European Psychiatry - Volume 41 - April 2017

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S324 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364
EW0636
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.
Introduction A considerable proportion of patients with morbid
obesity require treatment with antidepressants.
Objectives 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. Chi2
test for categorical variables and Student t-test for quantitative
variables were applied. Afterwards, a multivariate analysis was
performed using logistic regression.
Results 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
(P < 0.001). This relationship is still present when the variables
are analyzed using logistic regression ( P < 0.005, OR 1.049). We
have not found any significant relationship with the rest of the
variables.
Conclusions 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.
EW0637
Depressive disorder: Particularities of
theory of mind
I.A. Rivis ∗, I.E. Cristea , C. Giurgi-Oncu , M. Ienciu ,
C. Bredicean
1 “Pius Brinzeu” clinical emergency county hospital, “Eduard Pamfil”
psychiatry clinic, Timisoara, Romania
2 “Victor Babes” university of medicine and pharmacy, neuroscience
departement, adult psychiatry discipline, Timisoara, Romania
∗ Corresponding author.
Introduction “Theory of mind” represents the cognitive ability to
attribute mental states as belonging to others and it’s essential in
any social interaction.
Objectives Our objective was to evaluate the capacity of emotion
recognition in patients with recurrent depressive disorder.
Aims This study aimed to determine if theory of mind is influen-
ced by psychotic features and the type of emotions distinguished.
Methods 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.
Results 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 (P = 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 (P = 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.
Conclusions 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.
EW0638
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.
Introduction 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
(MD).
Objective 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.
Methods 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.
Aims 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.
Results First results will be presented.
Conclusion 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.
EW0639
Burnout and occupational accident
N. Kotti , M. Hajjaji , A. Kchaou , I. Sellami ,
M.L. Masmoudi ∗, J. Masmoudi , K. Hammami Jmal
1 CHU Hedi Chaker, occupational medicine, Sfax, Tunisia
2 CHU Hedi Chaker, psychiatry, Sfax, Tunisia
∗ Corresponding author.