European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520 S475
plus attention is to the details, inadequacy of self-appraisal, feeling
of inferiority, an increase necessity is for control and lordship over
other, aggression (socially inadequate behavior, episodes of anger).
Conclusions Psychopathological features presented in patients
with comorbidity of PTSD and TBI are not specific and can be within
the framework of other psychogenic, exogenous, organic, posttrau-
matic or neurological disorders and diseases. PTSD can combine
with other psychical and somatic disorders that caused chronolog-
ical and pathogenetical comorbidity in patients with both states.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0221
Influence of depression on the quality
of life after stroke
E. Kostadinova ∗, A. Anita
1 Clinical hospital Shtip, Psychiatry, Shtip, FYR Macedonia
2 University clinic of neurology- Skopje- Macedonia, intensive care,
Skopje, FYR Macedonia
∗ Corresponding author.
Aim Approximately 30–60% of the stroke survivors suffers from
depression. This, together with the physical changes after stroke
may lead to a decline in their quality of life (QOL). The aim of
this paper was to analyse the incidence of post-stroke depression,
associated risk factors and its influence on the QOL.
Material and methods We carried out a prospective study on
stroke patients during a period of 6months. We excluded patients
with dysphasia and aphasia. For each patient, we collected socio-
demographic characteristics aswell as clinical and therapeutic data.
We used the Hamilton Depression Scale to screen for anxiety and
depression, the SF-36 scale to assess the quality of life andmodified
Rankin scale (mRS) to measure the degree of disability.
Results We included 155 men and 143 women with stroke, with
mean age of 58.15 years. Out of 298 analysed patients, depression
was present in 147 (49.3%). Associated risk factors were hyperten-
sion, female gender and severity of stroke (P < 0.05). Themean score
of the SF-36 was 52.18. Impaired QOL was found in 221 (74.1%) and
mRS > 3 was found in 169 (57.1%) of the patients. Impaired men-
tal component of QOL significantly correlated with the presence
of depression (P < 0.05) and anxiety (P < 0.05). The severe degree of
disability had a significant negative impact on all areas of QOL.
Conclusion Important effect after stroke is occurrence of depres-
sion which affects the QOL and functional outcome. All stroke
patients should be evaluated for depression through regular
interviews with them and their families or caregivers. Adequate
antidepressant treatment should be given, in order to improve the
QOL and physical rehabilitation.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0222
A feasibility randomised controlled
trial of extended brief intervention for
alcohol misuse in adults with mild to
moderate intellectual disabilities
living in the community
C. Kouimtsidis ∗, A. Hassiotis , K. Scior , G. Baio , R. Hunter
1 Surrey and Borders Partnership NHS Foundation Trust, iHEAR
Partnership, London, United Kingdom
2 University college London, division of psychiatry, London, United
Kingdom
3 University college London, research department of clinical-
educational & health psychology, London, United Kingdom
4 University college London, department of statistical science,
London, United Kingdom
5 University college London, department of primary care and
population health research, London, United Kingdom
∗ Corresponding author.
Introduction Extended brief interventions (EBIs) are effective in
targeting alcohol misuse in the general population. However, little
is known on the effects of EBI in adultswith intellectual (also known
as learning disabilities).
Objectives In this feasibility trial we compared EBI with usual
care for alcohol misuse in adults with mild to moderate intellectual
disability (ID).
Methods The study took place in three community ID services
in England. Participants aged 18–65 years with reported alcohol
problems, a score > 8 on the alcohol use disorder identification test
(AUDIT), and IQ < 70 (+/5% CI) were recruited and were randomly
allocated to either EBI (5 weekly sessions and 1 follow-up at 8
weeks) and usual care or usual care alone. Research assessments
took place at baseline, two and three months.
Results Thirty individuals were randomised (15 in each arm).
In regard to harmful drinking, at baseline, all the participants
exceeded the relevant threshold. At 8 weeks, the proportion of
participants with harmful drinking decreased to 60% for both
groups, at 12 weeks it was decreased by 66.7% and 46.7% for the
intervention and the control group respectively. The unit cost for
the delivery of EBI is £ 430.
Conclusions Recruitment to this trial has been proven challeng-
ing as prevalence of alcohol misuse in the targeted population was
lower than anticipated. EBI may provide an effective low intensity
treatment for this population. Participants’ and carers’ feedback on
their experience was overall positive.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0223
Prevalence of ADHD and co-morbid
conditions among university students
A. Gormez ∗, E. Kocer , A. Kurtulmus , I. Kirpinar
1 Istanbul Medeniyet university, psychiatry, Istanbul, Turkey
2 Bezmialem Vakif university, psychiatry, Istanbul, Turkey
∗ Corresponding author.
Background Attention deficit hyperactivity disorder (ADHD) is
a neurodevelopmental disorder characterized by persistent dif-
ficulties with attention, increased impulsivity and hyperactivity.
Comorbidity is often reported in adults with ADHD with a range of
60–100% of patients having at least one co-morbid condition.
Objective The purpose of this study is to determine the preva-
lence of ADHD among university students and to investigate some
co-occurring symptoms and disorders.
Aims We aimed to raise awareness of adult ADHDandunderscore
its co-morbidity.
Method 486 undergraduate students at Bezmialem Vakif univer-
sity in Istanbul filled in the Adult ADHD Self-Report Scale (ASRS),
Beck Anxiety Scale (Beck-A), Beck Depression Scale (Beck-D) and a
purpose-designed structured socio-demographic form.
Results Our results revealed that 6% of participants reported sig-
nificant ADHD symptoms using 1.5 standard deviation above mean
on the ASRS. 67% of students with significant ADHD symptoms
had a psychiatric history other than ADHD. History of depression,
anxiety and sleep problems were significantly higher in this group
(P < 0.05). They scored higher on Beck-A and Beck-D (P < 0.05). Stu-
dentswith significant ADHD symptoms reportedmore night eating,
binge eating behaviours andmore headache (P < 0.05). Therewas no
statistically significant difference in the history of epilepsy, asthma,
allergy and diabetes. Family history of psychiatric disorder partic-