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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169



Studies have shown that beliefs, attitudes and

knowledge towards bipolar disorder are influenced by country-

specific social and cultural factors. Our study aims to improve and

assess public beliefs, knowledge and attitude towards bipolar dis-

order in Pakistan.


We targeted 500 population. A questionnaire was orga-

nized into four sections in order to investigate knowledge about

bipolar disorder, attitudes and beliefs, treatment options and fight-

ing stigma and help seeking attitudes.


Of the 500 participants, 28% people were aware of exact

definition of bipolar disorder. A widespread belief (85%) was that

people suffering from bipolar disorder should avoid talking and

telling about their illness. According to 50% respondents peo-

ple experiencing bipolar disorder “are dangerous to others”, 68%

population viewed it as a result of black magic. Sixty-five per

cent thought that the best way to recover from bipolar disor-

der consisted in seeking help from Psychiatrist. Twenty per cent

thought to take help from religious people and shrines. Most of

people seemed convinced that drugs are addictive (70%) and may

cause serious side effects (80%).


Mental health illness including bipolar disorder can

be improved by the positive influence of education, employment

availability, respect, social support, rehabilitative services, justice

and equity. Lack of education, stigmatization, and cultural norms

are the leading barriers towards.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.


Association between HbA1c and

number of episodes in individuals

with bipolar disorder

F. Fellendorf

Medical University of Graz, Psychiatry, Graz, Austria


Bipolar disorder (BD) is associatedwith an impaired

glucosemetabolism(IGM) leading todiabetesmellitus Type II (DM).

DM influences the medical state of BD individuals and leads to

increased mortality. However, there is evidence that IGM is associ-

ated with psychiatric symptoms, as well.


The study aimed to investigate the association between IGM

and number of episodes and their ratio in individuals with BD,

separated for gender.


HbA1c levels from fasting blood were measured of 162

individuals (46% females) with BD. Furthermore, clinical param-

eters e.g. number of depressive and (hypo)manic episodes were



After adjustment for illness duration and BMI there was a

positive correlation in male individuals between HbA1c and num-

ber of depressive (M= 13.86, SD = 14.67;


= .308,


< 0.05) as well

as (hypo)manic episodes (


= 17.23, SD = 24.24;


= 0.263,


< 0.05).

There was no association in females as well as between HbA1c

levels and ratio of episodes.


Associations between HbA1c and number of episodes

in male individuals with BD were found. As there are correlations

between IGM and somatic co-morbidities as well as the course of

illness the treatment of glucose metabolism is important in BD.

However, number of episodes might have an impact on the glucose

metabolism due to inflammation processes, but further investiga-

tions have to focus on the direction of the found correlation. As

gender differences are known in different pathways, they should

be considered in research, diagnosis and therapy.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.


Gender difference among admitted

patients with bipolar disorder in a

psychiatric service during a three-year


M. Fernandes

, D. Mota , A. Olivera , J. Ribeiro , S. Silva , V. Santos ,

N. Madeira , P. Celsa , Z. Santos

Centro Hospitalar e Universitário de Coimbra, Centro de

Responsabilidade Integrada em Psiquiatria e Saúde Mental, Coimbra,


Corresponding author.


Gender differences in bipolar disorder are becoming

apparent, but have been less studied compared with major depres-

sion. The presentation, clinical features, course and evolution of

bipolar disorder differ between men and women. Research data on

these differences will help determine whether gender is important

in influencing illness variables.


Determinewhether men andwomenwith bipolar dis-

order have statistical significant differences in socio-demographic

and clinical data.


Charts of all patients with a diagnosis of bipolar disor-

der admitted in the Coimbra Hospital and Universitary Center over

a three-year period (between 2013 and 2015) were reviewed to

gather data on socio-demographic, clinical and psychopathological

variables to assess differences across genders. Statistical analysis of

data with “SPSS21”.


During a three-year period, 189 patients were admit-

ted with bipolar disorder, the majority were female patients, with

ages between 21 and 84 years old. The authors will analyse if

there is any statistical significant difference between gender in

the rate of bipolar I or II diagnoses, age at onset, symptom pre-

sentation, delay in diagnoses, number of depressive, or manic

episodes, hospitalisations, involuntarily admissions, number of

suicide attempts, co-morbidity rates, negative life events, fam-

ily history and treatment options. Sociodemograpic characteristics

will also be analysed.


Gender differences in bipolar disorder is a controver-

sial issue in the literature. The importance of gender on the course

and outcome in bipolar disorder has been widely acknowledged.

The limited data suggest that the prevalence is similar between

sexes but that the course of illness may be different.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Epidemiological and clinical variables

related with the predominant polarity

on bipolar disorder: A systematic


J. García-Jiménez

1 ,

, A. Porras-Segovia


, J.M. Gota-Garcés



J.E. Mu˜noz-Negro


, L. Gutiérrez-Rojas



Psychiatrist, Acute Psychiatric Hospitalization Unit. Mental Health

Clinical Management Unit, Granada Hospital Complex, Granada,



Third year resident in psychiatry, Acute Psychiatric Hospitalization

Unit, Mental Health Clinical Management Unit. Granada Hospital

Complex, Granada, Spain


First year resident in psychiatry, Acute Psychiatric Hospitalization

Unit. Mental Health Clinical Management Unit, Granada Hospital

Complex, Granada, Spain

Corresponding author.


Type I and type II classification of bipolar disorder

(BD) may not provide useful information to the clinician regarding

epidemiological and clinical correlates.