European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S521–S582 S523
EV0365
Validation of the Tunisian version of
the patient health questionnaire
(PHQ-9)
H. Belhadj ∗, R. Jomli , U. Ouali , Y. Zgueb , F. Nacef
1 Military hospital, psychiatry, Tunis, Tunisia
2 Razi Hospital, psychiatry, Manouba, Tunisia
∗ Corresponding author.
Introduction The PHQ-9 has been recommended as the best avail-
able screening and case-finding instrument for primary care based
on its brevity, and ability to informthe clinicians on both depression
severity and diagnostic criteria.
Objective Our study evaluated the reliability and the validity of
the Tunisian version of the PHQ-9 in detecting major depression in
general population.
Method We undertook a cross-sectional and analytical study. A
total of 134 participants, representative of the Tunisian general
population, were enrolled. The PHQ-9 was validated against the
HAD reference standard. The types of validity determined for the
PHQ-9 in this study were: translation validity, internal reliability
and criterion validity.
Results Test-Retest reliability was determined by intraclass cor-
relation. This scale is stable over 2weeks (ICC = 0.97). The Tunisian
version of the PHQ-9 was found to have good internal reliability
(Cronbach’s alpha = 0.84). As for criterion validity of the PHQ-9,
the Pearson’s correlation coefficient between the PHQ-9 and HAD
was 0.94 and the Spearman’s correlation coefficient was 0.81. This
indicated a positive association of good strength between the two
instruments. A cut-off score of 10 or higher on the PHQ-9 had a
sensitivity of 86.2 and a specificity of 83.8. The VPP was 0.6 and the
VPN was 0.9.
Conclusion The Tunisan version of the PHQ-9 has several poten-
tial advantages. It was found to be a valid and reliable casefinding
instrument for detecting depression in general population.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0366
Prevalence of depression in Tunisian
general population
H. Belhadj ∗, R. Jomli
1 Military hospital, psychiatry, Tunis, Tunisia
2 Razi Hospital, psychiatry, Mannouba, Tunisia
∗ Corresponding author.
Introduction Depression is a major burden for the health-care
system worldwide.
Objective To identify prevalence and severity of depression in
Tunisian general population and define socoiodemographic char-
acteristics of screened positive to depression participants.
Method We undertook a cross-sectional and descriptive study.
A total of 134 participants, representative of the Tunisian general
population, were enrolled. Age, gender, and educational level were
the major criteria for representativeness. Depression was assessed
with the Patient Health Questionnaire (PHQ-9).
Results The cut-off score was 10. The prevalence of depression
was 13.4%. There were no statistical difference in gender, education
and age for the prevalence of depression.
Conclusion The World Health Organization ranks depression as
the fourth leading cause of disabilityworldwide. Thus, the detection
of depression and the dissemination of treatment in the general
population are very important to reduce the burden of the disease.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0367
Anxiety and depression at the medical
students in post-examination
S. Ben Saadi ∗, O. Moula , J. Oueslati , I. Jelalia , R. Ghachem
Razi Hospital, Department B, Mannouba, Tunisia
∗ Corresponding author.
Introduction The course of medical studies is a long route asking
for a lot of breath. It is enclosed by the national examination for
specialisation, which allows to access professional training. This
examination requires a diligent preparation over several months
in difficult conditions for the most part of the candidates who are
in practical training.
Objectives and aims We suggest estimating the degree of anxiety
and depression at the candidates in theweek following the national
examination for specialization of 2016.
Methods We have put online on the pages of the various Tunisian
Faculties of Medicine an anonymous questionnaire intended for the
candidates who took the national examination for specialization
of 2016. We used the scale HAD (Hospital Anxiety and depression
scale).
Results We recruited 220 participants. More or less half of the
participants declare to be rather often in a good mood, that they
take little only of the pleasure in the same things as before, that they
laugh and see the highly-rated voucher of things really less than
before, that they are made of the concern very often and that they
sometimes experience sensations of fear. A third of the participants
feel tense or irritated most of the time feel sudden sensations of
panic rather often and have the impression to work in slowmotion
rather often.
Conclusion Taking the national examination of specialization
rhymes with stress and anxiety. It leads us to question: is it neces-
sary to assure a psychological coverage during the preparation and
upstream of the competition?
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0368
Depression, anxiety and stress
[DASS21] symptoms in menopausal
Arab women: Shedding more light on
a complex relationship
A. Bener
Istanbul Unıversity, Biostatistics and Publıc Health, Istanbul, Turkey
Aim The objectıvewas to determine correlation between depres-
sion, anxiety and stress in menopausal and post-menopausal
women and shedding more light on a complex relationship.
Methods A cross-sectional based on Arabian women at the Pri-
mary Health Care (PHC) Centers in Qatar during July 2012 and
May 2014 and 1101 women agreed to participate and responded
to the study. Depression, anxiety and stress were measured using
the Depression Anxiety Stress Scales (DASS-21). Data on body mass
index (BMI), clinical and other parameters were used.
Results The mean age and SD of the menopausal age
was 49.55± 3.12, and postmenopausal age was 58.08± 3.26
(P < 0.001). There were statistically significant differences between
menopausal stages with regards to age, ethnicity, educational
status, occupation status, and place of living. Also, there were sta-
tistically significant differences between menopausal stages with
regards to BMI, systolic and diastolic blood pressure, vitamin D
deficiency, and diseases. Depression and anxiety were more com-
mon among postmenopause women. The multivariate regression
analyses revealed that age in years, diastolic BP, consanguinity,
regular exercise were predictor for depression. Meanwhile, dia-
stolic BP, occupation and physical activity considered the main
risk factors for anxiety. Furthermore, age in years, occupation and