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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S238–S302

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Burnout in medical residents:

Prevalence and risk factors

I. Feki

1 , S. H


1 , R. S


1 , N.


2 , D.


2 ,

S. Kammoun

2 , J. M


1 ,


University Hospital Hédi Chaker, psychiatry, Sfax, Tunisia


University Hospital Hédi Chaker, pneumology, Sfax, Tunisia

Corresponding author.


Burnout is a state of mental and physical exhaustion

related to work. It is manifested in a variety of professions and is

prevalent in contexts in which health professionals are required to

interact directly with the public.


To estimate the burnout syndrome (BOS) prevalence

and to identify its associated factors among medical residents.


A descriptive and analytic study conducted during a

period from 2012 until 2014, including 184 residents exerting

at the two university hospitals of Sfax, Tunisia. Data collection

was conducted using an anonymous self-questionnaire, including

demographic items and working conditions items. Maslach Burn-

out Inventory (MBI) was used to assess BOS.


The average age was 25.14


1.47 years. The sex-ratio

was 0.65. The majority (154 residents) was single. Over than half

(58.2%) of medical residents endure a high emotional exhaustion,

62.5% a high depersonalisation and 12.5% a low personal accom-

plishment. About eighty percent (79.3%) of them were in burn out

with 37% at intermediate and 11.3% at a severe degree. No statis-

tical association was found between the personal characteristics

and BOS. Whereas, several factors related to employment status

were correlatedwith the presence of BOS such us: number of work-

ing hours > 30 h/week, a number of free weekends < 2/month and a

number of days off

30 days/year. In addition, we found that psy-

chotropic and alcohol consumption were significantly associated

to BOS with respectively


= 0.050 and


= 0.002.


Burnout is a worrying reality among young doctors.

Individual as well as organizational interventions should be tar-

geted to prevention.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Eating disorders in schizophrenia

R. Sallemi , S. Hentati , I. Feki , J. Masmoudi


M. Moala

University hospital Hédi Chaker, psychiatry, Sfax, Tunisia

Corresponding author.


Due to their frequency and negative impact on qual-

ity of life, eating disorders in schizophrenia need to be considered

and highlighting.


To identify the risk of eating disorders (ED) and its cor-

relates among mental patients.


It was a descriptive and analytic study. It included 53

inpatients with DSM-5 diagnoses of schizophrenia or schizoaffec-

tive disorder, followed in the department of Psychiatry at the Hedi

Chaker University Hospital of Sfax in Tunisia, during the three

months of August, September and October 2016. Data collections

were conducted using questionnaire exploring sociodemographic

and medical data. The SCOFF (sick, control, one, fat, food) Question-

naire was used to screen ED. A total score of

2 was used as a cutoff

point to select persons at risk of ED.


The average age of our patients was 30.47


9.5 years old.

The majority of our patients was male (71.7%) and single (71%). The

mean of extra Body mass was 27.9. The mean duration of disease

was 9.9


8.1 years and patients were mostly (54%) in atypical neu-

roleptics. According to the SCOFF Questionnaire, 35.8% had a risk of

ED. Female gender and treatment with atypical neuroleptics were

significantly associated to ED risk with respectively


= 0.02 and


= 0.038.


Eating disorders remain underestimated among

patients suffering from schizophrenia. Yet, its screening preven-

tion and management are crucial and must be multidisciplinary for

optimal care.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Palatable food access during

adolescence increased BDNF

expression in the nucleus accumbens

and anxiety-/depression-like

behaviors in males, but not in females

J.W. Jahng

, J.Y. Kim , J.H. Lee

School of Dentistry, Seoul National University, Dental Research

Institute, Seoul, Republic of Korea

Corresponding author.


This study was conducted to examine sexual dimor-

phic effects of highly palatable food access during adolescence and

youth on psychoemotional behaviors of rats and its underlying neu-

ral mechanism.


Male and female Sprague Dawley pups had free access

to chocolate cookie rich in fat (highly palatable food) from post-

natal day 28 in addition to ad libitum chow, and the control

groups received chow only. The food conditions were continued

though out the entire experimental period, and the neurochemi-

cal and behavioral measurements were performed during young

adulthood. Corticosterone levels during 2 h of restraint stress were

analyzed with radioimmunoassay, and FosB and brain-derived

neurotrophic factor (BDNF) expression in the nucleus accumbens

(NAc) with western blot analysis.


Cookie access did not affect body weight gain and total

caloric intake in both sexes; however, it increased retroperitoneal

fat depot only in males. The time spent in open arms during ele-

vated plus maze test was decreased and immobility during forced

swim test was increased in cookie-fed males, but not in cookie-fed

females. Main effect of food condition on the stress-induced corti-

costerone increase was observed in males, but not in females, and

cookie access increased BDNF expression in the NAc only in males.


Increased BDNF expression in the NAc and fat depot,

in addition to the HPA axis dysfunction, may play roles in the patho-

physiology of depression- and/or anxiety-like behaviors induced by

cookie access.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Investigation of food addiction and

impulsivity relations biological

rhythms differences and insomnia in

university students

A. Kandeger

, Y. Selvi

Selcuk University, Department of Psychiatry, Konya, Turkey

Corresponding author.


Increasing prevalence of obesity in the world and

increasing role of processed foods in daily life has led to become the

focal point of food addiction. This study aims to investigationof food