European Psychiatry - Volume 33 - March 2016

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S620 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
Objective Analyze the activity of PO in a district general hospital
in Portugal.
Aims Demonstrate that the main core in PO is similar in the
world.
Methods Prospective longitudinal study, during one year.
Results The sample had 130 patients (369 evaluations), mainly
male, with the mean age of 64.22 years. The most frequent psy-
chiatric diagnoses were delirium (56 cases; 43%) and AD (44; 34%)
and the main interventions used were pharmacologic and psycho-
education. The most common frequent cancers were digestive (54;
42%), urologic (16; 12%) and breast (15; 11%). This high frequency
of urologic cancer was interpreted as a consequence of the sample
and its geographic location, but it was also a reflection of the large
number of requests made by this specialty. The majority of cancers
had an advanced stage (84% vs 16%) that can be explained by the
sample but also by health culture in Portugal, which is reflected in
the inpatient services: Oncology (51; 39%) and Palliative Care (25;
19%).
Conclusions The type of psychiatric disorders and treatments
offered in PO is preserved around the world. The authors propose
to do more studies, namely if the relation with others specialties
affects psychiatric treatment of the patient.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV846
Lack of occupation and depression
onset in oncology patient – Case
report
L. Filipovic-Grcic , F. Ðerke ∗, M. Braˇs , V. Djordjevic
1 University of Zagreb School of Medicine, Student Society for
Neuroscience, Zagreb, Croatia
2 University of Zagreb School of Medicine, Centre for Paliative
Medicine, Medical Ethics and Communication Skills, Zagreb, Croatia
∗ Corresponding author.
Being able to live an active and meaningful life is important for
mental health of every individual. In this case report we exam-
ine the life of an oncology patient who developed depression six
years ago. The patient is a fifty seven year old woman who has
been suffering from Von Hippel-Lindau syndrome for the last forty
years. Her father and two uncles died from the same disease. She
had her first operation when she was seventeen years old and
has had numerous operations since then. During this time she has
undergone four neurosurgical operations, nephrectomy, spine and
pancreas operation and eye enucleation. Despite the fact that by
being a chronic oncology patient she was prone to depression, she
did not develop depressive symptoms. It did not happen even as
her husband went to war and left her to take care of their child.
It did not come afterwards as they struggled financially. Only after
they moved to a new apartment and as she finished decorating it,
did depression finally occur. During entire life she was an active,
outgoing person, who took pleasure in socialising and various hob-
bies. She only developed depression after she was pensioned, left
with the responsibility to care for her old mother. Following the
psychiatric treatment she regained interest in people and become
active in different cancer support groups. This example accentu-
ates the importance of every-day pleasurable activities as a defence
mechanism against depression.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV847
Caregiving experience of multiple
myeloma patients
M. Gonc¸ alves ∗, J. Teixeira Silva , A. Cabral , Z. Santos
Centro Hospitalar e Universitário de Coimbra, Centro de
Responsabilidade Integrado em Psiquiatria, Coimbra, Portugal
∗ Corresponding author.
Introduction Multiple Myeloma (MM) is a cancer formed by
malignant plasma cells. On a worldwide scale, it is estimated that
about 86,000 incident cases occur annually. The aim of this report
is to investigate the experience among multiple myeloma care-
givers, assessing the mental adjustment to cancer diagnosis and
the most prevalent psychopathology in the caregivers. This paper
also attempts to establish the influence of the symptoms has in the
caregiving experience.
Methods All eligible caregivers will be approached during a reg-
ularly scheduled patient clinic visit and informed consent will be
obtained prior to study participation. Data will be collected using
the Mental Adjustment Scale to the Cancer Scale Partner (EAMC-F),
Memorial Symptom Assessment Scale – Short Form, and Depres-
sion, Anxiety and Stress Scale (DASS-21).
Results According to the literature caring for patients with MM
can be different comparing with another form of cancer. It is
an incurable form of cancer, although treatments improve life
expectancy andquality of life. The authors are expecting tofindhigh
rates of depression, anxiety, unmet needs, and burden of care. The
symptoms of the patients will probably influence the caregiving
experience.
Conclusion MM accounts for about 14% of all newly diagnosed
hematological cancer, and it is estimated that its incidence will rise.
The importance of psychiatric intervention in themultidimensional
approach is becoming a recognized reality. This is essential in the
treatment of psychiatric disorders, to improve prognosis and qual-
ity of life but also to reduce side effects of treatments and symptoms
related to cancer.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV848
Portugal’s history of psycho-oncology
A. Fonseca ∗, A. Batista , F. Malheiro , A. Poc¸ as ,
R. Araújo
Centro Hospitalar de Leiria, Psiquiatria, Leiria, Portugal
∗ Corresponding author.
The psycho-oncology represents an interface between psychology
and oncology. In Portugal, the creation of Psycho-oncology was
due to the collaboration between oncologists with psychiatrists
and psychologists. This partnership led to the creation of first Por-
tuguese research works in Psycho-oncology, contributing to the
enrichment of this discipline.
Objective Describe the history of psycho-oncology in Portugal.
Research articles and theses related to Psycho-oncology in Portugal
and do his description statistics.
Material and methods Literature review of articles and the-
ses on Psycho-oncology made in Portugal, using the following
search engines: “Pubmed”, “Medline”, “ScieloPortugal” and scien-
tific repositories of Portuguese universities.
Results Until 1997, psycho-oncology did not arouse the inter-
est of researchers; however, since then, the Psycho-oncology has
grown exponentially, with regard to the investigation. There was a
period of increase in publications between 2005 and 2012 as well
as, increase in the number of undergraduate theses, master’s and
doctorate. Disclosure of publications within the Psycho-oncology
lies spread by various magazines in different specialties, demon-
strating that this area arouses the interest not only of psychiatrists
and psychologists, but also of other health professionals.