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S512

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

4

Department of Dermatology Mafraq Hospital, Abu Dhabi, United

Arab Emirates

5

Department of Medicine, Sindh Medical College, Jinnah

Postgraduate Medical Center, Karachi, Pakistan

6

Sindh Medical College, Jinnah Postgraduate Medical Center,

Karachi, Pakistan

7

Qureshi Clinic of Family Medicine, Karachi, Pakistan

8

Qureshi Clinic of Family Medicine, Pakistan

9

Department of Paediatrics, Abbasi Shaheed Hospital, Pakistan

10

Department of Community Health and Epidemiology, University of

Saskatchewan, Pakistan

11

Department of Community Health Sciences, Karachi Medical &

Dental College, Abbasi Shaheed Hospital, Karachi, Pakistan

Corresponding author.

Introduction

Even though the association between dermatolog-

ical conditions in pregnancy with psychiatric findings is vital for

patient management, studies on these issues are limited.

Objective

To determine the frequency and nature of dermato-

logical problems in pregnant women having primary psychiatric

illness.

Aim

To establish an association between cutaneous manifesta-

tions in pregnancy with the hypothesis that psychiatric illness also

has a role in pregnancy.

Methods

This was a case control study and non probability con-

venient samplingwas used on 50 pregnant patients with cutaneous

manifestations along with psychiatric illness and 50 age matched

non pregnant patients free from dermatological conditions and

psychiatric illness. The Diagnostic and Statistical Manual of Men-

tal Disorders (DSM IV) Criteria was used to diagnose psychiatric

illness and for skin manifestations patients underwent a physical

examination of skin.

Results

Pregnant patients with depressive disorders were asso-

ciated with atopic eruption of pregnancy [odds ratio (OR) 1.19;

95% (CI): 1.13–1.49], pruritic urticarial papules [(OR) 2.89; 95% (CI):

2.55–2.97], plaques of pregnancy [(OR) 2.14; 95% (CI): 2.01–2.39],

prurigo of pregnancy [(OR) 1.33; 95% (CI): 1.17–1.45], intrahep-

atic cholestasis of pregnancy [(OR) 2.45; 95% (CI): 2.29–2.67],

pemphigoid gestationis [(OR) 1.57; 95% (CI): 1.50–1.68], impetigo

herpetiformis [(OR) 1.83; 95% (CI): 1.65–2.24], and pruritic folli-

culitis of pregnancy [(OR) 2.34; 95% (CI): 2.20–3.62], psoriasis [(OR)

1.75; 95% (CI): 1.64–2.37], melasma [(OR) 1.88; 95% (CI): 1.63–2.49],

intrahepatic cholestasis [(OR) 2.77; 95% (CI): 2.14–3.48].

Conclusion

The results of the study support the hypothesis, that

there is an association between psychiatric and skin diseases in

pregnancy.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1494

EV510

Group interpersonal psychotherapy

for maternal depression an

exploratory randomized control trial

H. Nusrat

1 ,

, N. Zehra

2

, B. Amir

2

, C. Nasim

3

, K. tayyeba

2

,

Z. Shehla

4

, F. Batool

2

, H. Meher

5

, N. Farooq

6

1

University of Manchester, Psychiatry, Manchester, United Kingdom

2

Pakistan Institute of Learning and Living, Research, Karachi,

Pakistan

3

Lancashire Care NHS Foundation Trust, Psychiatry, Manchester,

Pakistan

4

Dow University of Health Sciences, Nursing, Karachi, Pakistan

5

Harvey House Social Enterprises, Psychiatry, Manchester, United

Kingdom

6

Queens University, Psychiatry, Ontario, Canada

Corresponding author.

Introduction

The global burden of depression is high for women

in both high income and low-and-middle income countries WHO.

Depression is particularly common during pregnancy and in the

postnatal period and phenomenology said to be the same as in

non-child bearing age. Despite high prevalence of prenatal and

postnatal depression in Pakistan, research on the effectiveness of

psychological interventions is limited.

Aims

This study aimed to assess the feasibility of group interper-

sonal psychotherapy (IPT) intervention for maternal depression in

Karachi, Pakistan.

Methods

A total of 50 mothers aged 18 years and above with

children below 3 years of age, and experiencing mild to moderate

depression were recruited. Assessments were done using Edin-

burgh Postnatal Depression Scale (EPDS) Rosenberg’s Self-Esteem

Scale and EuroQol-5D at baseline, 3 months, and 6 months. Rosen-

berg’s Self-Esteem Scale and EQ-5D were also used to measure

self-esteemand health related quality of life. Participants were ran-

domly assigned into IPT plus treatment as usual (TAU) and TAU

groups. Ten sessions of group IPT were delivered to intervention

group.

Results

Results indicated significant difference between inter-

vention and control group on EPDS. The mean score at baseline for

the IPT group (mean = 14.76) reduced to (mean = 6.40) (

P

< 0.000)

at 3-month and to (mean = 6.64) (

P

< 0.001) at 6-month intervals

as compared to TAU (mean = 11.44) (

P

< 0.000) at 3-month and to

(mean = 11.08) at 6-month (

P

< 0.001) after randomisation.

Conclusion

IPT is a successful fit for women with maternal

depression in low-income areas and IPT can be the appropriate

treatment option as it is time limited, specific, and evidence based.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1495

EV511

Change your life with seven sheets of

paper: A pilot randomized controlled

trial for postnatal depression

(CREATOR)

H. Nusrat

1 ,

, F. B

atool

2 , K. T

ayyeba

2 , N.

Farah

2 , M.

Ann

3

1

University of Manchester, Psychiatry, Manchester, United Kingdom

2

Pakistan Institute of Learning and Living, Research, Karachi,

Pakistan

3

Glasgow Institute of Psychosocial Intervention, psychology,

glasgow, United Kingdom

Corresponding author.

Introduction

Prevalence of Common Mental Disorders (CMD) is

high in low and middle-income countries. The prevalence rate

of postnatal depression in Pakistani women and its effect on the

growth and development of young children and child mortality is

very high. Despite availability of interventions to improvematernal

health, the major issue in implementation of those interventions is

because of limited availability of trained health professionals.

Aims

The aim of this study is to deliver CBT based intervention

called “change your life with 7 sheets of paper” to women with

mild tomoderate PND through trained Traditional Birth Attendants

(TBAs).

Methods

During first stage of this rather blind feasibility ran-

domized control trial 5 TBAs were trained to deliver CBT. Total 36

participants with PND having child between the ages 0–12 months

will be recruited from community. Participants will be assessed

using Edinburgh Postnatal Depression Scale, Patient Health Ques-

tionnaire (PHQ-9) and World Health Organization Quality of Life

scale at baseline and then at 3 months. Eight group sessions of CBT

will be delivered by trained TBAs.

Results

Outcome assessments will be done after completion of

intervention of intervention i.e., 3 months after baseline. Prelimi-

nary findings will be presented in the conference.

Conclusion

Findings from this trial will help us to understand

how the involvement of TBAs can help in overcoming the challenge