European Psychiatry - Volume 33 - March 2016

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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 ∗, B. Maghsodlou-Estarabadi , S. Zamaninejad ,
M. Foroughan
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.
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.
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
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.
EV744
Collaborative care between clinical
pharmacists and general practitioners
in patients with Alzheimer’s disease in
Slovenia
M. Stuhec ∗ remus Marusic
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