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

S587

EV741

The frequency of anxiety and

depressive symptoms in Iranian older

patients with serious and persistent

psychiatric disorders admitted to

long-term care in Razi Psychiatric

Hospital

V. Rashedi

1 ,

, B. Maghsodlou-Estarabadi

2

, S. Zamaninejad

3

,

M. Foroughan

1

1

University of Social Welfare and Rehabilitation Sciences, Iranian

Research Center on Aging, Tehran, Iran

2

University of Social Welfare and Rehabilitation Sciences,

Department of Psychiatry, Tehran, Iran

3

Gorgan University of Medical Science, Department of Dentistry,

Golestan, Iran

Corresponding author.

Introduction

Anxiety and depressive symptoms occur commonly

in older adults and are associated with several negative outcomes

including personal distress, disability burden, and increased use of

health services.

Objective

To determine the frequency of anxiety and depressive

symptoms in Iranian older adults with persistent psychiatric dis-

orders admitted to Razi Psychiatric Hospital.

Aims

To indicate the importance of in-current prevention and

therapeutic interventions in psychiatric long-term care units by

giving an estimation of the frequency of depressive and anxiety

symptoms in older residents.

Methods

A cross-sectional, hospital-based study was performed

which included male older people admitted to Razi Psychiatric

Hospital, Tehran, Iran. The Hospital Anxiety and Depression Scale

(HADS), Abbreviated Mental Test score (AMTs) and a demographic

questionnaire were used to gather the data.

Results

Ninety-four male patients were recruited into the study.

The mean age of the sample was 65.65 years (SD: 3.50), mean years

of hospitalization was 21.17 (SD: 10.89), and mean years of educa-

tion was 5.27 (SD: 5.28). Based on the results, mean of AMT score

was 6

±

2.92. Mean score of anxiety and depression were 8.29 (SD:

4.61) and 9.40 (SD: 3.75), and the frequency of anxiety and depres-

sive symptoms were 29.8% and 42.6%, respectively.

Conclusions

Anxiety and depressive symptoms are common

in older aged care residents of psychiatric hospitals; therefore,

providing hospital-based programs focused on prevention and

therapeutic interventions to manage these symptoms in psy-

chiatric older patients is needed. Using appropriate screening

instruments, periodically, may help the recognition of anxiety and

depression in gero-psychiatric population.

Keywords

Older adults; Anxiety; Depression; Hospital

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1726

EV742

Differential diagnosis based on age.

Diagnostic difficulties

S. Rodrígue Vargas

Almería, Spain

Introduction

Following a case presented in our inpatient unit

as well as various interdepartmental from internal medicine and

other emergencies, we decided to conduct a literature review on

the different organic causes that can trigger the onset of psychotic

symptoms in elderly.

Objectives

A correct differential diagnosis of psychiatric symp-

toms in elderly.

Aims

Literature review of the literature on the presentation of

psychotic symptoms in the elderly.

Methods

Description of a clinical case and development of diag-

nostic hypotheses.

Results and conclusions

For several decades are experiencing a

gradual aging of the population, which means that we are at the

onset of clinical symptoms not described by classical authors.

Furthermore, scientific advances make infectious causes (such as

neurosyphilis was our first diagnostic hypothesis) are increas-

ingly rare. The elderly usually has multiple comorbidities, which

are receiving various treatments that must be ruled out possible

adverse effects.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1727

EV743

Spousal caregiving for Parkinson’s

disease: Life changing dynamics

P. Seibert

Saint Alphonsus Regional Medical Center, Research Institute, Boise,

USA

Although worldwide estimates of the prevalence of Parkinson’s

disease (PD) have been difficult to obtain, it is agreed that the fre-

quency of cases is risingwith the increase in human life expectancy.

Spouses often assume the primary responsibility for individuals

with PD and this considerable burden impacts all aspects of the

caregivers’ (CG) and their families’ lives. Few have formal training

in administering health care; yet they are required by necessity to

undertake the CG role. We constructed two questionnaires spec-

ified for PD (84 items) and their CG (81items). Both were either

mailed or emailed to 256 people from a PD association list. We also

conducted in person interviewswith 8 pairs of PD and CG. The ques-

tionnaires and interviews included a wide range of topics such as

health history and change, physiological health, social engagement,

support availability, stressors, emotional health, sleep, financial

concerns, and overall QoL. Fifty-nine participants responded to the

questionnaire (PD: 20 males, mean age 73.42; 11 females, mean

age 77.73; (CG: 4 males, mean age 85.25; 24 females, mean age

69.13). We analyzed data specific to CG and alsomade comparisons

between the CD and PD groups. Findings revealed increasingly sig-

nificant physiological and psychiatric issues for both the PD and

CG.PD

reported greater satisfaction with support systems while CG

expressed concern regarding the paucity of support for themselves.

The presence of PD creates a multifaceted exponential increase in

challenges to Qol for both PD and their CG with the latter receiving

little support.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1728

EV744

Collaborative care between clinical

pharmacists and general practitioners

in patients with Alzheimer’s disease in

Slovenia

M. Stuhec

1 ,

, A . P

remus Marusic

2

1

Ormoz’s Psychiatric Hospital, Clinical Pharmacy, Ormoz, Slovenia

2

General Hospital Murska Sobota, Clinical Pharmacy, Murska Sobota,

Slovenia, Slovenia

Corresponding author.

Background

Alzheimer’s disease (AD) patients are often treated

with inadequate doses of AD’s medications, which can lead to

harms and additional costs.

Objective

In most European countries, there is no data on inap-

propriate prescribing (IP) inpatientswithAD in terms of inadequate

doses. In Slovenia, the interest for a collaborative care between