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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364



Differences in care intensity held by a

consultation-liaison service in a

general hospital among patients

suffering from different somatic


J. Valdes-Stauber

, S. Bachthaler

Zentrum für Psychiatrie Südwürttemberg, department psychiatry

and psychotherapy I, university of Ulm, Ravensburg, Germany

Corresponding author.


There are differences in psychiatric comorbidity and

perceived diagnosing and psychological supporting needs depen-

ding on professionals, units, programs, awareness, and diagnoses.


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.


Three-year survey (


= 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-



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.


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


Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


A study of anxiety and depression in

Vitiligo patients: New challenges to


D. Vernwal

Goverment medical college, Kota, psychiatry, Bahraich, India


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.


To study socio-demographic profile and psychiatric co-

morbidities and their correlation with site of lesion in vitiligo


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. Chi




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



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.


Vitiligo; Psychiatric morbidity; Anxiety; Depression;


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


The effects of brain stimulation with

direct electrical current in the

treatment of resistant

obsessive-compulsive disorders

K. Najafi

1 ,

, Y. Fakour


, H. Zarrabi


, S.M.R. Khalkhali



N. Ramezanghorbani


, T. Najafi


, S. Shabafrouz



School of medicine, Guilan university of medical sciences,

department of psychiatry, Rasht, Iran


Ministry of health and medical education, department of

development and coordination scientific information and publication,

Tehran, Iran

Corresponding author.


Direct brain stimulation with electrical currents is

an effective treatment for depression and considering is an effec-

tive supplementary treatment of resistant obsessive-compulsive



Assess the effects of brain stimulation with direct electrical

current in the treatment of resistant obsessive-compulsive disor-



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.


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



10.8,respectivelywhich is significantly lower (


-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 (


-value > 0.05).