European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364 S321
EW0627
Differences in care intensity held by a
consultation-liaison service in a
general hospital among patients
suffering from different somatic
illnesses
J. Valdes-Stauber ∗, S. Bachthaler
Zentrum für Psychiatrie Südwürttemberg, department psychiatry
and psychotherapy I, university of Ulm, Ravensburg, Germany
∗ Corresponding author.
Background There are differences in psychiatric comorbidity and
perceived diagnosing and psychological supporting needs depen-
ding on professionals, units, programs, awareness, and diagnoses.
Objectives This investigation explores possible differences in
psychiatric comorbidity, in care intensity and in care priorities
by a psychiatric-psychosomatic consultation-liaison service among
main physical disease groups.
Methods Three-year survey (n = 1,862 individuals) about all elec-
tive referrals from 16 different units in a middle-sized general
hospital with 520 beds and 34,000 treated patients per annum. Five
clinical and six care variables have been selected from the collec-
ted data by means of basic documentation of CLS. Chi-square-tests
and ANOVA including Scheffé post-hoc test as well as multivariate
regression analyses with robust regression coefficients were per-
formed.
Results The sample consisting of 55% women is on average 61
years old, 79% showing current and 35% psychiatric comorbidity
prior to hospitalisations. Average GAF amounted to 67.2 (SD = 20.5)
and ECOG to 1.22 (SD = 1.38). Psychosomatic disorders (F4) amoun-
ted to 38%, mood disorders (F3) to 19% andmental organic disorders
(F0) to 11% of psychiatric disorders. Each patient received on
average 2.11 (SD = 2.63) contacts and 105minutes (SD = 144) of
treatment time, 59% psychopharmacological and 32% psychothe-
rapeutic interventions. Men and older people receive less, but
comorbid patients independently of age and gender more inten-
sive psychological support. There are hardly differences according
to physical diseases.
Discussion Cancer patients show less psychiatric comorbidity,
but more psychotherapeutic interventions. Patients suffering from
psychiatric comorbidity received more intensive care and more
post-discharge recommendations. Patients treated because of
chronic pain received much more interventions and treatment
time.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0628
A study of anxiety and depression in
Vitiligo patients: New challenges to
treat
D. Vernwal
Goverment medical college, Kota, psychiatry, Bahraich, India
Introduction Vitiligo, a dermatological problem, affects a person’s
emotional and psychological well being, having major conse-
quences on patient’s life. Most of the patients of vitiligo report
embarrassment, helpless and low self esteem.
Aims To study socio-demographic profile and psychiatric co-
morbidities and their correlation with site of lesion in vitiligo
patients.
Methods and material 100 vitiligo patients and 100 subjects as
control group who were well enough to complete the assess-
ment were assessedwith a semi-structured self designed Proforma,
Hospital Anxiety Depression Scale (HADS) to obtain the relevant
information. Data so obtainedwere tabulated, analyzed and conclu-
sions were drawn using suitable statistics (i.e. Chi2).
Results 79% of vitiligo patients were between age 13 to 45 years,
67% were males, 33% were females patients in study group. In
comparison to healthy controls, the psychiatric morbidity was
found to be significantly higher in the vitiligo group (62% v/s 25%).
37%, 18%, and 7% vitiligo patients suffered from Mixed anxiety
and depressive disorder, Depressive disorder and Generalized
anxiety disorder respectively. Incidence of psychiatric morbidity
was higher in patients who had lesions more on exposed body
areas.
Conclusions Vitiligo affected marital, sex life and intimacy. This
generates psychological distress and disrupts the social relation-
ship and creates a vicious stress-vitiligo cycle. Among vitiligo cases,
psychiatric morbidity was found more frequent in young partici-
pants and higher in patients having lesions on exposed body areas.
Keywords Vitiligo; Psychiatric morbidity; Anxiety; Depression;
Stress
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
e-Poster Walk: Depression - part 3 and
obsessive-compulsive disorder
EW0629
The effects of brain stimulation with
direct electrical current in the
treatment of resistant
obsessive-compulsive disorders
K. Najafi ∗, Y. Fakour , H. Zarrabi , S.M.R. Khalkhali ,
N. Ramezanghorbani , T. Najafi , S. Shabafrouz
1 School of medicine, Guilan university of medical sciences,
department of psychiatry, Rasht, Iran
2 Ministry of health and medical education, department of
development and coordination scientific information and publication,
Tehran, Iran
∗ Corresponding author.
Introduction Direct brain stimulation with electrical currents is
an effective treatment for depression and considering is an effec-
tive supplementary treatment of resistant obsessive-compulsive
disorder.
Aim Assess the effects of brain stimulation with direct electrical
current in the treatment of resistant obsessive-compulsive disor-
ders.
Methods The present study is a paired clinical trial conduc-
ted in a group of 42 patients diagnosed with treatment resistant
obsessive-compulsive disorder in the province of Rasht. Direct
brain stimulation with electrical current was performed according
to the protocol throughout the 15 treatment sessions. The effecti-
veness of the first, fifth, tenth and fifteenth session(s) of treatment
were evaluated based on the Yale-Brown Obsessive Compulsive
Scale (Y-BOCS) and results were analyzed using Repeated Measure
ANOVA, Spearman Correlation and Pearson Correlation software
SPSS version 22.
Results All 42 participants stayed throughout the study. Mean
age of patients was 10.14 ±29.10. Mean test scores of Yale-Brown
Obsessive Compulsive Scale in the first, fifth, tenth and fifteenth
session of treatment was 6.78± 28.4, 4.58 ± 22.8, 6.3 ±16.4 and
5.37± 10.8,respectivelywhich is significantly lower (P -value = 0.00,
F = 80.12). No significant correlation was observed between the
participant’s age, sex, education level, marital status and employ-
ment status and in any of the test scores of Yale-Brown Obsessive
Compulsive Scale in the first, fifth, tenth and fifteenth session of
treatment (P-value > 0.05).