European Psychiatry - Volume 33 - March 2016

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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.
EV510
Group interpersonal psychotherapy
for maternal depression an
exploratory randomized control trial
H. Nusrat ∗, N. Zehra , B. Amir , C. Nasim , K. tayyeba ,
Z. Shehla , F. Batool , H. Meher , N. Farooq
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.
EV511
Change your life with seven sheets of
paper: A pilot randomized controlled
trial for postnatal depression
(CREATOR)
H. Nusrat ∗ atool ayyeba Farah Ann
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