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


Is there a relationship between

morbid obesity and depression?

E. Ribera

, L. Martínez , L. Pujol , M. Angelats , I. Ezquiaga ,

M. Grifell , Á. Palma , E. Belmonte , L. Pérez , V. Pérez-Solá ,

P. Salgado

Institut de neuropsiquiatria i addiccions, Parc de Salut Mar, institut

hospital del Mar d’Investigacions Mèdiques, CIBERSAM G21,

psychiatry, Barcelona, Spain

Corresponding author.


A considerable proportion of patients with morbid

obesity require treatment with antidepressants.


The aim of this study is to determine the incidence of

patients who are in antidepressant treatment and identify risk fac-

tors for the need of this treatment in patients with morbid obesity.

Materials andmethods

Retrospective cohort study of 292 patients

with morbid obesity who underwent bariatric surgery at Hospi-

tal del Mar from January 2010 to November 2015. The incidence

of antidepressant treatment was analyzed, and also its possible

relationship with the following variables: age, sex, BMI, tobacco

smoking, alcohol consumption and age of onset of obesity. Chi


test for categorical variables and Student


-test for quantitative

variables were applied. Afterwards, a multivariate analysis was

performed using logistic regression.


The mean age is 43.1 years. Most of the patients (76.4%)

arewomen. Seventy-seven patients (26.4%) are receiving treatment

with antidepressants. There is a statistically significant relation-

ship between age and the need of treatment with antidepressants



< 0.001). This relationship is still present when the variables

are analyzed using logistic regression (


< 0.005, OR 1.049). We

have not found any significant relationship with the rest of the



Despite the large number of patients in the study,

there are limitations, such as being a retrospective study and not

being adjusted for confounding factors. From all the variables that

have been analyzed we have found that as the age of the patients

increase, there is a higher number of patients that receive treatment

with antidepressants.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Depressive disorder: Particularities of

theory of mind

I.A. Rivis

1 ,

, I.E. Cristea


, C. Giurgi-Oncu


, M. Ienciu



C. Bredicean



“Pius Brinzeu” clinical emergency county hospital, “Eduard Pamfil”

psychiatry clinic, Timisoara, Romania


“Victor Babes” university of medicine and pharmacy, neuroscience

departement, adult psychiatry discipline, Timisoara, Romania

Corresponding author.


“Theory of mind” represents the cognitive ability to

attribute mental states as belonging to others and it’s essential in

any social interaction.


Our objective was to evaluate the capacity of emotion

recognition in patients with recurrent depressive disorder.


This study aimed to determine if theory of mind is influen-

ced by psychotic features and the type of emotions distinguished.


We analyzed a sample of 45 patients with a diagnosis

of recurrent depressive disorder (WHO ICD10) that was divided

to include 23 patients with at least one episode with psychotic

symptoms, while the rest had no history of psychotic symp-

toms. The “Reading the mind in the eyes” test was applied in

an outpatient setting, in remission. The data has been processed

in SPSS.


The study found that 72.72% of patients without psycho-

tic symptoms have a low capacity of emotion attribution, while

27.72% demonstrated a normal capacity (


= 0.00252). The majo-

rity with a history of psychotic depression (82.60%) showed a low

capacity of emotion recognition, while 17.39% had normal abili-

ties (


= 0). None of the patients showed a high capacity of emotion

recognition. There was a significant difference in the frequency of

negative emotions recognition by all patients (77.77%), while only

a few managed to detect positive emotions (22.22%), regardless of

psychotic symptom history.


In itself, a history of recurrent depressive disorder

is directly related to a reduced ability to correctly attribute emo-

tions. Moreover, these patients are more likely to detect negative

emotions rather than positive ones.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Male depression – actual a male

specific disorder or potentially a new

subtype of depression?

V. Rößner-Ruff

, J. Krieger , I.T. Graef-Calliess

Klinikum Wahrendorff GmbH, Forschung und Entwicklung,

Sehnde/OT Ilten, Germany

Corresponding author.


Although depression is one of the most prevalent

disorders around the world we know only little about the effect

of factors like gender-related norms or personality-related aspects

in the expression of depressive symptoms. Current findings of stu-

dies are heterogeneous and lead to the conclusion that depression

is more prevalent in women as well as that they have a higher risk

for depression. Women express more typical depressive symptoms

while men offer more atypical symptoms like aggressiveness, irri-

tability, alcohol misuse which is constituted as male depression



Male and female patientswith a diagnosis of depressive

episode or recurrent depressive disorder (ICD-10) who are treated

in in-patient or day clinic setting of two psychiatric institutions in

Lower Saxony and one psychiatric university hospital in Austria.

Study period: November 2016 to November 2017. No limitations

to further diagnosis, age or other factors.


To analyze the expression of (a) typical depressive

symptoms as well as causes of and factors of influence in diverse

types of depression different questionnaires and quantitative

methods will be used.


Investigate gender-specific differences in the expression of

symptoms in male and female patients with a depressive disorder.

Focus: whether symptoms of MD are more prevalent for depres-

sivemen thanwomen. Furthermore, causes and factors of (a)typical

depressive symptoms should be analyzed.


First results will be presented.


The results of the study should lead to the conclusion

whether there exist any gender-specific differences in the expres-

sion of depressive symptoms and what they might be caused by.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Burnout and occupational accident

N. Kotti


, M. Hajjaji


, A. Kchaou


, I. Sellami



M.L. Masmoudi

1 ,

, J. Masmoudi


, K. Hammami Jmal



CHU Hedi Chaker, occupational medicine, Sfax, Tunisia


CHU Hedi Chaker, psychiatry, Sfax, Tunisia

Corresponding author.