European Psychiatry - Volume 41 - April 2017

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S472 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520
Results/conclusions A retrospective study has already shown that
this therapeutic patient education program, like others before,
presented better results than dietary consultations. A prospective
study is currently being carried out to validate these results in
the long term and to demonstrate the benefit associated to this
program.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0211
Prevalence of depression among
patients with tuberculosis at
Perundurai TB hospital,
Tamilnadu–depression, a comorbidity
of TB
D.L. Francis
Tamil Nadu Dr MGR Medical University, Public Health, Chennai, India
∗ Corresponding author.
Introduction Tuberculosis is one of India’s major public health
problems. According to WHO estimates, India has the world’s
largest tuberculosis epidemic. Many research studies have shown
the effects and concerns revolving around TDR-TB especially in
India, where social and economic positions are still in progression.
Materials and methods Seventeen questionnaires were adminis-
tered to the consented participants regarding the demographic data
and awareness, also Hospital Anxiety and Depression Scale (HADS)
was recorded to analyse the level of depression. The average age
was 32.3 years (STD = 12.7), and the age range was from 13 years
to 71 years. The data collected was analysed with SPSS 19.
Results The patients who were in the intensive phase had a con-
siderably higher depression rate (42%) than the patients who were
in the continuous phase (22%). However, the variations were not
enough for the statistical significance. The patients with TB only
(35%) showed a higher depression rate than the patients with
TB/HIV (28%).
Conclusion According to this study, it can be found that the preva-
lence of depression was lower for patients who were old, female,
college educated, married, and earned the highest, compared with
their counterparts. Most of these findings might agree with a gen-
eral perception that social and financial stabilities would provide a
less likelihood of being depressed.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV0212
Prevalence and predictors of
metabolic syndrome in a sample of
Italian psychiatric inpatients
L. Fusar-Poli ∗, N. Brondino , M. Rocchetti , M. Ballerio , M. Vercesi ,
F. Grasso , P. Politi
University of Pavia, Department of Brain and Behavioral Sciences,
Pavia, Italy
∗ Corresponding author.
Introduction Psychiatric population is characterized by a higher
prevalence of cardiovascular events compared to general popula-
tion. This difference might be due, in part, to the metabolic adverse
effects of psychotropic agents, and, in part, to common risk factors
such as smoking, sedentary lifestyle and unhealthy diet. Another
potential risk factor is represented by the presence of metabolic
syndrome (MetS).
Objectives We aimed to evaluate the prevalence of MetS and to
identify the baseline predictors for the longitudinal development
of MetS in a sample of Italian psychiatric inpatients.
Methods Medical records of 343 patients admitted to our psychi-
atric ward between 2007 and 2012 were retrospectively reviewed.
Results Prevalence of MetS was 21.5%. MetS appeared directly
associated with age and number of medication assumed. ROC
curves showed HDL as the best predictor of metabolic syndrome
in our sample.
Conclusions Our results confirm previous data on the association
between metabolic syndrome and exposure to complex polyther-
apy. Additionally, our findings support the notion of psychiatric
patients as an at-risk group for metabolic abnormalities, which
should be carefully monitored.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0213
New horizons of dual pathology,
report of a case
S. Garcia Marin ∗, I. De Haro Garcia , N. Martinez Pedrosa ,
M.D. Ortega García , V. Marti Garnica , S. Galiano Rus ,
A. Soler Iborte , P. Lucas Borja
1 Centro Salud Mental Lorca, Adultos, Lorca, Spain
2 Centro Salud Mental Lorca, CAD, Lorca, Spain
3 Hospital de Vinalopó, Adultos, Elche, Spain
4 Centro de Salud Mental Cartagena, Adultos, Cartagena, Spain
5 Hospital Úbeda, Agudos, Úbeda, Spain
6 Hospital de Torrecárdenas, Agudos, Almería, Spain
∗ Corresponding author.
Introduction Pathological gambling, as behavioural addiction, is
always related with psychosocial important problems. In this case,
everything is even more difficult due to grave mental disease asso-
ciated, Paranoid Schizophrenia. Man, 26 years old, single. He was
diagnosed of psychotic disease at the beginning due to his grave
addiction to THC and others stimulant drugs. His outpatient treat-
ment was complicated and he needed to be hospitalised once
(being diagnosed of Schizophrenia). After that, he improved till
he got a standardised job. He was able to have his medical treat-
ment (Aripriprazol 15 mgs per day and Biperidene 4 mgs per day)
although he kept his isolation. Then, the patient could talk about
his pathological gambling. He suffered from slot machine addic-
tion, andhe also suffered fromdepression symptoms closely related
to family and economic problems due to pathological gambling.
This patient was in contemplation state and he accepted to start
with antidepressant (Mirtazapine 15 mgs per day) and psycholog-
ical treatment. We agreed to make a record of his gambling uses
(with regular self-reports). His salary would be administered by
his parents and he only could take a little money every week. The
treatment was useful; it increased the capacity of economic self-
management and the recovery of depression disease related.
Conclusions In our opinion, he used gambling as filling a need
for activity, and as a way of connecting with society/world. These
findings suggest the need for improved prevention and treatment
efforts related to problem/pathological gambling in individuals
with psychotic disorders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0214
The link between developmental
psychiatry and dual disorders from
early attachment to first drugs abuse
E. Garcia ∗, R. Moreno , B. Tarjuelo
1 Psychiatry, General Hospital Toledo, Addiction’s Conduct Unit,
Toledo, Spain
2 Sermas, CSM Vallecas, Madrid, Spain