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S580

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

multidisciplinary professional care, the role of the family and the

importance of long-stay wards.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1703

EV719

Depressive symptoms in older people

in Greece and Cyprus

K. Argyropoulos

1 ,

, G .

Panteli

2 , G.

Charalambous

2 ,

A. Argyropoulou

3 , P. G

ourzis

4 , E. J

elastopulu

1

1

Medical School, University ofPatras, Public Health, Patras, Greece

2

Frederick University, Postgraduate Program Health Management,

Nicosia, Cyprus

3

Health Center of Andravida, General Practice, Andravida, Greece

4

University Hospital of Patras, Psychiatry, Patras, Greece

Corresponding author.

Introduction

Depression is fast becoming a major public health

problem with a very high prevalence rate in the 65 and over age

group.

Objectives

The aim of the present study was to estimate the

prevalence of depression in Greeks and Cypriots older adults.

Methods

A cross-sectional study was conducted among the 445

participants, 239 members of three day care centers for older peo-

ple, in the municipality of Patras, West-Greece and 206 older adults

(110 in the community, 65 in outpatient clinics, 31 in nursing

homes) in Cyprus, aged > 60 years. A questionnaire was adminis-

tered including socio-demographic characteristics. Depressionwas

assessed using the Greek version of Geriatric Depression Scale

(GDS-15).

Results

The overall prevalence of depression according to GDS-

15 was 33% (28% moderate, 5% severe type). Depressive symptoms

were more frequent in women (41,6% vs. 28,3%,

P

< 0,001), in not

married (43,0% vs. 29,3%,

P

< 0,001), in elderly with chronic dis-

eases (36,8% vs. 25,0%,

P

= 0,007), in older people dwellers of urban

areas compared to rural (36,3% vs. 26,4%,

P

= 0,028) and in ages

between 70 to 80 years old (38,7% vs. 31,6%,

P

= 0,038). Moreover,

higher prevalence of depressionwasmeasured in Greeks compared

to Cypriots (44,3% vs. 20,6%,

P

< 0,001). In a univariate analysis,

the following variables were significantly associated with depres-

sion: female gender (

P

< 0,001), co-morbidity (

P

= 0,004), higher age

group (

P

= 0,018), place of living (

P

= 0,022) and Greek nationality

(

P

< 0,001).

Conclusions

High prevalence and several risk factors are strongly

associated with depression, whereas Greeks are in higher danger

of developing depressive symptoms in late life, than Cypriots.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1704

EV720

Treatment of Charles Bonnet

syndrome with continuous positive

airway pressure in an older adult

M. Arts

1 ,

, P . M

ichielsen

2 , S. P

etrykiv

3 , L. d

e Jonge

1 ,

R. Oude Voshaar

1

1

UMCG, Old Age Psychiatry, Groningen, Netherlands

2

GGZWNB, Psychiatry, Bergen op Zoom, Netherlands

3

GGZ Friesland, Emergency Psychiatry, Leeuwarden, Netherlands

Corresponding author.

Introduction

Charles Bonnet syndrome (CBS) is a disorder in older

adults, and is characterized by a triad of recurrent vivid visual

hallucinations, ocular pathology causing visual impairment due to

lesions in central or peripheral visual pathways, and normal cogni-

tive status. It is often misdiagnosed as a psychosis, early dementia

or a drug related condition. Hypoxemia was anecdotally reported

as a cause of CBS.

Objectives

We present an older adult with CBS caused by severe

obstructive sleep apnea syndrome.

Aims

To report a case study, describing treatment of obstructive

sleep apnea syndrome as a cause of CBS.

Methods

A case study is presented and discussed.

Results

An older male adult was admitted to hospital for persis-

tent vivid visual hallucinations. There was no personal or family

history of mental illness. Neurological examination was normal,

except for visual impairment due to age related macular degen-

eration. The remainder of his physical examination was normal.

Previous treatment with antipsychotics proved not to be effective.

Severe hypoxemia (SaO

2

79%) was diagnosed with overnight pulse

oximetry and subsequent polysomnography revealed an obstruc-

tive sleep apnea syndrome. After three nights of nasal continuous

positive airway pressure, the vivid hallucinations ceased.

Conclusion

Physicians need to understand the underlying causes

and mechanisms of CBS. One should be aware of the importance

of a full clinical examination and sleep apnea research in elderly

persons with visual impairment.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1705

EV721

Management of late-life insomnia

S. Bravo Herrero

1 ,

, C. Moreno Menguiano

2

,

R. Martín Aragón

1

, M. Gutiérrez Rodríguez

2

, J.F. Cruz Fourcade

1

,

N. Rodríguez Criado

1

, P. Mu˜noz-Calero Franco

1

,

B. Sánchez Sánchez

1

1

Hospital Universitario de Móstoles, UHB Psiquiatría, Móstoles, Spain

2

Hospital Universitario de Móstoles, CSM Móstoles, Móstoles, Spain

Corresponding author.

Introduction

Insomnia is the most frequent sleep disorder in late

life. Forty-two percent of elderly people in the United States often

complain about difficulties to get or maintain sleep, or awakening

too early. Insomnia is frequent in old people greatly due to fre-

quency of concomitant medical illnesses and polypharmacy, rather

than because of age.

Objectives

The objective of our research was to revise the current

state of knowledge about management of insomnia in people above

65 years of age.

Methodology

For that, a bibliographical search through

PubMed.gov has been made. From the obtained results, the

14 which best suited for our goals were selected, 10 of them

dealing with people above 65 years and the rest with people above

75 or 80 years of age.

Results

Based on the literature reviewed, the current options

of management of late-life insomnia are based on behavioral or

pharmacological therapy. The combination of behavioral therapies

shows results and is currently considered as an option, especially

given the possibility of medicine interaction and the secondary

effects hypnotic and sedative medicines might produce. There is

a paucity of long-term safety and efficacy data for the use of non-

benzodiazepine sedative-hypnotics. There are no criteria for the

use of antidepressant sedatives in elderly peoplewithout diagnosed

depression, although they are still used in practice.

Conclusion

Possibility of using behavioral therapy as first option.

In case of polymedicated or multi-pathological patients, pay special

attention when starting a pharmacological treatment, choose the

most suitable one and supervise it closely.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1706