European Psychiatry - Volume 33 - March 2016

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S500 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
Depression
EV473
A study of mood status in children
with type I diabetes mellitus:
Relationship with parental stress and
metabolic control
M. Abdelhameed ∗, B. Ali
1 Minia university, Psychiatry and Neurology, Minia, Egypt
2 Minia university, Pediatrics, Minia, Egypt
∗ Corresponding author.
Introduction It has been widely recognized that DM can result
in psychological, social and physical problems. Parents of children
with DM are likely to be highly distressed.
Objective The study of the relationship between mood status of
children with type I DM and some factors that might be implicated
in its determination.
Aims To evaluate the presence and degree of depression in a sam-
ple of children with type I diabetes and how much it might be
affected by their metabolic control and the level of their parents’
stress.
Methods Ninety-three children were diagnosed with DM type I.
Theywere clinically interviewed and examined. Theywent through
Childhood Depression Rating Scale (CDI), Family Attitudes Ques-
tionnaire and HbA1c% assessment. An age and sex matched control
group was taken.
Results The age range of diabetic children was 7–18 and two
thirds of them were females. Thirty-five patients (37.6%) were
depressed according to CDI results. Diabetic children had signifi-
cantly higher CDI total score and total parenting stress index (PSI)
compared to the control group. CDI total score was positively and
significantly correlated with indicators of poor diabetes control
(frequency of DKA and HbA1C%) and with duration of diabetic ill-
ness. CDI total score was also positively and significantly correlated
with PSI score.
Conclusions Depression was highly present in this sample of
diabetic children. The degree of their mood impairment was posi-
tively correlatedwith duration of diabetic illness, indicators of poor
metabolic control of DM and to the level of their parents’ stress.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV474
Recent and childhood adversities in
patients with depressive disorders
M. Abdelhameed ∗, A. Kamal , N. Abdelfadeel , S. Morsy
Minia university, Psychiatry and Neurology, Minia, Egypt
∗ Corresponding author.
Introduction A strong association is believed to exist between
stressful life events and the development of depressive disorders.
Childhood adverse experiences contribute to person’s vulnerability
to such disorders.
Objective The study of the complex interplay between child
abuse, stressful life events and the development of depression.
Aims To study the effect of type and severity of child abuse and
magnitude of pre-onset stress on the severity and duration of adult-
hood depression.
Methods Seventy-five patients with depressive disorders not
having a comorbid mental illness were studied using Social Read-
justment Rating scale (SRRS) and Childhood Trauma Questionnaire
(CTQ).
Results The mean age of the patients was 34.96 ±12.32 years,
69.3% of patients were females, duration of the illness ranged from
2–288 weeks with a mean of 30.94 ±54.61 and 36% of the sample
had severe depression. Therewas a statistically significant relation-
ship between urban residence and magnitude of stress (P = 0.049),
married patients suffered less severe depression than unmarried
ones ( P = 0.02) and a positive and significant correlation was found
betweenmagnitude of stress and severity of depression (P ≤ 0.001).
Duration of depressive illness was positively and significantly cor-
related to the raw score of SRRS and to the severity of emotional
neglect as measured by CTQ ( P = 0.02 and 0.04 respectively).
Conclusions The development of depression in adulthood is sig-
nificantly associatedwith past exposure to child abuse and stressful
life events. Childhood history of emotional neglect and magni-
tude of pre-onset stress may be contributing factors to duration
of depressive illness.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV475
Gender and cultural differences in
depression among undergraduates
from Arabian Gulf countries
H. Abdullatif
Kuwait University, Faculty of Social Sciences, Psychology, Kaifan,
Kuwait
Introduction Assessing depression within gender and cross-
cultural context using a valid and reliable framework would
therefore provide significant benefit when selecting and predicting
college students.
Objective The aim of the current investigation was to explore
cultural and gender related differences in depression using under-
graduates recruited from 16 Middle Eastern countries.
Method Standard Arabic Version of the Beck Depression
Inventory-II (BDI-II), was administered to Arabic undergraduates,
recruited from the following countries: Emirates, Iraq, Kuwait,
Oman, Bahrain, Qatar, Saudi Arabia, and Yemen ( n = 4462). Reliabil-
ities ranged from0.84 to 0.91with amean.87 (alpha) denoting good
internal consistency. The convergent correlations in eight samples
between BDI-II and Kuwait University Anxiety Scale KUAS (mean
r = 0.66) for validity coefficients.
Results It was found that females had significantly higher mean
depression scores than their male counterparts in five countries:
Iraq, Kuwait, Oman, Qatar, and Saudi Arabia. However, no signifi-
cant gender differences were found in three countries: United Arab
Emirates, Yemen, and Bahrain. Overall gender differences (f = 9.52,
P < .002), cultural differences (f= 10.79, P < .001) and the interaction
between both culture & gender (f= 8.56, P < .001).
Conclusion Therefore, it is safe to conclude that gender
differences overshadow similarities. Female preponderance of
depression has been a consistent finding within literature. Further-
more, the results revealed a cultural difference in depressionwhere
Iraq, United Arab Emirates, Oman and Saudi Arabia had the highest
means.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV476
Longitudinal effect of depression on
glycemic control in patients with type
2 diabetes: A 3-years prospective study
H. abuhegazy ∗, H. Elkeshishi , A. Kamel , A. Ismail ,
K. Sherra , N. Saleh , K.A. Azim , D. Mokhtar
1 Al-Azhar university, faculty of medicine, psychiatry department,
Cairo, Egypt