, Liaison
Psychiatry King’s college hospital, London, United Kingdom
4 Pakistan institute of learning and living, mental health, Karachi,
Pakistan
5 Dow institute of health sciences, psychiatry, Karachi, Pakistan
∗ Corresponding author.
Introduction There is strong association between depression and
mortality rates among patients with CHF. Despite the massive bur-
den of cardiac disease aswell as that of depression in Pakistan, there
is limited data regarding the prevalence of depression in patients
suffering fromCHF. The aimof this studywas to assess prevalence of
depression in patients with CHF and to compare the health related
quality of life of depressed and non-depressed patients with CHF.
Methods A total of 1009 patients diagnosed with CHF were
recruited from different public hospitals in Karachi, Pakistan.
Depression was assessed at baseline using the Beck Depression
Inventory (BDI) and health related quality of life was assessed using
Euro Qol (EQ-5D).
Results Of the 1009 participants recruited to the study, 66.4%
(n = 670) met the threshold for depression using the BDI measure.
Of the depressed patients, 66.7% ( n = 447) were male. Preliminary
results indicate that participants who were depressed at baseline
had poorer health related quality of life on EQ-5Dmeasures as com-
pared to those who were non-depressed (mean EQ-5D descriptive
score 10.45 in depressed patients vs 7.37 in non-depressed patients
and mean EQ-5D visual scale score 35.09 in depressed patients vs
52.19 in non-depressed patients).
Conclusion Considering the high prevalence of depression and its
serious negative impact on quality of life of patients suffering from
chronic physical illness, it is important to design and test cultur-
ally adapted psychosocial interventions to reduce depression and
improve quality of life for these patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV421
Anxiety, depression, poor life-style
choices, coronary event - Which
causes which?
T. Jendricko ∗, K. Radic , J. Vincelj
1 University psychiatric hospital Vrapce, department of social
psychiatry, Zagreb, Croatia
2 University psychiatric hospital Vrapce, department of forensic
psychiatry, Zagreb, Croatia
3 University hospital Dubrava, department of internal medicine,
Zagreb, Croatia
∗ Corresponding author.
Introduction Various risk factors for development of acute coro-
nary syndrome (ACS) have been discovered. ACS has numerous
consequences, including physical and mental health disturbances.
Aim To distinguish mental health consequences and risk factors
for ACS.
Objectives To explore the interdependence between poor life-
style choices (physical inactivity, cigarette smoking, unhealthy diet,
alcohol consumption) and development of anxiety or depressive
disorders 1 month and 6 months after ACS.
Methods Follow-up study on 120 subjects with ACS, retested
after 1 and 6 months. Existence of previous or actual mental disor-
ders were excluded in the first phase.
Instruments Mini International Neuropsychiatric Interview,
questionnaire of general sociodemographic data and life-style fac-
tors, Acute Stress Disorder Interview and Clinician-administered
PTSD Scale. Lipid levels and BMI were tracked.
Results After 1 month 27.5% of the subjects had acute stress dis-
order (ASD) and13,8%hadmajor depressive disorder (MDD). After 6
months, 37.5% subjects had PTSD and 27.3% had MDD. Alcohol con-
sumption showed to be predictive for development of MDD in the
second phase (P= 0.002; OR = 2.48), and physical inactivity showed