European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364 S325
Introduction Burn out mainly occurs among healthcare
employees. This professional category is exposed to a large
load of emotional disturbance.
Objectives The aimof this workwas to study the levels of burnout
syndrome in caregivers who were victims to occupational accident.
Methods This cross-sectional study was conducted during 2014-
2015 in the occupational medicine department. The target
population consisted of the healthcare employees who reported
their exposure to occupational accident. A semi-structured self-
reported questionnaire including the Maslach questionnaire was
used to collect information. Data were analyzed using SPSS-20.
Results One hundred and sixty health professionals returned the
questionnaire (58% women, mean age 31.9 years old). Occupa-
tional accidents occurred mostly in the morning (62.5%). Among
the healthcare providers, 112 health professionals (70%) had had
sharp injuries. Burn out was found among 23.1% of the studied
population. It was defined by its three domains: a high emotio-
nal exhaustion (46.9%), high depersonalization with low personal
accomplishment (36.3%) and high depersonalization without low
personal accomplishment (34.4%). Professionals with less years
in the function (P= 0.031) and technicians (P = 0.028) were more
affected by Burnout. A significant relationship was found between
traumatic accidents (P = 0.012), needle stick injuries (P = 0.009) and
burnout.
Conclusion The prevalence of burnout is high among health pro-
fessionals which can increase the risk of occupational accidents and
its subsequent risks. It seems that holding workshops and increa-
sing healthcare givers’ awareness and skills to face these risks can
be effective in mitigating them.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0640
Cognitive dysfunction in depression.
Is it well detected?
M. Serra-Blasco ∗ guilar Vicent Navarr
M.J. Portella iguereo rivillés artínez-Amorós
G. Lahera . Monreal Cardoner
1 Institut de Recerca Parc Taulí-I3PT, psychiatry, Sabadell, Spain
2 Hospital universitari Parc Taulí, psychiatry, Sabadell, Spain
3 Institut d’investigació biomèdica Sant Pau IIB-Sant Pau, psychiatry,
Barcelona, Spain
4 Príncipe de Asturias university hospital, psychiatry, Madrid, Spain
∗ Corresponding author.
Introduction Major depression cognitive impairments lasts in
remission periods, have an impact on treatment outcome and
hamper psychosocial functioning. Thus, its accurate detection and
specific treatment has become a crucial step.
Objectives In order to assess objective cognitive functioning
(OCF), a neuropsychological battery was administered. For sub-
jective cognitive functioning (SCF), cognitive perception was
evaluated by clinicians and patients.
Aims To determine the concordance between OCF and SCF.
Methods One hundred and two patients were grouped accor-
ding to Hamilton Depressive Rating Scale (HDRS−17): 18 remitters
(RE < 7), 40 partly remitters (PR, 7–18) and 44 acutely depressed
(AD > 18). OCF was computed combining T-scores of digit symbol
substitution test (WAIS-IV) with two RAVLT subtests (learning and
memory). SCF was assessed with a CGI adaptation for cognitive
disturbances severity.
Results The OFC was 41.21(8.49) for all patients and 45.54(6.8),
41.93(6.8) and 38.7 (9.7) for RE, PR, and AD, respectively. Psy-
chiatrist and patients’ SCF had a poor agreement ( =0.518), with
Cronbach’s alpha for RE, PR and AD of −0.607, 0.518 and 0.404.
Concordance between OCF and SCF was calculated for all patients
(psychiatrist, r =−0.317, P= 0.002; patient, r = −0.310, P = 0.002),
for RE (r = −0.535, P= 0.022; r= 0.395, P= 0.105) for PR (r= −0.013,
P = 0.94; r =−0.328, P = 0.045) and for AD (r = −0.252, P= 0.122;
r= −0.333, P = 0.033). Patients rated their SFC asmore impaired than
did clinicians.
Conclusions Concordance between clinicians and patients regar-
ding SCF is very poor, worsening in AD group and being null in
remission. This study also points out that CF is best detected by
patients in acute episodes and by psychiatrists when patients are
in clinical remission.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0641
Predictors of functioning in major
depression
M. Serra-Blasco ∗, E. Aguilar , M. Vicent , G. Navarra ,
M.J. Portella , A. Sánchez , L. Ros , S. Acebillo , G. Lahera ,
D. Palao , N. Cardoner
1 Institut de Recerca Parc Taulí-I3PT, psychiatry, Sabadell, Spain
2 Hospital Universitari Parc Taulí, psychiatry, Sabadell, Spain
3 Institut d’investigació biomèdica Sant Pau IIB-Sant Pau, psychiatry,
Barcelona, Spain
4 Príncipe de Asturias university hospital, psychiatry, Madrid, Spain
∗ Corresponding author.
Introduction Life functioning difficulties are a relevant but under-
valued consequence of major depression. Mood symptoms and
cognitive deficits have a significant, and somehow independent,
impact on them. Therefore, cognitive difficulties should be consi-
dered a potential target to improve patients’ functioning.
Aims To examine the degree in which objective and subjective
cognition explain functional outcome.
Objectives To assess objective cognitive function (CF) with a
neuropsychological battery and to measure subjective CF using
measures of cognitive perception.
Methods Ninety-nine patients with depression were assessed by
age, sex and level of schooling. Depressive symptoms severity was
measured by Hamilton Depression Rating Scale (HDRS-17). Objec-
tive CF consisted in the following cognitive domains: memory,
attention, executive functioning and processing speed. Subjective
CF was assessed with Perceived Deficit Questionnaire-Depression
(PDQ-D). Functioning Assessment Short Test (FAST) was used to
evaluate life functioning, excluding the cognitive domain. All the
listed measures were included in a multiple regression analysis
with FAST scores as dependent variable.
Results The regression model was significant (F1,98 = 67.484,
P < 0.001) with an R of 0.825. The variables showing statistical
power included (from higher to lower -coefficient) HDRS-
17 ( = 0.545, t = 8.453, P < 0.001), PDQ-D ( = 0.383, t = 6.047,
P < 0.001) and DSST ( =−0.123, t = −1.998, P = 0.049).
Conclusions The severity of depressive symptoms is the variable
that best explains life functioning. Surprisingly, the second factor
hindering it is the patients’ perception of their cognition. Current
findings highlight the importance of correcting cognitive bias in
order to improve functionality. However, results have to be taken
cautiously as mood symptoms could partly explain the bias.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0642
Phenomenology of religious
obsessive – compulsive disorder
E. Soliman ∗, W. Abohendy , A. Fayed
1 Faculty of medicine, Zagazig university, Zagazig, Egypt