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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1403

EV419

Healthy living and smart choices - A

project for developing a web-based

Turkish obesity treatment program

C. Hepdurgun

1 ,

, H. Elbi

1

, S¸ . Pırıldar

1

, F.L. Saygılı

2

, M.O. Ünalır

3

,

Ö. Can

3

, G. Rudarlı Nalc¸ akan

4

, E. Sezer

3

, S. Sec¸ kiner

2

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/m

2

) 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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1404

EV420

Depression and quality of life in

hospitalised patients with congestive

heart failure (CHF): A cross-sectional

study from Karachi, Pakistan

M. Husain

1 ,

, K . T

ayyeba

2 , M.

Husain

3 , B. F

atima

4 ,

S.U.H. Ansari

4

, R. Rahman

5

, I.B. Chaudhry

2

, N. Husain

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1405

EV421

Anxiety, depression, poor life-style

choices, coronary event - Which

causes which?

T. Jendricko

1 ,

, K. Radic

2

, J. Vincelj

3

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