European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S645–S709 S649
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0750
A Delphi study to establish an expert
consensus opinion on risk factors for
type 2 diabetes, and potential
complications of diabetes, including
brain health associations
C. Dolan ∗, R. Glynn , B.A. Lawlor
1 St. James’s Hospital, General Adult Psychiatry, Dublin, Ireland
2 University College Dublin, Public Health and Epidemiology, Dublin,
Ireland
3 Trinity College Dublin, Psychiatry of Old Age, Dublin, Ireland
∗ Corresponding author.
Introduction Type 2 diabetes (T2DM) has a multifactorial aeti-
ology, and wide-ranging potential health complications, including
brain health associations.
Objectives A number of diabetes risk factors and complications
have a strong evidence base. This study will address ambiguity in
the literature regarding others.
Aims Results will inform development of a questionnaire for use
among the public and individuals with diabetes, assessing knowl-
edge of diabetes and brain health associations and the role of
modifiable risk factors. Aiming to ultimately inform effective pre-
ventative strategies for both dementia and depression.
Methods A systematic literature reviewpreceded this two-round
modified Delphi study. Respondents rated their agreement with
risk factors for T2DM, and potential complications of diabetes on
an e-questionnaire.
Results Of 46 international experts invited to participate in
round-one; 14 responded (30.4%). Thirteen respondents (92.9%)
completed round-two questionnaire. Consensus was pre-defined
as 70% or more agreement between respondents on questionnaire
items. On completion, 11/18 risk factor items for T2DMmet consen-
sus criteria however ‘depression’ did not. Of diabetes complication
items, 13/16 met consensus criteria (see
Conclusions Study results indicate that international experts con-
sider a number of brain health complications to be associated with
diabetes. Results will be incorporated in a diabetes and brain health
knowledge questionnaire for use among vulnerable populations.
Table 1 A sample of diabetes complications post round-two of
Delphi.
Median Interquartile
range
Percentage
agreement
Kidney damage 5 0 100%
Eye damage 5 0 100%
Stroke 5 1 92.3%
Depression 4 2 92.3%
Dementia 5 1 92.3%
Memory problems 5 1 92.3%
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0751
Relevance of group devices in the
psychological treatment of elderly
patients
L. Emanuelli∗, G. Garcia De Andreis
Casabierta, Buenos Aires, Mar Del Plata, Argentina
∗ Corresponding author.
Thework aims to demonstrate the relevance of groupal psychother-
apies and think tanks in elderly patients, suffering from various
psychiatric disorders. The exhibition focuses on the consideration
of a structural problem of aging seen from the point of view
defences and identifications, which some authors call “caracteropa-
tización of old age”, resulting in stagnation in the development of
treatments in therapeutic individual devices.
The paper postulates that groupal devices are more effective in
treating patients older than treating individual cutting of different
theoretical clinical guidelines, as are more suited to the production
of mobilizing stiffened defences and crystallized identifications,
won both by various effects of the death drive, which result in
specific libidinal stasis, especially expressed in the substitutive for-
mation called by some authors “letting die”.
The statement places the group devices in the Freudian model of
cell tissues, herringbone in various texts of his work, but expressed
in more detail in “Beyond the Pleasure Principle”, which postulates
as the cause of the vital tension constellations composed of dif-
ferent but related cells. Communication is illustrated with clinical
vignettes both therapeutic groups and think tanks, as with clinical
material from patients who have received both individual treat-
ment and group result of therapeutic work done in the Casabierta
institution during the last ten years. As a conclusion and opening
of new questions, the text pans across different forms of resistance
indication of group psychotherapy, which rooted in many current
social representations of the group and the therapeutic.
Keywords Caracteropatización; Defense; Identifications; Device
group.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0752
Anxiety and depression among elderly
hemodialyzed patients
R. Feki ∗, D. Trigui , I. Abida , I. Baati , R. Sellami , I. Feki ,
J. Masmoudi
CHU Hédi Chaker Sfax, Tunisia, Psychiatrie A, sfax, Tunisia
∗ Corresponding author.
Introduction The haemodialysis, one of the main treatment
modalities of chronic renal failure, imposes a great psychosocial
burden on elderly patients, which may cause many psychological
impacts.
Objective The aimof this study was to screen anxiety and depres-
sion in elderly patients on haemodialysis, taking into account
factors that may contribute to.
Methods Our study was transversal, descriptive carried out
among 38 elderly patients aged more than 60 years with chronic
kidney failure on haemodialysis. The structured questionnaire used
in this study was gathered information on socio-demographic and
disease characteristics. We used the hospital anxiety and depres-
sion scale (HADS) to access anxiety and depression.
Results The mean age of our sample was 71 years. The sex-ratio
(♂/♀) was 1.92.,patients were mainly married (73.7%), and have a
low school level (76.3%). The mean haemodialysis duration was
5 years ±4.68. The most common cause of renal failure was poly-
cystic kidney disease (18.4%), diabetes (15.8%), while in 28.9% the
cause was unknown. Anxiety was found in 18.4% of patients and it
was associated with both low school (P = 0.02) and socio-economic