European Psychiatry - Volume 41 - April 2017

490 / 916

S486 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520
EV0250
Generalized anxiety disorder
comorbidities: Panic and depressive
disorder
M. Turki ∗, J. Ben Thabet , N. Charfi , M. Mezghanni ,
M. Maalej Bouali , N. Zouari , L. Zouari , M. Maalej
Hedi Chaker university hospital, psychiatry “C” department, Sfax,
Tunisia
∗ Corresponding author.
Introduction It has been well documented that generalized anx-
iety disorder (GAD) can co-occur with mood disorders and other
anxious disorders, particularly panic disorder (PD). These comor-
bidities can complicate therapeutic management and burden the
prognosis.
Aim To highlight the relationship between GAD and panic and
depressive disorders.
Methods We conducted a cross-sectional study, among 250 sub-
jects consulting in 6 primary care units in Sfax, Tunisia. These
participants, randomly chosen, were asked to answer a ques-
tionnaire after their consent. The diagnosis of GAD and PD were
assessed by the “Mini International Neuropsychiatric Interview” of
the DSM-IV. Depressive symptoms were evaluated using the “Beck
Depression Inventory” (BDI).
Results The average age was 39 years. The sex ratio M/F was 1/2.
The GAD was diagnosed in 10.8% of participants. The mean IDB
score was 3.8. According to this scale, a mild depression was noted
in 23.6%, moderate 12% and severe in 2.8% of cases. The GAD was
statistically associated with psychiatric histories (P = 0.009), par-
ticularly depression disorder (P = 0.004) and the history of suicide
attempt (P < 0.001).
The IDB score was significantly higher in participants with GAD
(P < 0.001). Among them, 74%presentedmoderate to severe depres-
sion.
GAD co-occurs with PD in 22.2% of cases. This association was sta-
tistically significant (P < 0.001). Participants presenting GAD- PD
comorbidity are at higher risk of developing depression (P = 0.003).
Conclusion One must always think to screen comorbidities in the
presence of either diagnosis, in order to ensure a better manage-
ment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0251
Psychiatric hospitals may enhance
holistic care by introducing medical
and surgical liaison teams
R. Sacco ∗, C. Micallef , G. Grech , C. Role , S. Mercieca , A. Grech
Mount Carmel hospital, psychiatry, Attard, Malta
∗ Corresponding author.
Introduction Patients with mental health problems (MHP) are
known to have more physical co-morbidities compared to the gen-
eral population.
In Malta, Mount Carmel hospital (MCH) which is the main psy-
chiatric hospital (consisting of both acute and chronic wards), is
separate from Mater Dei hospital (MDH) which is the general hos-
pital at which medical and surgical care is provided.
Such a division in healthcare may result in inadequate focus on
physical health amongst patients of high demand in this regard.
This subsequently puts an increased strain on the general hospital
through repeated referrals.
Objectives The purpose of this study is to show that inpatients
with MHP have a significant number of co-morbidities and require
multiple referrals to a general hospital for medical and surgical
attention.
Methods Three hundred and ninety-three inpatients at acute and
chronic wards of MCH (during the first week of December 2016)
were enrolled in the study.
Treatment charts and iSOFT (healthcare IT software used in Malta)
were used to determine patient’s diagnosed co-morbidities, num-
ber and type of referrals to MDH outpatient clinics (OPC), casualty
and admissions at MDH over 1 year.
Results Results of the audit indicate that a significant number of
inpatients at MCH have medical co-morbidities and the majority
have been referred to MDH for OPC and casualty over the past year.
Conclusions Having medical and surgical liaison teams in psychi-
atric hospitals may enhance patient care and reduce the pressure
exerted on general hospitals.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0252
Connection between body mass index
(BMI) and expression of symptoms in
individuals with mental disorders
S. Vuk Pisk ∗, B. Anamarija , T.V. Nikolina , F. Igor
1 Psyhiatric hospital “Sv. Ivan”, integrative female department,
Zagreb, Croatia
2 Psyhiatric hospital “Sv. Ivan”, integrative male department, Zagreb,
Croatia
3 Psyhiatric hospital “Sv. Ivan”, integrative department, Zagreb,
Croatia
4 Psyhiatric hospital “Sv. Ivan”, head of hospital, Zagreb, Croatia
∗ Corresponding author.
Introduction Research shows that the prevalence of obesity is
greater in individuals with mental disorders than in general popu-
lation. According to literature, obesity is correlated with intensity
of symptoms and suicidality.
Objectives The aim of this study was to determine whether there
is a correlation between BMI and severity of symptoms, as well
as suicidality and gender. The aim was also to determine whether
there is a difference in the severity of symptoms and suicidality
among individuals with different diagnoses.
Methods Participants in this study were 37 men and 73 women
with diagnosis of psychosis, personality disorder, bipolar affec-
tive disorder, unipolar depression and anxiety disorder treated
in Psychiatric hospital “Sveti Ivan”, Zagreb, Croatia. Sociodemo-
graphic datawere collected andBMI was calculated. All participants
fulfilled the DASS 21 (Depression, Anxiety and Stress Scale by Fer-
nandoGomez) and Suicide Severity Rating Scale (Columbia–Suicide
Severity Rating Scale (Center for Suicide Risk Assessment).
Results There is no significant correlation between BMI and
severity of symptoms, as well as between BMI and suicidality. But
there are significant differences in the severity of stress (P = 0.005)
and suicidality ( P = 0.004) in individuals with different diagnoses.
Conclusions The results identify that a significant part of individ-
ualswithmental disorders are either obese or overweight, but there
were no significant differences in relation to suicide and intensity
of symptoms depending on the BMI.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.