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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

1 ,

, B. Ali

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1458

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1459

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1460

EV476

Longitudinal effect of depression on

glycemic control in patients with type

2 diabetes: A 3-years prospective study

H. abuhegazy

1 ,

, H. Elkeshishi

2

, A. Kamel

3

, A. Ismail

3

,

K. Sherra

4

, N. Saleh

5

, K.A. Azim

6

, D. Mokhtar

7

1

Al-Azhar university, faculty of medicine, psychiatry department,

Cairo, Egypt